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Home My WebLink About95-01852i-q~-bIBS This is to certify that the certificate hereunto attached is a tine 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 H1DS.,q Iby. 7/aT rrPErPRTwr TN PERMANEIIT aLAQf TTNC I~ z 0 U 0 11D~ Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONW EALTH OF PENN8YLINNIA • DEW WTMENT Of HEALTH • VITAL RECOFi03 CERTIFlCATE OF DEATH X114527 NAME DF DECEDD/T IFaa M'maa. LaOI eT?% sac,ALaE,arTErrr~Ir~,een DATE OFDEATH OAa,n. oay.'Aa0 +. Ruth A. Parente L female ~- 205 - 09 - 9357 ~ ~~ ~, g AOEM1A+B•a,a~ryl uNDO„rEAR IrNDER, oAr avE OFOINTH BaO1ILACS Fayrr PUIOEat<Da~a,+a+ran.-,..:rw,om•saa~. se.l M,nIM ~ DM IIO,aa I MbIAr IMOnm.Da%'Aa7 9YIaaFOn.gnCgray~ ,q~,y,~ PA woae,•, ^ ERA7lpraa ^ Dar. ^ York Co ""~ 91 vn J~ 1 ~ . , , ,. Raaiawer ^ ISM ^ 903 T corrn7YaEDEArN crtr.TMxa.rwraFDEaN FAaunwrrea.a.wrw..v~..vwaw~.mm.r D ~aEDeerraFlasFRRlcawDan RACE-Am«wr~er~«.wrw..r ~~ I Cumberland Carlisle , ~ ~'°"°°'". ~ white n ~ ~ ~ , ,,. , , . ~ sia ~ • ,• O6t>mENi'aIISIMI ROOF BI/91NESBMgUSTRY MMa EYE/1N ~~ NF~r Wnf.4 MlNw'M SUIIVNMa aPO4Y ca~r.Nma.uaaT.b VRmr u.sATaaED a•••o•.•am.aR.ma a.sMgTO~maau:n,ara) aroa.egoFrxn Mb^ New Press Operator , Manufacturing ,L ,~ i2'~ °~'°a" ,, widowed ,, , awawaADDREaa~s..r.cyr~a.,.srwmcmM a ,Ta e,a. Pennsylvania as ,r..^Ma anaaae0rale , ,,,,. 801 N. Hanover Street ar,ra ,~Cazlisle, PA 17013 ~~ ,n Cumberland°~~ ,,,,®~ Tea Carlisle TwNEn~s NAME(Frl, MAIOa. Lrq MOTNEA7 NAME ~..~ M~aal.. MreaesumanW Charles L. Brandt ,R wroaMwf'E NA1E Rrw^m9 a AODREa6Taaaa, aMb, LPCoay Doroth Ann 90 South Side Drive Newvil a PA 1724 - 4 METNODOF OIBPOSITION DIiE GF DIBPOSf1,ON PIACEOP OIBPOSIT1oN-NTraaCwaaNrS CAMaalely LOCATWN•Cfryl4wL SYMbOOa• ®c~.a.er^ T+«araFr181W^ D.x M'.11 gMaIT+llea ~ Daaara^ om .1 ~ ~r+.~ ^ F~bruaxy 28, 1995 Mt. Olivet Cemetery Fairview Rtap., PA 17070 AS SUGI rRRA6EA NAME ANDAOOIESSOF Fr1Oa/TY re a nC. FD 013 340 L Tale. P.O. HOX 4 agar eaywbn •aayAy 0r0aadaryr liww4apa,are,oaa.,aarar u,..ar nlapbr oar. DRE91oIrED /Ir7aIl+nlbaa u.rM•aba.aaarnb aI.gTNq ~~R •aaF eaxaaaalaR ~ d nl~f / ~ 7 / o ~F ErzalanrweealPl+aaM OP ~ PRO1,DIrTraT:aDEADIMaatDav.MMh REFERNEDTOMEDICALElUMN1ERACORONEAT ~/ TA,rrO wlm vala.mr a.wL ~ Mr ^ 110^ a,. M » . . x n.TMRTF. E,eaM A••ara.Wl•ba>eau0acaeaa r,id, ruaN ar arm. D• •abl m•amaaaayaq, aeAr ar9aaay r.aa. slgrAa ra„Nlae. ~wApp Ywad.IW M11T Ik Oalr.giEerAmWd~miYFAigbra4W W angabcalar ar arsarr. .. g 6tlr uWw~i.qur•01„r MRYRt ~ L ~{/,~ ~ / Oirrancaaffae ~~ ~:..'r-~v-J~ / „"~~-C~G4'/~ /KIF~A~~~-'a-'L/J iawlAMar/m / norm)-• /~G~Y ~'~Tliy( , 1:~r!'irl'( , ~. DUE W IDR AS A CONSEQUENCE OF1. a•ara•a.Mrea~wla. e ~ G~'C~f/Z~1 .~..' aaAlX NaaYgbbbrdYe DUETQF>r+ASACONSEQUENCE OFk I E,IIarIIIlaO1LY1110 ~ OMNEIalaaraiquy ~ erY• +a ! OW, WT DUE TOICR ASACONSEOUENCE Cfk a I MME AN AUTOPSY AUTOPSY F,IDIND$ MM0IER OF OEATH D/OE dF'MI.IIrRY TIME GF IIIJUI,Y a4RalYRWDgI(T DESCR6E HOW IN.ANW000,Ai11ED. PERFORMFA7 AINE/ISIpIRgR TO ~Meh COLllET101+OF CAUSE CIF DE/DN4 Nabs ~ Hgair'a1 ^ A•aaere ^ Panarq Nral~mn ^ Yea ^ No^ M. Mb ^ N• W ^ N0 ^ 9ukMa ^ Ca.W nawaw.Remw ^ PUCE OF OiIURY-Altmrne ,mn atna bpor ollk• LOCATION , , . % ,_-~ ISteM. CwMFewn. Slaty 2N. 21 ba6ri0' em. (SOatilyl 7r. / 701. Cl/1TlIER ICIn L «rr ana ~ ' ~ ANO 'rC6f~fM'~ PIIYSICIAII IP~Y~.r urYyY9 cauraOSaF~wlian sgNw Vf•Y•~'+a~MS paMVCeO armana~anWl•a M•m 231 '~{ ! w , ~ g n•r .M•.a..m.