HomeMy WebLinkAbout95-02212~~ ~Q~" ~2Z~
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 I~ealth, 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 Fran eropoli, ct
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
N,os.,u a«. a~BT COMMONWEALTH OF PENNSYLWiN1A • DEPARTMENT OF HEALTH • VITAL RECONDS ~`~ ~ (~
,,,~,,,, CERTIFICATE OF DEATH U V
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PERMANENT
NAME OP OECEOE,R (Fnt MidM.Lrq
SE% 9WEFlE MIlA1BE(1 -
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+• SOCULSECURITV NUMBER
Charles R. Curtin ,.Male ,.173 - 20 - 3219 ORE OF OERNUAde,.OAA qo,
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March 11 1995
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
' DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, /
W Curtin Charles k.
W SOCIAL SECURITY NUMBER
c 173-20-3219
'j' ®1. Original Return
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Vdm ~ 6. Decedent Died Testate
Q (Attach copy of Will)
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kobert J. Mulderig
FAR DATES OF DEATH AFTER 12131191 CHECK HE,~
INHERITANCE TAX RETURN IF A SPOUSAL
POVERTY CREDIT IS CLAIMED ^
RESIDENT DECEDENT FILE NUMBER
(TO BE FILED IN DUPLICATE 21 95 0221
WITH REGISTER OF WILLS] COUNTY CODE YEAR NUMBE
3/11/95/ '~_ 10/6/11
^ 2. Supplemental Return
^ 4a. Future Interest Compromise
(for dates of death after 12-12-82)
^ 7. Decedent Maintained a living Trust
(Attach copy of Trust)
^ 3. Remainder Return
(for dates of death prior to 12-13-8~
® 5. Federal Estate Tax
Return Required
8. Total Number of Safe Deposit Boxe:
T0~
32 South!-$edford Street
Carlisle, PA 17013
1. Real Estate (Schedule A) (1) 5 yl,yUU.UU ~ ~_
2. Stocks and Bonds (Schedule B) (2) $390, 790.88 ~
3. Closely Held Stock/Partnership Interest (Schedule C) (3) ~ 0
4. Mortgages and Notes Receivable (Schedule D) (4) $ 0
5. Cash, Bank Deposits & Miscellaneous Personal Property( 5) $186.696.16
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (Schedule L) (7)
8. Total Gross Assets (total lines 1-7) /~ (8} $670,387.04
9. Funeral Expenses, Administrative Costs, Miscellaneous (9) $ 78 - 690.9 ~/'
Expenses (Schedule H)
10. Debts, Mortgage Liabilities, liens (Schedule () (10)
11. Total Deductions (total lines 9 8~ 10) ~.~ (11) $ 78,690.99
12. Net Value of Estate (line 8 minus line I1) ~,~ (t2} $591,696.05
13. Charitable and Governmental Bequests (Schedule J) (13)
14. Net Value Subject to Tax (line 12 minus line 13) (14) $591, 696.05
15. Amount of line 14 taxable at 6% rate (15) x ~0~ _
Y $ 35 r 501.76
(Include values from Schedule K or Schedule M.)
16. Amount of line 14 taxable at 15°h rate (16) x .15 =
(Include values from Schedule K or Schedule M.)
17. Principal tax due (Add tax from line 15 and from line 16.)
18. Credits Spousal Poverty Credit Prior Payments Discount Interest
+ 530,00.00 + $1,578.95 _
19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT.
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20. If line 17 is greater than line 18, enter the difference on line 20. This is the TAX DUE.
A. Enter the interest on the balance due on line 20A.
B. Enter the total of line 20 and 20A on line 20B. This is the BALANCE DUE.
Make Check Payable to: Register of Wills, Agent
`' w- ~ BEStJR1ETG 1CNSWIR.'R ALL.QUaTI€~Itl~'ON`ItEVEitSIE SIt3E`%1lt~DTO'RECHECK:MATH 1~t -
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belie=
it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representative
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(17)
(18) 531,578.95
(19)
(20) 5 3 , 922.81
(20A)
(20B) S 3,922.81
.tUtNl"J (.UMYLCIC AUUKCJJ
578 G Street, Carlisle, PA 17013
Cumberland
REV-1502 EX + (12.85) ~,
' ~~ SCHEDULE A
COMMONWEALTH Of PENNSYLVANIA I REAL ESTATE
INHERITANCE TAX RETURN
` RESIDENT DECEDENT -
ESTATE OF FILE NUMBER
Charles Fc Curtin 21 - 95 - 0221
(Property joint{y-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
i~r more space ~s neeaea, inserr aaamona~ sneers or some si~P i
REV-15Q3 EX + (4-86~
~ ~ SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS AND BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Charles R. Curtin 21 - 95 - 0221
(All property jointly-owned with Right of Survivorship must be diulosed on Schedule F.)
• REV.150BEx+(2-871 SCHEQULE E
CASH, BANK DEPOSITS AND
COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT Please Print or Type
ESTATE OF FILE NUMBER
Charles k. Curtin
21 - 95 - 0221
(All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F)
ITEM
NUMBER DESCRIPTION VALUE AT
DATE OF DEATH
1. Bank deposits woth PNC Bank $159,707.89
2. keturn of Insurance Premium $ 97
00
3. Federal 94 Income 1$ax refund .
$ 721
41
4. kobert J. Mulderig Escrow account .
$ 400
00
5. keturn of deposit -Warner TV Cable .
