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Home My WebLink About95-0232~,i -a~ - 023 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 18 2001 Date H10B.1r3 Hw. 2187 Tr.B~vnsrr M PEAMAW BLAB( q W 2 ? ~_ Fran eropoli, ct Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VITAL RECORDS 015 7 0 3 CERTIFICATE OF DEATH r w KtV-~JW 6Xt trz-eet FILE NUMBER INHERIT CE TAX RETURN RESI ENT DECEDENT 2195-0232 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE (TO BE FILED IN DUPLICATE DEPT. 280601 HARRISBURG, PA 17128-0601 WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMBS ~ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIALI DECEDENT'S COMPLETE ADDRESS W Bowringr Boyd J. 341 Brick Church Road ~ W V SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH Newvi Ile , Pa 1 7 2 41 c 185-09-9473 3/4/1'95 6/1/1909 Y counry Cumberland W F- ® 1. Original Return ,,.r'~~ ^ 2. Supplemental Return ^ 3. Remainder Return '` Y~Y =00 ^ 4. Limited Estate (for dates of death prior to 12-13-8: (~ ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax u (for dates of death after 12-12-82) Return Required d°a o. ^ b. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit Boxe Q (Attach copy of Will) (Attach copy of Trust) L ~ -_ ~ V1 Z NAME Stephen J. Hog ~ ~ COMPLETE MAILING ADDRESS ~ - -' squire r~~, -Tl 0 1 9 S . HanoBz~ ' Stet ~°~ O ~ ~ TELEPHONE NUMBER _ Sulte 1 01 ~ ~~ ~-' `~ 71 7 245- 698 Carlisle Pa '1 70 ~ ~~U:~~ -^ 1. Real Estate (Schedule A) ( 1) __ I N 2. Stocks and Bonds (Schedule B) (2) _ 3. Closely Held Stock/Partnership Interest (Schedule C) (3) ~ - t t ~~, ,- 4. Mortgages and Notes Receivable (Schedule D) (4) ''ter '~' = ~ .i-s Y; ,,'~J 5. Cash, Bank Deposits 8~ Miscellaneous Personal Property( $ 2 . 5 4 0. 4 5 OZ (Schedule E) Q b. Jointly Owned Property (Schedule F) (b) j 7. Transfers (Schedule G) (Schedule L) (7) o. 8. Total Gross Assets (total lines 1-7) ,,= ' (8) $ 2 , 5 4 ~ . 4 5 ,;; 9. Funeral Expenses, Administrative Costs, Miscellaneous (9 7 r 3 9 6. 0 2 __ °C Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule () (10) 1 1. Total Deductions (total lines 9 8~ 10) 7 , 3 9 6. 0 2 (1 1) $ 12. Net Value of Estate (line 8 minus line 11) / (12) 0 \~, b5`5.57~_ , 13. Charitable and Governmental Bequests (Schedule J) ~ 13 _ , 14. Net Value Subject to Tax (line 12 minus line 13) _ ~__ (14) 0 ~{; ~S S, S nl~ Z O Q d O u x a r- 15. Amount of line 14 taxable at b% rate (15) (Include values from Schedule K or Schedule M.) 16. Amount of line 14 taxable at 15% rate (16) (Include values from Schedule K or Schedule M.) 17. Principal tax due (Add tax from line 15 and from line 1 b.) 18. Credits Prior Payments Discount Interest x .Ob x .15 (17) (18) (19) 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. ~^ i!0. 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 206. This is the BALANCE DUE. Make Check Payable to: Register of Wills, Agent (20) (20A) (206) ~};n-BlE ;i~ ~~; ~ tl QUESTIONS ON tt~VERSE 5i1~~ 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 belief, 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 is based on all information of which preparer has any knowledge. ~: DATE DATE ~--'-`~- w r PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ~ IN T APPROPRIATE BLOCKS. ~ ) HE 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 ears 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 consideration2 ................ .................................. 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 TH E RETURN. k REY--1508'X+ 12-B%) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FCTATC roc SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY t~owging, Boyd J. (All property jointly-owned with tha Right of Survivorship must be dlselossd on Schedule F) ITEM - NUMBER DESCRIPTION Farmers National Bank of Newville Account # 500-2361, Value TOTAL (Also enter on line 5, (Attach additional 8Yx" x 11" sheets if more space is needed.) Please Print or Type jMBER 2195-0232 VALUE AT DATE OF DEATH itulation) ~ $ $ 2,540.45 40.45 t REV.1511 EX+ IB•86) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Bowring, Boyd J. ITEM NUMBER A• Funeral Expenses: ~• Egger Funeral Home SCHEDULE H FUNERAL. EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES DESCRIPTION Please Print or Type ABER 2195-0232 AMOUNT $4705.00 B• Administrative Costs: ~ • Personal Representative Commissions Social Security Number of Personal Representative: - Year Commissions paid $ 1 2 7. 0 2 2• Attorney Fees $ 500.00 3• Family Exemption Claimant DP 1 (~ yp G R $ 2~ 0 . 0 0 --^~'r'-=-- tg .- Relationship _ w~ Address of Claimant at decedent's death Street Address Same as Decedent City State Zip Code 4• Probate Fees C• Miscellaneous Expenses: $ 3 9. 0 0 1. Inheritance Tax & Inventory $ 25.00 TOTAL (Also enter on line 9, Recapit4lation (If more space is needed, insert add,,,vnal sheets of same size) S 7, 396 02 pennsyLvania BUREAUT� UxHGE OF INHERITANCE TAX DEPARTMENT OF REVENUE AqlqrgG*A'h REV-1607 EX AFP (12-14) INHERITANION PO BOX 28 c C F L S STATEMENT OF ACCOUNT HARRISBURG 61 ?OiS r,,EB 17 FM 1 14DATE 02-09-2015 ESTATE OF BOWRING BOYD i CLEF", CF DATE OF DEATH, 03-04-1995 ORPHAANS' Cc,u,"J FILE NUMBER 21 95-0232 COUNTY CUMBERLAND H@ STEPHEN J ACN 101 STE 101 Amount Remitted 19 S HANOVER ST CARLISLE PA 17013 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 +- - --- ---- - ------ -- ------ - ----- le-W� C12-14) X *** INHERITANCE TAX STATEMENT OF ACCOUNT ESTATE OF:BOWRING BOYD JFILE NO. : 21 95-0232 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: 07-07-1997 PRINCIPAL TAX DUE: .00 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT AMOUNT PAID DATE NUMBER INTEREST/PEN PAID TOTAL TAX PAYMENT .00 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.