•vmaawrm.cw.•IN.na mrm..r.rw ..................................................... ~Y t ~._ 1~ '_. L n /•.-s DATE D•y NrI/~ •PRDNOUxcuTaANDCERTwwoPNYSIe1ANIFnr.~eanwawr~nvarma.a~eAh+gmc,w•aara.I V -:~ /7 ~~-- Tem. wramFl~n•.+•aE•.a.an•m...w.em.E...aw..na PT.e..,naa,.bm. uuwq..aw.nn..,. wba .......................... ^ ,. <:..fi `~O L- 7ta NAME ATOADDRESSOFP~R~ON/p;Hyp. qF 'gEDICAL E%AIaN,E7vO01TO/+ER (Ibm 27) iYP• a. Prue .'k'~Q f ^C ~~ ~[ /~ JG~ p,,/ an,n. TrW d a^a10NU1ion a„arar Mraatl0Nlo0, In mY opabn, d..,n oewrtad a nb u.,.., aaa ana Mae. one dw,o,ne eru•IN,Ra ~% ` J~ /i7- ~ ?H /L ~-% / , . 71a. ........ ......... d ~ ~ ~ /.) '^~~ ~ 70/~ 771. REGISTRAR'S SK3NATVRE ANp NUMBER ,~ II ~~ y DATE FILFD(Maen. Day lbrl ~ REV - 1500 EX+(7-84) DECEDENT'SNAME(I-AST,FIRST,ANDMI LE INITIAL) t E Parente Ruth A, C SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH 205-09-9357 02/24/1995 06/08/1903 N c 1' (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST,FIRST AND MIDDLE INITIAL) ~~ -~ ~'---""' ~ " '~°-~°~' +~ ~ I wl t M FiEG15TER CAB LX~ 1. Original Return c R C ^ 4. Limited Estate K P S 0 6. Decedent Died Testate 0 0 R N S N - T R E C A P I T U L A T 1 O N T A X C 0 M P u T A T 1 O N (Attach copy of wll) ALL CORRESPONDENCE AND NAME INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE FOR DATES OF DEATH AFTER 12/31/91 CHECK HERE IF A SPOUSAL ~OVERTYCRED!TISC~ arMED I FILE NUMBER 21-95-0185 EDENT'S COMPLETE ADDRESS Church of God Home 801 North Hanover Street Carlisle, PA 17013 qty Cumberland SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS) 0.00 2. Supplemental Return 3. Remainder Return 4a. Future Interest Compromise (for dates of death prior to 12-13-82) (for dates of death after 12-12-82) ~ 5. Federal Estate Tax Retum Required 7. Decedent Maintained a living Trust 1 8. Total Number of Safe Deposit Boxes _ (Attach a copy of Trust) ENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: COMPLETE MAILING ADDRESS Dau hin De osit Bank and Trust Com an Dauphin Deposit Bank and Trust Company TELEPHONE NUMBER 8 West High Street 1-800-432-7994 Carlisle PA 17013 1. Real Estate (Schedul A) e 1 None 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Stock/Partnership Interest (Schedule C) (3) None 4. Mortgages and Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits 8, Miscellaneous Personal Property (Sch. E) {5) 42 , 829.63 6. Jointly Owned Property (Schedule F) (6) None 7. Transfers (Schedule G) (Schedule L) (7) None 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, AdminisVative Costs, Miscellaneous (9) 11, 205.84 Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) 73 .85 11. Total Deductions (total Lines 9 & 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 (tor dates of death after 6-30-94) (8) 42 , 829.63 (11) 11,279.69 (12) 31, 549.94 (13) None (14) 31, 549.94 See Instructions for Applicable Percentage on page 2. (15) 0.00 X = 0.00 (Include values from Schedule K or Schedule M.) _ 16. Amount of Line 14 taxable at 6% rate (16) 31, 549.94 x .os = 1,893.00 (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate (17) 0.00 X .15 = 0.00 (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add tax from Line 15, 16 and 17.) 