Loading...
HomeMy WebLinkAbout95-0236 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. Auc i s x~~ p ~ Date Fran eropoli, ' ectdl~ Division of Vital Records P.O. Box 1528 New Castle, PA 16103 ~~ M10s. taJ Rev. ?1B7 TYPEARWT N PERMANENT euac N«c c w 1~• Z COMMONWEALTH OF PENNSYLMANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH G"144Q5 awE RlE NUYaER NAME Of °ECE°EMI~.M(daa'laq SEX SOCUIL SECURrtr NUMBER DATE OF DER„IMOnn.Oay.'~eaq ,. Mary B. Heckman Female 2 [ , a. 0 ~ -O1 - 3569 ..February 19, 1995 AGE(W Baevfap) uNOe„rEAR uNDEn,DAr ouEGPwYm 9YtfIRACEIQYaaa vucEwDE,cNfm.a~«wan.-~,..+rwc.ae.«.an.,,a., Moaba Dwe N«aa t MMaI~ IMOnri.D•G'R•N stMa«RaagnC•Iaryl ,p$p,B,l oTNEA: 7~+T B7 rot June 2,190 THarrisburg,Pa "'^~""^ ~°~"~^ ~^ IIa1Ux RMians^ ~^ caNrroPDEATN cm:eaa.Tw-avoEArN FACAJIYNAMEplaanrfaom.yvearswanananawl W13DECEDEIlTOFN18PRNICORIGBI! RACE-Anrrlunlna.n.N.al.wNr..,c. I ,ti No [J' rie ^ NYIa, apatil, CUaan, (SOecM Cumberland Carlisle ~ Sarah Todd Memorial Home ~-n.nnRluA.•le. White • ' ,a DECEOFIR EUMMI OCCURYION IDNDOFN,SM,ESBANDIA4'TRY ri180ECEDpREVEAN DECEDENT'SEDUCAEgN MARIpLSfgUE-MMaaa I.+aa•.uaaure.~mo~ u.a. ARMED PDRCEST rr' a1 AY M w4 Y M w ° ~ ~ pa• ~ f w m lE n 1+.1~ I; aDnl uae Elamwwy/BaeOlgry C•e•E• oNeid Chief Registrar County "'~ "~ ro+a 12 f,+«s.l 10. ,~ ~~ ~~ Widow ,~ DECEDENraMAUwADDRESetsu«.c~ww•n.sr..ucnoM DECEDExrs pa ~ ,,..^ w..e...a..B..e~. 1000 W. South St. 17a9°` ,,..~„~ •° ,Carlisle Pa 17013 ~ r ,m Cumberland ,Y,p ~~« Carlisle PNTIER'S NAME(Rrtl, MiOSa, ly,q MOTNEN•E NAMEIFw. Maiean 5«nama) ~' William F. Hess Blanch ~ope ,* wFaRMAMrsNAME sMABrwADDRESS~r..cc~.l.srr.mcooa Walter Heckman 725 Yorkshire Dr. Carlisle Pa 17013 METno°oPmsPOSrriaa oaEGPDIaPOSrtION nwc[°rDe~moN.N.n.ac«nr.xC..nrolY ~ocaaN-cxy~l.sw.zlvcm. IM«M, DeA Yw) ~ «an. PNe. ~Cwauaen^ IYnrow a«e sMr^ ^ Dnlalbl^ f7M „~2-23-1995 110.Cumberland Valley Mem Gar =,~W. Pennsboro Twp, Pa °~ '~~ ~ NAMEANDAOOREasaPPAr.Errr - L „219 N. Hanover St. Carlisle Pa 17013 _ _ . awn oxnM rartlma, aae..mpru aMNa. PBY~anY nel•aaeaW al Vela daaalnb ~araf Mal D4E SEINED w.. al a..w h ~ ~.N ~2 3J ~ 3 ~ P.ar+. Dy~~w~,9 _tS S~ 241 1 oar MmagaeaaeY twEa DEADfMann.DM.W«I CARE REPEPoiEDro MEDICAL O(AAWIERICggllplT '~~'~~'~` ,~ 2:35 PM M February 19, 1995 w.^ NeG~: ~ A.RNT1: L~aMaYaeYa, elpelaa«C011patellpy•aiCACNSWIM OaaM.DOn«wef tlM mortal Wn+0.f11CJ1 aacaralaa «faapnabry arrMt. alms «MVl hiae. IAppmnw MNt E: CUw tgik1111 catllWropwiMYq MEaaN.OUt «W«rwrblaa«+inR NM~IATE CAUBE (Foal - Ionw YM baln noI1MNY11eala utlanlMlpaauaQYMnPARTI. ' 1`a GLl i `l DUE TD IGR ASA COlSEOUENCE OFI: !•OaardWYOpIJtloM n ~ ~.~~~ DUErofrn ASACONSEOUENCE OfI: I CAIIN (Uawr«vMa,. ~ e. Yr•m aura DUE ro (IXi AS ACONSEOUENCE OFy. nwaagnarnl LAST i a NIA9 AN AUroPBY WEREAURIPSY FINDINGB MANNER OF DEATH PERFORaaEDT A1rl PIaORro DATE Di NJURr TIME OF NJURY NJURYRWORKT DESCPoBE /ICW I/11URY000URFEp. pay pAOnm Yq> CoMnETIDNOPCAUSE Of DEAYl1Y ~ NanaM 1lomiti0a ^ . . AaMa« ^ p•nygl~Mgn ^ Wa ^ No^ Na ^ No~ YM ^ No ~ SWCMa ^ C«+lan«WOateemins0 ^ M- PLACE OFINIURY-Al lpms.Mm.flrwf.leelp%Ollka WCATIOla fSbw f;ily/Wm~ SMls, 2ey 29 . . euadlri0, am.ISOaGh1 CER7 W Ell ICnaca aNy awl 70a. Te IM aaM oa~~~ (PnY•nan ur,Iyvg taut d tlwn anon aneaw onvacyn naa ««aunce0 Oeam ara cmipala0 nem 291 •+Y IuewMaE•, awn ee•wW aw a M•••o•NN art mrxrr r awe .. SNiNRURE AND ................................................... 