$ 40
22
6. Stock Dividends^ .
$ 3
501.71
7. Traveler's Checks ,
$ 160
00
8. Interest .
$ 1
710.43
9. PA Treasury -Unclaimed Property ,
$ 357
50
10. National Home Life Annuity .
$ 20,000.00
TOTAL (Also enter on line 5, Recapitulation) $186,696
(Attach additional 8yi" x 11" sheets if more space is needed.)
r
REW511 EX+ (7-88) SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
MISCELLANEOUS EXPENSES
Please Print or T e
yp
RESIDENT DECEDEtJT
ESTATE OF FILE NUMBER
Charles k. Curtin 21 - 95 - 0221
ITEM DESCRIPTION AMOUNT
NUMBER
A. Funeral Expenses:
1. Prepaid before death
B. Administrative Costs:
1. Personal Representative Commissions Pamela Gordon $3 4,000.00
Social Security Number of Personal Representative: 198 38 4139 L,'
Year Commissions paid 1995
2. Attorney Fees Law Office of kon Turo $3 4,000.00
32 South Bedford Street, Carlisle, PA 17013
3. Family Exemption
Claimant Relationship
Address of Claimant at decedent's death
Street Address
City State Zip Code
4. Probate Fees $ 500.00
C. Miscellaneous Expenses:
~_ House Insurance $ 153.00
2 Advertising $ 102.12
g Electric (PP & L) $ gg,90
4 Gas (UGI) $ 140.99
5, kcal Estate Tax $ 388.35
6, Water & Sewer $ 11.82
7, Medical Expenses $ 2,264.57
g, Closing costs on sale of kcal Estate -~ot~~b`I $ 6,977.64
9. Telephone $ 43.60
TOTAL (Also enter on line 9, Recapitulation) $ 178 70.99
(If more space is needed, insert additional sheets of same size.)
+ 0.EV-1513 EX+ )2-87)
,'
SCHEDULE J
COMMONWEALTH Of PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Charles k. Curtin
FILE NUMBER
21- 95 - 0221
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $
(If more space Is needed, insert additional sheets of same size)
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
s
LAST WILL AND TESTAMENT
I, CHARLES RAYMOND CURTIN, of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby
make, publish and declare this to be my Last Will and Testament, hereby
revoking any and all wills at any time heretofore made by me.
FIRST: I direct my Executrix, hereinafter named, to pay all my just
debts, funeral and testamentary expenses as soon as convenient after my
decease.
SECOND: All the rest, residue and remainder of my estate, real,
personal and mixed, of whatsoever kind and wheresoever situate, I give,
devise and bequeath to my beloved Daughter, Pamela R. Gordon, to have
and to hold the same to her, her heirs and assign forever.
THIRD: I hereby nominate, constitute and appoint my said daughter,
Pamela R. Gordon, to be the Executrix of this my last will and testament.
IN WITNESS THEREOF, I have hereunto- set my hand and seal this 9th
day of January, 1995.
CHARLES RAYM D CURTIN
Signed, sealed, published and declared by the above named
CHARLES RAYMOND CURTIN as and for his last will and testament in the
presence of us, who at his request, and in his presence and in the presence
of e j other, have hereunto subscribed our names as witnesses.
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REV-1547 EX AFP (12-95)
COMMONWEALTH OF PENNSYLVANIA AC N 1 0 1
DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX '
HARRISBURG, PA 17128-0601 DATE 03-25-96 n
i ;
ESTATE OF FILE N0. 1 - 2
DATE OF DEATH 03-11-95 COUNTY CUMBERLAND '
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT••
REMIT PAYMENT TO:
ROBERT J MULDERIG
32 S BEDFORD ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t
----------------------------------------------------------------------------------------------------------------
REV-1547 EX AFP (12-95) NOTICE OF INHERITANCE-TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CURTIN CHARLES R FILE N0. 21 95-0221 ACN 101 DATE 03-25-96
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN SASED ON: ORIGINAL RETURN
1. Real Estate (Schedul• A)
2. Stocks and Bonds (Schedul• 8)
3. Closely Held Stock/Partnership Interest (Schedul• C)
4. Mortgages/Notes Receivable (Schedul• D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedul• E)
6. Jointly Owned Property (Schedul• F)
7. Transfers (Schedule Gl
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedul• Hl
10. Debts/Mortgage Liabilities/Liens (Schedul• I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedul• J)
14. Net Value of Estate Sub,ieet to Tax
tl) 92,900.00
(2) 390,790.88
(3) .00
(4) .00
(5) 186.696.16
(6) .00
(7) .00
(8) 670,387.04
(9) 78, 690.90
(10) .00
(11) 78.690.90
(12) 591,696.05
(131 . 00
(14) 591,696.05
NOTE: i~ an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will
refilect ~Pigures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rata (15) . 00 X .00_ .00
16. Amount of Line 14 taxabl• at Lineal/Class A rat• (16) 591,696.05 X .06. 35,501.76
17. Amount of Line 14 taxabl• at Collateral/Class B ra t• (17) •00 X .15. .00
18. Principal Tax Due (lg) 35,501..76
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT '(+)
INTEREST (-) AMOUNT PAID
05-22-95 AA047789 1,578.95 30,000.00
12-11-95 AA082398 .00 3,922.81
TOTAL TAX CREDIT 35,501.76
BALANCE OF TAX DUE .00
INTEREST .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
CAD f Al /`I 11 ATT/~IJ RC ANNTTTn4AI TNTCDCIT TC TnT AI nllG Te DeGI Cr•TCn •c A r.~n~nrTn •..n~ vnll u.v ..~ nllr
REtI-147^ "' 16881
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEN OF REVENUE
BUREAU Of IN )IVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME
___
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER
SCHEDULE ITEM ~ EXPLANATION OF CHANGES
NO. I -
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TAX EXAMINER:
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