19. Credits/Sp Poverty Prior Payments Discount Interest 0.00+ 1,500.00 78.95 - 0.00 20. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYM ;A: ~ Creek Iteiie if u~ar~:r : uestin ~:rafrraef o#:.oar ov. 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 Line 21B. This is the BALANCE DUE. Make Cheek Payable to: Register of Witls, Agent (18) 1, 893.00 (t9) 1,578.95 (~) 0.00 (21) 314.05 ( 21A) 0.00 ( 218) 314.05 - - BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ ~ ndsr penalties o perjury, I dee are that I avs ezaml t s return, ne aeeom correct and complete. I declare that all real estate has been r ~ ~~ ~ x u es statements, tots o my now edge and I t is true, which proparsr has arty knowledge, sported at true market value. Declaration of prsparsr other than the psraonal representatlvs Is based o~~ do f ~ SIGNATUR ERSON RESPONSIBLE FOR FILING RETURN - --- DAT .,, 8 West High-Street - Carlisle, PA 17013 SIGNATURE OF PREPARER OTHER TH EPRESENTATIVE ---- DATE Dauphin-Deposit_Bank and Trust Company ---- -------------- Form 8 West Hi h Street Copyright (e) 1994 form software only CPSystsms, Inc. Carlisle . PA 17013 Act #48 of 1994 provides 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% (.02) will be applicable for estates of decedents dying on or after 1/1!96 and before 111/97 •1% (.01) will be applicable for estates of decedents dying on or aiter 1/1/97 and before 1/1/98 espousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING GIUESTIONS BY PLACING A MARK (~ IN THE APPROPRIATE BLOCKS. 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 decadent transfer property within one year of death without receiving adequate consideration? 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. Copyright (e) 1994 form softwaro only CPSystsms, Ine. Form 1500 fRev. 7_g41 REV - 1502 p(+ (12-85) COMIN~~RNOECED~NT~VAN~A SCHEDULE A 5 REAL ESTATE ESTATE OF Ruth A. Parente SS 205-09-9357 02 24 1995 FILE NUMBER (property joint 21- 95 - 0185 ly-owned with Right of Survivorship must bs disclosed on Schedule F} Ali rnal estate should bs reported at fair market value which is defined as the price at which property would bs exchanged between a willing buyer and a willing seller, neRher being compelled to buy or sell, both Navin reasonable knowied • of the relevant facts. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 1, Reca itulatan) S 0.00 (If more space is needed, insert additional sheets of same size.) Copyright (e) 199 farm software oMy CPSystsms, Inc. Fwm 1$00 Schedule A (Rev. t2-851 RE1~ - 1503 EX + (4-86) COM~NORESIDENTD1~NT~^"~^ SCHEDULE B E ioEN N5`~ STOCKS AND BONDS ESTATE OF FILE NUMBER Ruth A. Parente SS~~ 205-09-9357 02/24/1995 21-95-0185 (All props 'oi -owned with Ri ht of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 2, Reca itulation) S 0.00 (If more space is needed, insert additional sheets of same size.) Copyright (c) 1994 form softwaro ony CPSystems, Ins. Fnrm 15ee c,.ti.,r.a~ p ie... • oe~ Rev - tsa ex . (~-g2) SCWEDULE C COMINt~W~-~x~,rNgyLyANIA CLOSELY HELD STOCK, ___ _ Y _ _ PARTNERSHIP AND PROPRIETY Ruth A. Parente SS~~ 205-09-9357 02/24/1995 21-95-0185 ITEM _... . . NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 3, Reca ftulation) S 0.00 (If more space is needed, insert additional sheets of same size.) Copyright (e)1994 form softwus only CPSystems, Ine. Form tst~ Schedule C (Rev.3-921 REV - 1507 EX • (7_gg) COM INORE~N~~~N~~ANIA SCHEDULE D MORTGAGES AND NOTES Ruth A. Parente SS~~ 205-09-9357 02/24/1995 .II pro arty 'oin owned with the RI ht of Survivonthip must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION TOTAL (Also enter on line 4, Aeca itulation) (If more space is needed, insert additional sheets of same size.) Copyright (c) 199 form software only CPSystems, inc. FILE NUMBER 21-95-0185 VALUE AT DATE OF DEATH it 0 00 Fnn.. 15!10 cN..,r„~. n io. ~_em REV -1so8 Ex + (2.87) SCHEDULE E CASH, BANK DEPOSITS AND COM I N~~WEA~N N Op~c~,~yANIA MISCELLANEOUS R,a,~(d~EuT NijYh- PERSONAL PROPERTY ESTATE OF Ruth A. Parente SS~~ 205-09-9357 02/24/1995 All rope 'oiMly-owned with RI ht of Survivorshi must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION 1 Banker's Life Insurance Co. - Refund of Unused Premium 2 Church of God - Refund of Security Deposit 3 Church of God - Balance in Miscellaneous Account 4 Dauphin Deposit Bank Certificate of Deposit ~~8100284830 Accrued Interest 5 Dauphin Deposit Bank Money Market Account ~~94229163 Accrued Interest 21-95-0185 VALUE AT DATE OF DEATH 488.61 3,248.25 34.65 24,000.00 26.30 15,020.96 10.86 TOTAL (Also enter on line 5, Reca itulation) ; 42 , 829.63 (Attach additional 8 1/2" x 11" sheets ff more space is needed.) Copyright (c) 1994 form saftwaro only CPSvstsms. Inc. ~___ Senn .._~_~..,_ r .., - __, REV - 1509 p(+ (~Z_gg~ COMIN~~Sgp~NpF,~~~LVANIA SCHEDULE F -__. __ _ _ JOINTLY-OWNED PRi Ruth A. Parente SS~~ 205-09-9357 02 24 1995 FILE NUMBER 21-95-0185 Joint tenant(s): NAME ADDRESS A RELATIONSHIP TO DECEeEwr B. C. Jointly-owned property: ITEM LETTER DATE FOR MADE NUMBER JOINT TENANT JOINT DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF OF ASSET •A INT. ECEDENT INTEREST ~ vrat. (Also enter on line 6, Reca itulation) 0.00 (If more space is needed, insert additional sheets of same size.) Copyright (c) 1994 form softwaro only CPSystsms, ine. Fnrm 15A0 c..ti..r.n. R ro.., re oaf REV - 1510 EX + (2_87j 'ATE OF COM ~N~EgLT~~C~LVANIA SCHEDULE G Ruth A. Parente SSA 205-09-9357 02 24 1995 21-95-0185 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON PAGE 2 IS YES. ITEM DESCRIPTION OF PROPERTY NUMBER ~nuudertameofthetransfsna,their EXCLUSION TOTAL VALUE DECD'S DOLLAR VALUE OF rolatiorohi to dseedeM date of transfer. OF ASSET INT. DECEDENT INTEREST TOTAL (Also enter on line 7, Roca itulation) (If more space is needed, insert additional sheets of same sae.) 0.00 Copyright (ej 199 form softwaro ony CPSystsms, Ine. Form 15~ Sehw~rlulw G /p.o 7-p7~ REV - tstt Ex , p_ea> COM INQI'IyVI~HN~DOpE~~C~N~~ANIA SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND Ruth A. Parente SS~~ 205-09-9357 02 24 1995 ITEM NUMBER DESCRIPTION A• Funeral Expenses: 1 Parthmore Funeral Home Inc. - Funeral Expense B• Administrative Costs: 1• Personal Representative Commissions Dauphin Deposit Bank