7/~ ~~RDNDINCIN°AIN)CJ:RTIFVN°PNYSICIAN fPnYmcun boo~pwwuncn9 earth anac Toe.wa«mYanoaAaaEa.e..a,oeeur..axaraa.,aw.aaaWK..,,,aawrou.~°ro`a"aada~l •(q.nsm.m......,.w .......................... ^ ~ ~.y~ ~E -7l"J1 R (~ SKiNEDI .DM. `AOrI I~\ ( "' q me. O~ ZZ ~ as (/ / ~MEOICA`°`AMINER'°°"°"E" On BNr Wale of a aw Nl NAME AND ADDRESS OF PERSON WMO CONPLETEDCAUSE CF DEATN °+`n'2nTY'°°'""IrSteven L Hatleber a n on anNaa Invaetgalron, In my oplMOn, deem oecurrea at tilt time. ab, ana place. ana Oue,o me uuaa(a) ana m.nn«..~Mw .............................................................................:.................... ^ 1,.. g BMC, Carlisle Pa 17013 ~r~eT,RAR'S SIGNATURE AN R ~ ~it~l J ~ loo 9:. GATE FlLED (Homo Da 1 i -vie ~~c ~' (1) / ~i~J (3) (4) _ (5) 3861.01 REV-tsoo Ez« p•9s- ~ r `'~ `~- FOR DATES OF DEATH AF~Eft l~1s1191 CHECK HERE U INHERITANCE TAX RETURN ^ ~~ CREDIT IS CLAIMED POVtRTY RESIDENT DECEDENT FILE NUMBER COMMONWEAITN OF PENNSYLVANIA (TO BE FILED IN DUPLICATE DEPARTMENT Of REVENUE ii06ii 6 E WITH REGISTER OF WILLS p~ 21 sp95 0236 _ se-oaot HARRIS RG, U COUNTY CODE YEAR NUMBER DECEDENT'S NAME (UST, fIRST, AND MIDDLE INITIAII DECEDENT'S COMPLETE ADDRESS Beckman Mar 1000 West South Street W SOCIAL SECURITY NUMBER DATE OF D ATM GATE Of eIRTM Carlisle , PA 17013 - ~ 204-01-3569 '~ 2 co~~t ~ IIF AMIKAUF) SURVIVING S-OUSF'S N E FAST, FIRST AND a iNrtiAq SOCIAL SECURITY NUMlER AMOUNT RECEIVED (SEE INSTRUCTIONSI ~ ~ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return ~<y (for dates of Booth prior to 12.13-82) W g c~a ^ 4. limited Estate ^ 4a. Future Interest Compromise ^ S. Federal Estate Tax Return Required ~ ~ m f' (for dates of death after 12-12-82) 0 ~ ~] 6. becsdent Died Testate ^ 7. Decedent Maintained o living Trust _ 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach wpy of Trust) A CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD QE DIRECTED TO: - ~ AME COMPLETE MAILING ADDRESS o Lise M. Shehan Esquire 9 Robby Lane c°sg TELEPHONE NUM6ER Strasburg, PA 17579 717 687-6633 0 g W o: 1. Real Estate (Schedule A) 2. Stocks and Bonds(Schsdule B) 3. Closely. Held Stock/Portnsrship Interest (Schedule C) 4. Mortgages and Notes Receivable (Schedule D) 5. Cash, Bank Deposits 3 Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) (Schedule L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous Expenses (Schedule H) 10. Debts, Mortgage Liabilities, lions (Schedule I) 11. Total Deductions (total lines 9 ~ 10) 12. Net Volus of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests (Sd»dule J) 14. Net Value Subject to Tax (line 12 minus line 13) (6) /~ { 7) 0.00 ~'" (8)- X50.310.17 (q) 728.70 (10) (11) $3809.57 (t2) $46,500.60 (13) (14) 50114~~6 0 0 w ~ ~ 8E SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ t' ' ~r penalties of perjury, 1 declare shot I have examined this return, inducting accompanying scMdules and statement:, and to tM best of my knowledge and belie ue, correct and complete. I dedore that all real estate has been reported of true market value. Declaration of preparer other than the personal representative bs..ed on all inform h n of which onoanr has env knowledae. ~ .,,. ~ f1. iJ a ~ ~ l3 DATE NlJa~ ,Q. t!