and Trust C Social Security Number of Personal Represenrtative: Year Commissions paid 2. Attorney Fees Robert M. Frey 3• ~ Famiy Exemption Claimant Relationship Address of Claimant at decedent's death Street Address Crty State Zip Code 4. Probate Fees 21-95-0185 AMOUNT 7,134.00 2,500.00 1,070.00 0.00 93.00 C• Miscellaneous Expenses: 1 Cumberland County Register of Wills - Reserve for Cost of Filing PA Inheritance Tax Return 2 Cumberland Law Journal - Cost of Advertising and Proof of Publication 3 The Sentinel - Cost of Advertising and Proof of Publication 300.00 40.00 68.84 ~~ ,•`,o' t v rat, tnlso enter on line 9, Recapitulation) S 11, 205.84 (li' more space is needed, insert additional sheets of same size.) Copyright (e) t99~ form software only CPSystems, Irrc. FOm1 'iSt~Schedulw NlRwv. 7_RAf REV - 1512 EX a (1-93) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TA~(RETURN RESIDENT DECEDENT ESTATE OF SCHEDULEI DEBTS OF DECEDENT, Ruth A. Parente SS~~ 205-09-9357 02/24/1995 21-95-0185 ITEM NUMBER DESCRIPTION AMOUNT 1 Pease Pharmacy - Medical Expense 73.85 TOTAL (Also enter on line 10, Reca itulation) S 7~ . 85 (If more space is needed, insert addhional sheets of same size.) Copyright (e) 1994 form software ony CPSystsma, IrK Fwm 1500 Schedule 1(Rsv. 1-93) REV - 1513 p(+ (2_87) COMINO. NyVCEA~Tj.~alpr IaENUN~t,yANIA SCHEDULE) STATE OF '~~"" '"'^ Ruth A. Parente 5S~ 205-09-9357 02 24 1995 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: 1 Leonard B. Frownfelter 819 Charles Avenue Mechanicsburg, PA 17055 2 Dorothy Ann Speers 90 South Side Drive Newville, PA 17241 3 Mary Louise Rodgers 203 Canford Drive Broomall, PA 19008 ITEM NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: FILE NUMBER 21-95-0185 RELATIONSHIP AMOUNT OR SHARE OF ESTATE Son 500.00 Cash Bequest Daughter I1/2 share of Residue Daughter 11/2 share of Residue AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) j (If more space is needed, insert additional sheets of same size.) 0.00 Copyright (e) 1994 form software ony CPSystems, Ir,c. Form 1500 Schedule J (Rev. 2-8~ R~ ~'~"a °`('-~' SCHEDULE N COMMONWEALTH OF PENNSYLVANIA SPOUSAL POVERTY CREDIT I NHERITANCE TAX DIVISION (AVAILABLE FOR DECEDENTS DYING AFTER 12/3 / 1 91) ESTATE OF Ruth A. Parente SSA 205-09-9357 02 24 1995 FILE NUMBER - 95 - 0185 This schedule must be completed and filed ff you checked the spousal poverty credit box on the cover sheet Y ".'i w ,'. `'1 ~ .:K t~ ': ~ . ~. ..... . ~ r ' t = 1. Taxable Assets total from line 8 (cover sheet) . . ...... . ; ~: ............ ....... 1. 42,829.63 Z. Insurance Proceeds on Life of Decedent. . ....... ................. ............ 2. 0.00 3. Retirement Benefks . ..... ....... ............................ 3. 0.00 4. Joist Assets with Spouse . .. ............................. 4. 0.00 5. PA Lottery V~nnings . . .... .............. 5. 0.00 6a. Other Nontaxable Assets: List (Attach schedule ff necessary) . ~ ~• 0.00 t ~. ~r 6e. ~` fid. 6. SUBTOTAL (Lines 6a, b, c, d) . . . r .. 6. ...... 0.00 7. Total Gross Assets (Add lines 1 thru 61 . ..... ............................. 7. 42,829.63 8. Total Actual Liabilities . . 9. Net Value of Estate (Subtract line 8 from line 7) . ~ ~ ~ ~ ~ 8• 0.00 If line 9 is greater than 1200,000 -STOP. The estate is not eligible to claim tha dle cra . If not, corninue to Part II. g, 42,829.63 Income: ,~ ~~'' .=` 1. TAX YEAR: 19 92 2. TAX YEAR: 19 93 3. LqX ~ J a. Spouse . t YEAR: 19 94 a. b. Decedent . 0.00 2a. 0.00 3a. ................... 1b. 0 00 0.00 . e. Joirn. . 2b. 0.00 3b. ..... ................. 1e. 0.00 2e d 0.00 . 0.00 3c. . Tax Exempt Income . ~d• 0 00 2 0.00 . d. 0.00 3d. e. Other Income not listed above. 0 00 •~~... 1e. 0.00 2s. 0.00 3e. f. Total. 1f . 0.00 . 4. Average Joint Exemption Income Calculation 0.00 2f. 0.00 3f. 0.00 4a. Add Joint Exemption Income from above: (1f) 0.00 + (~) 0.00 +(3f) _ 0 00 . - 0.00 4b. Average Joint Exemption Income . ( - 3 ) If line fi(b) is greater than 140,000 -STOP. The estate is not eligible to claim the credit If - 0.00 . not, continue to Part III. . , ~~; ?~'~' 1. Insert amount of taxable transfers to spouse or 1100,000, whichever is le ' ss . ................... 1. 0.00 2. Mukiply by credit percentage (see instructions) . 3. This is the amount of the Resident Spousal Poverty Credit. Include this fi 2' u 6.OOY g re in the calculation of total credits on line 19 of the cover sheet . . 4. For Nonresidents, enter the ratio of the decedern's gross estate in PA to the value of the 3' ' 0.00 decedent s gross estate . . 5. Multipy line 3 by line 4 and enter the total here. This is the amount of the Nonresident Spousal 4. Poverty Credit I l 0.00 . nc ude this figure in the calculation of total credits on line 19 of the cover sheet. Copyright (e) 1994 form software only CPS stem I $ y s, nc. , ~ _ ~ 0 Schedule (Rev.1-92) 14425608172006 Cumberland County - Register Of Wills Pa e 1 ROW621 File No 1995-00185 Decedent PARENTE RUTH A Docket Entries 8/17/2006 PA File No 2195-00185 D/E Date No. Filed 001 03/02/95 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY 002 03/02/95 OATH OF PERSONAL REPRESENTATIVE 003 03/02/95 OATH OF SUBSCRIBING WITNESSES 004 03/02/95 DEATH CERTIFICATE 005 03/10/95 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY 006 04/06/95 CERTIFICATION OF NOTICE UNDER RULE 5.6 (A) 007 05/17/95 INHERITANCE TAX PYMT PAID - 1,500.00 ACN - 101 RECEIPT - 47775 DAUPHIN DEPOSIT BANK & TRUST 008 06/30/95 INHERITANCE TAX RETURN TAX DOCKET 15 20 6 009 06/30/95 INVENTORY 010 06/30/95 INHERITANCE TAX PYMT PAID - 314.05 ACN - 101 RECEIPT - 47952 DAUPHIN DEPOSIT BANK & TRUST 011 09/26/95 STATUS REPORT COMPLETE 012 10/04/95 REV 1547 NOTICE INH TAX APPRAISEMENT Docket: 15 Book: Page: 20.00 013 11/08/95 FIRST AND FINAL ACCOUNT AND DISTRIBUTION 014 01/30/96 ACCOUNT CONFIRMED ABSOLUTELY 15 03/07/96 STATUS REPORT 6.12 COMPLETE 14420708172006 Cumberland Count - Register Of Wills Page 1 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A Date ~f Death 2/24/1995 Filing Date 3/02/1995 Residence Code 2 CARLISLE BOROUGH Estate Type Letters Granted Certification-Needed Status Report-Needed Assessment Received Personal Representat P PROBATE T TESTAMENTARY By 6/20/1995 By 2/24/1997 . 