~,4+ettst~ ~ ~ 17d~3 r5 GATE 15. Spousal Transfers (for dates of death oher tS-30-94) See Instructions for Applicable Percentage on Reverse (15) x. _: Side. (Include valws From Schedule K or Schedule M.) 16. Amount of Line 14 taxable at 6% rate (16) ~ 4 (, , 5 n f 1 60 x .O6 . (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rote (}7) x .15 = (include values from Schedule K or Schedule M.) 18. Principal tax due (Add Lox from lines 15, 16 and l7.) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest + $2550.54 + 139.50 20. If Line 19 is greater than line 18, enter the differenu on line 20. This is tM OVERPAYMENT. ~^ 21. If Line 18 is greater than line 1q, enter the difference on Line 21. This is the TAX DUE. A. Enter the interest on the balance due on Line 21A. e. Enter the total of line 21 and 21A on line 218. This is the BALANCE DUE. Hoke Check Poyoble to: Reoister of Wills, Aoesst (18) 979n _ n~~ (tq) $2790.04 (20) 1211 0 00 (21 A) (218) 0 QO $3080.87 REKI:fOS EXa N-8e) ~~ COMMONWEALTH Of -ENNSYIVANIA SCHEDULE B INMERITANCETAXRETURN STOCKS AND BONDS RESIDENT DECEDENT ee~ ..... MARY B. HECKMAN 21-95-0236 (All property (ointly-owned with Right of Survivorship rnus<t be discio:ed on Schedule F.) ITEM NUMBER DESCRIPTION ~~ 40 SHARES AT&T COMMON STOCK ACCRUED DIVIDEND 2• 200 SHARES DQE, COMMON STOCK 3• 3+~ SHARES GENERAL MOTORS CORP., COMMON STOCK ACCRUED DIVIDEND 4. 16 SHARES GOODYEAT TIRE AND RUBBER CO., COMMON STOCK ACCRUED DIVIDEND 5. 20 SHARES PECO COMMON STOCK ACCRUED DIVIDEND 6• 400 SHARES PP&L COMMON STOCK 7. 34 .686 SHARES SOUTHWEST BELL, NOW SBC COMMUNICATIONS, COMMON STOC 8. 24 SHARES TIMKEN CO. COMMON STOCK ACCRUED DIVIDEND 9. 2000 SCAT 8750 95 MHRG AMORTIZED QUANTITY, HELD AT DEAN WITTER REYNOLDS, INC. ACCOUNT 4616 149490 ACCRUED DIVIDEND TOTAL (Also enter on line 2 ... _. - -.~...c ~. n~o~n. moan nlL~.hw w../ .1...,.a. ..[ ._-. _.__ 1 VALUf AT DATE OF DEATH $2020.00 4.00 $6500.00 $1394.00 6.80 $5800.00 32.00 $5250.00 81.00 $8150.00 $14,383.30 $ 810.00 6.48 $1997.00 14.58 S I A ~`"~'s°""' "~'~ SCHEDULE E ~~ CASH, BANK DEPOSITS AND COMMONWEAITM OF PENNSYLVANIA _ MISCELLANEOUS IN REESIIDEM DKEDEP~ITRN PERSONAL PROPERTY Please Print or Type ESTATE OF FILE NUMBER MARY B. HECICvfAN 21-94-0236 (All property )olntly-owned with tM Rioht of Survlvership must be disclosed on SsMdule F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. CORNERSTONE FEDERAL CREDIT UNION, REGULAR SHARE ACCOUNT $10.37 IN THE DECEDENT'S NAME ALONE. MEMBER NUMBER 4064, SHARE O1. 