10/02/1995 ive 1 EXECUTOR Date Report To State 3/02/1995 Letters Granted 3/10/1995 Certification-Filed 4/06/1995 Status Report-Filed 9/26/1995 File Out 0/00/0000 14420708172006 Cumberland Count - Register Of Wills Page 2 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A ' Also Known As ( AKA ) 14420708172006 Cumberland Count - Register Of Wills Page 3 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTS RUTH A ' Personal Representative(s) EXECUTOR DAUPHIN DEPOSIT BANK & TRUST Phone 717-240-6710 Fax 8 WEST HIGH STREET CARLISLE PA 17103 -------------------------------------------------------------------------- 14420708172006 Cumberland Count - Register Of Wills Page 4 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A Docket Entries Date Filed 3/02/1995 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY 3/02/1995 OATH OF PERSONAL REPRESENTATIVE 3/02/1995 OATH OF SUBSCRIBING WITNESSES 3/02/1995 DEATH CERTIFICATE 3/10/1995 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY 4/06/1995 CERTIFICATION OF NOTICE UNDER RULE 5.6 (A) 5/17/1995 INHERITANCE TAX PYMT PAID - 1,500.00 ACN - 101 RECEIPT - 47775 DAUPHIN DEPOSIT BANK & TRUST 6/30/1995 INHERITANCE TAX RETURN TAX DOCKET 15 20 6 6/30/1995 INVENTORY 6/30/1995 INHERITANCE TAX PYMT PAID - 314.05 ACN - 101 RECEIPT - 47952 DAUPHIN DEPOSIT BANK & TRUST 9/26/1995 STATUS REPORT COMPLETE 10/04/1995 REV 1547 NOTICE INH TAX APPRAISEMENT Docket: 15 Book: Page: 20.00 11/08/1995 FIRST AND FINAL ACCOUNT AND DISTRIBUTION 1/30/1996 ACCOUNT CONFIRMED ABSOLUTELY 3/07/1996 STATUS REPORT 6.12 COMPLETE __ _ 14420708172006 Cumberland Count - Register Of Wills Page 5 ROW460 Esta~e Inquiry File No 1995-00185 Decedent PARENTE RUTH A Descri tion R Filing Fees LETTE TEST IS 70.00 EXTRA PAGES 3.00 SHORT CERTIFICA 15.00 JCP FEE 5.00 INH TAX RETURN 15.00 INVENTORY 10.00 FRST/FNL ACCT&D 105.00 * Totals * 223.00 Pd To Date Amount Due 70.00 .00 3.00 .00 15.00 .00 5.00 .00 15.00 .00 10.00 .00 105.00 .00 223.00 .00 PA File No 21-1995-0185 In Escrow Last Pymt % .00 3 10%95 % % .00 6 30 95 1% % .00 1 08 95 .00 Payment Receipt Discount Interest Amount ACN Date No. Amount Amount Paid % % 78 1 101 6 30 95 0047952 .00 .00 ~314.0~ Current tax due on ACN 101--> Supplement Return Number Account Control Number (ACN) ~ . Date A~praisement filed in County Office . Date o Appraisement on State Form . PRAISED VALUE OF RETURN BASED ON: ORIGINAL 1. Real~Estate (Schedule A) .00 2. Stocks and Bonds (Schedule B) .00 3. Closely Held Stock/Ptnr Int. (Sch C) .00 4. Mort ages/Notes Rec. (Schedule D) ~ .00 5. 6 Cash Bank Depp /Misc Per. Prop (Sch E) J i tl O d~P h l 42,829.63 . 7 o n y wne roperty (Sc edu e F) T f (S h d l .00 . rans ers c e u e G) .00 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funer. Exp./Adm. Cst/Msc Exp. (Sch H) 11,205.84 10. Debts/Mortg age Liab./Liens (Sch I) 73.85 11. Total Ded , uctions 12. Net Value of Tax Return 13. Charitable/Govt. Bequests (Sch J) 14. Net Value of Estate Subject to Tax ASSESSMENT OF TAX- ASSESSMENT OF TAX: 16. Amount of Line 14 taxable at 6% rate 31,549.94 .0600 17. Amt of Line 14 taxable at 15% rate .00 .1500 18. Principal Tax Due 10%02%1995 42,829.63 11,279.69 31,549.94 .00 31,549.94 1,893.00 .00 1,893.00 14422708172006 Cumberland Count - ~ Register Of Wills Page l ROW460 Esta e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A Date of `Death 2/24/1995 Filing Date 3/02/1995 Residence Code 2 CARLISLE BOROUGH Date Estate Type P PROBATE Report To State 3/02/1995 Letters Granted T TESTAMENTARY Letters Granted 3/10/1995 Certification-Needed By 6/20/1995 Certification-Filed 4/06/1995 Status Report-Needed By 2/24/1997 Status Report-Filed 9/26/1995 Assessment Received 10/02/1995 Personal Representative 1 EXECUTOR File Out 0/00/0000 14422708172006 Cumberland Count - Register Of Wills Page 2 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A ' Also Known As ( AKA ) 14422708172006 Cumberland Count - Register Of Wills Page 3 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A Personal Representative(s) DAUPHIN DEPOSIT BANK & TRUST Phone 17-240-6710 Fax 8 WEST HIGH STREET CARLISLE PA 17103 14422708172006 Cumberland Count - Register Of Wills Page 4 ROW460 Esta~e Inquiry File No 1995-00185 PA File No 21-1995-0185 Decedent PARENTE RUTH A Docket Entries Date Filed 3/02/1995 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY 3/02/1995 OATH OF PERSONAL REPRESENTATIVE 3/02/1995 OATH OF SUBSCRIBING WITNESSES 3/02/1995 DEATH CERTIFICATE 3/10/1995 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY 4/06/1995 CERTIFICATION OF NOTICE UNDER RULE 5.6 (A) 5/17/1995 INHERITANCE TAX PYMT PAID - 1,500.00 ACN - 101 RECEIPT - 47775 DAUPHIN DEPOSIT BANK & TRUST 6/30/1995 INHERITANCE TAX RETURN TAX DOCKET 15 20 6 6/30/1995 INVENTORY 6/30/1995 INHERITANCE TAX PYMT PAID - 314.05 ACN - 101 RECEIPT - 47952 DAUPHIN DEPOSIT BANK & TRUST 9/26/1995 STATUS REPORT COMPLETE 10/04/1995 REV 1547 NOTICE INH TAX APPRAISEMENT Docket: 15 Book: Page: 20.00 11/08/1995 FIRST AND FINAL ACCOUNT AND DISTRIBUTION 1/30/1996 ACCOUNT CONFIRMED ABSOLUTELY 3/07/1996 STATUS REPORT 6.12 COMPLETE 14422708172006 Cumberland Count - Register Of Wills Page 5 ROW460 Esta~e Inquiry File No 1995-00185 Decedent PARENTE RUTH A Descri tion R Filing Fees LETTE TEST IS 70.00 EXTRA PAGES 3.00 SHORT CERTIFICA 15.00 JCP FEE 5.00 INH TAX RETURN 15.00 INVENTORY 10.00 FRST/FNL ACCT&D 105.00 * Totals 223.00 Pd To Date Amount Due 70.00 .00 3.00 .00 15.00 .00 5.00 .00 15.00 .00 10.00 .00 105.00 .00 223.00 .00 PA File No 21-1995-0185 In Escrow Last Pymt % % .00 3 10 95 % % .00 3 10 95 .00 6/30/95 1% .00 1 08%95 .00 Payment Recei t Discount Interest Amount ACN Date 101 5/17/95 No. 0047775 Amount 78.95 Amount .00 Paid 1 500.00 ` 101 6/30/95 0047952 .00 .00 , 314.05 Current tax due on ACN 101--> Supplement Return Number Account Control Number (ACN) , Date A praisement filed in County~Office Dat~,o~ Appraisement on State Form . PRAISED VALUE OF RETURN BASED ON: ORIGINAL 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Ptnr Int. (Sch C) 4. Mortgages/Notes Rec. (Schedule D) 5. Cash Bank Dep. Misc Per. Prop (Sch E) 6. Jointly Owned roperty (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funer. Exp./Adm. Cst/Msc Exp. (Sch H) 10. Debts/Mortgage,Liab./Liens (Sch I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govt. Bequests (Sch J) 14. Net Value of Estate Subject to Tax ASSESSMENT OF TAX: ASSESSMENT OF TAX: 16. Amount of Line 14 taxable at 6% rate 17. Amt of Line 14 taxable at 15% rate 18. Principal Tax Due .00 .00 .00 .00 42,829.63 .00 .00 11,205.84 73.85 31,549.94 .0600 .00 .1500 10%02%1995 42,829.63 11,279.69 31,549.94 .00 31,549.94 1,893.00 .00 1,893.00