2. C RNERSTONE FEDERAL CREIDT UNION SHARE DRAFT ACCOUNT IN $2921.44 DECEDENT'S NAME ALONE. MEMBER NUMBER 4064, SHARE 07 3. REFUND- SARAH TODD NURSING HOME $929.20 TOTAL (Also enter on line 5, Recapitulation) ~$ 3RE~I n1 IAttoch odd'ttional 8K" x It" shells if mon spats is needed.) !7 REv1510 E%a (2.67) /~sW~' COMMON W E AITM~~~iiOF~~iE N NSYIVAN IA INNERITANCE TAX RETVRN RESIDENT DECEDENT ?STATE OF MARY B. HECKMAN SCHEDULE G TRANSFERS PLEASE PRINT OR TYPE FILE NUMBER 21-95-236 THIS SCH EDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF T HE COVER SHEET IS YES. ITEM NUMBER DESCRIPTION OF PROPERTY Include name of the tronsferee, tMir relofionshlp ro decedent, dale o/lronsfer. EXCLUSION TOTAL VALUE OF ASSET DECD. °X' INT. DOLLAR VALUE OF DECEDENT'S INTEREST 1. JUNE L. BRENNEMAN, DAUGHTER, 3/8/94 $3000 $3000 100 0.00 $3000.00 2. LYNN G. BRENNEMAN, SON-IN-LAW, 3/8/94 $3000 $3000 X100 I 0.00 $3000.00 3. WALTER H. HECKMAN, SON, 3/8/94, $3000.00 $3000 $3000 100 0.00 4. ; PAULA V. HECKMAN, DAUGHTER-IN-LAW, $3000 $3000 100 3/8/9/+, $3000 ~ 0.00 ! 5. I SUSAN L. BABEU, GRANDDAUGHTER, $3000 $2000 ;100 0.00 3/8/94, $2000 6. KATHY VAN ARSDALE, GRANDDAUGHTER, $3000 $2000 1100 0.00 3/8/94, $2000 7. RISE M. SHEHAN, GRANDDAUGHTER, $2000 $3000 ~ $2000 1100 0.00 3/8/94 I I i TOTAL (Also enter on line 7 Recapitulation) I S/O.OO (If more spoor is needed, insert odditionol sheep of some size.) rE~.,s„ ". earl SCHEDULE H ~ ~ •:~~ FUNERAL EXPENSES, _ ` ' ADMINISTRATIVE COSTS AND COMMONWEALTH OF PENNS LVANIA . INHERITANCE TAX RETURN .MISCELLANEOUS EXPENSES pleau print or T • YP RESIDENT DECEDENT ESTATE OF FILE NUMBER MARY B. HECIQtAN 21-95-0236 ITEM DESCRIPTION AMOUNT NUMBER A. Funeral Expenses: 1• HOFFMAN ROTH FUNERAL HOME $379.50 CARLISLE, PA 17013 2. OTTERBEIN UNITED METHODIST CHURCH BOILING SPRINGS, PA a©a• ~ FUNERAL DINNER B. Administrative Costs: 1. Personal Representative Commissions _ _ Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees CUMBERLAND COUNTY $115.00 C. Miscellaneous Expenses: ~• FILING FEE INVENTORY 15.00 2• CARLISLE SENTINEL- ESTATE ADVERTISEMENTS 39.20 3• CUMBERLAND LAW JOURNAL- ESTATE ADVERTISEMENTS 50.00 4• FILING FEE- PA INHERITANCE TAX RETURN 10.00 5• FILING FEE- RELEASES 20.00 6. 7. 8. TOTAL (Also enter an line 9, Recapitulation) S 72 0 ' (If more space is needed, insert additional sheets of same size.) ~ RE V.i512 EX. p.91) '~~~F~~ COAAMONWEAITM Oi -ENNSYIVAMA INHERITANCE TAX REiVRN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS MARY B. HECKMAN Please Print or REY.IS i] Ex. O.p) SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER MARY B. HECKMAN ~t_oc_n~~c !y~ COMMONWEAITN Or -ENNSYLVANIA INNERRANC! TAX RETURN RESIDENT OECE[>ENT ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: 1. JUNE L. BRENNEMAN DAUGHTER 1/3 RESIDUE 25 RIDGEWAY DRIVE CARLISLE, PA 17013 2. WALTER H. HECKMAN ON 1/3 RESIDUE 725 YORKSHIRE DRIVE CARLISLE, PA 17013 3. KATHY VAN ARSDALE GRANDDAUGHTER 1/9 RESIDUE 399 HARPER AVENUE BRICK, NJ 08724 4. SUSAN L. BABEU ~ GRANDDAUGHTER 1/9 RESIDUE 98 BESANTE BLVD. BRICK, NJ 08724 5. LISE M. SHEHAN GRANDDAUGHTER 1/9 RESIDUE 9 ROBBY LANE STRASBURG, PA 17579 ITEM NUMBER NAME ANO ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: 1. AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) I $ (If more space is needed, insert additional sheet: of some size)