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HomeMy WebLinkAbout95-02601Z ~ - C~~ - DZ,CPO 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 1 ~ 200T Date N70S.1q Rev. T/B7 rrPEnwNr M PERMANENT auCx NNt I' Z U Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VRAL RECORDS CERTIFICATE OF DEATH 0 3 6$ 3 3 NAME OF DECEDENTIPit Mtlra, Leap ' ~ SEX SDCIAL SECURfiV NUMBER DATE OF DERNIMaaY. Day. Marl ~ ,. f1 f~THUR /,l. ~/~ ~, Male >. 208 - 10 - 4938 a. March 1, 1995 ADE M1•r M.aar> UIE7®17 YEAR 1R10[II7 DA' oaE aF lIRIN eIRINPLACE (C]raw PUCi oP OEIBNlCn• r.•rMw-+•.~r ao~.a.an.sw ,,b,w,r = p•,a „a,aa i (~aan.oq.Mr, une 21 9Y•w P•nis•C•Im•~a. NOBP11111 OTTER: N r 0• 83 rr. , Kittanning W rq Iw YwrYa+^ Eruo~o.•.al^ DOA^ Nor L'J Rwieep ^ (SVeaNI ^ 1911 T. oouN7raPDEIaN an BOro.Tw oPDEA7N NAMEnaa.rAwa. De. r.r rw~amr.q MRSOECEDEENf oP N18PMNIC ORN3IM RACE-Ara•AnalYNra BYCk MA•r. rc. N• ® w ^ R Mae. aprA, CuY•n ~"'~'( Cumberland E. Penna Horo Tw l , ua Ridge Haven West LIaMCae.ParrRYrlr.alG White la USUAL OOCUREM)/1 qND OF BUSwESSIINOU97RY MRSOECEDENT EVENN DECEDENTS EDUCATIDN MARIPLSTAiUS•MarriaO 9lEMVNB SPOUSE l Nne •akeor mor U.S.ANIED PORCESt Nwv Manb4 Wle.•.e. lllw4.7r•mrer.nnnN ~ ~ w M S pt.( C i i ""^ "°~ ~ ++«~ d wd ine u oal M n ng 71 17\ ( 1 Wi 1 7 11. /i OE~/T'SMABlNI ADOIIESB fSY•at GWEwn. SYaaa.21PCoW DECEOOtT'S a. lm^Mr •a«ean W0Y. 01 'xg" 27 Stephen Road , RESIDENCE a 0reN. Camp Hi11,Pa. 17011 oa ~. Cumberland IoMmr.I'ilPr ~N•.«va.+..•e Camp Hill la I7\ n MlrlanrrBMar PRiFA'S NAME (FlnL Mies. uW R'S NAME P+rt L.eea. Maian SurrrW Rudolph Geisler ,., Sarah Gouldin rRORMANT'S NAME RrP•4r1r+1 INPOIr1AN7'S MAElMO ADDIEBB(Sa•r, Cayroen srr, zn caea) Arthur R. Geisier 27 Stephen Road Camp Hi11,Pa. 17011 OPD18POeTlp/ OAiEOF DePO87f10N PLACEOF pSPOSRgN•Nar•rC•rrrw Qamrory LOCATM)N •CApfoam.3Mea, LPCOr BurIKI Crrllallal^ Ranrral Yen 9rN^ •DaX,••r) aOtlrr PNr ~+a^^ alw ^ „\March 6, 1995 ]7R St. Luker I s Cemetery ],~ Bentleyville, Pa. 15314 PWEPYIL suw NUMBER ~ NAMEANDADDRESSaPRIam 010154-L ]x Greenlee Funeral Home,Bentleyville,Pa. Maw ]]A+•+rP arrlYM Mlrrr my Er.'NeSY. eaaN OnvrMrIMMOY. era erne M•r r•eae. LICENSE NUMBER DRE SEINED 1 1 raraArMMreeraa•aBlr ct.waaw\ aror•., P]art.DewMMA ]Se, be. Baer NQB rur MerAPM•eq 7QIE OP DEAN DATE PRONOUNCEOOEAD(Mawn. DytMwl MRSCASE REFERRED7OM E%AMINEPoCOigNE111 e1rOP1•rrl•ICreI••L 9-S"s O 3 - i- yf M. 77. PARTY eM.•rer..r, YijrWamrlrAerwr rNWaarraae tlr es•n. oo nr•rr•r nrtlare,Aq, elallraretaerrrpir•1•ry •mr. albtArr•n ria•. ~ApPIWYnala PMJfT F. Otlrr •I7rIt ~A OaIrlMraarBliybdaaBl.O•t I.IM r1I/rrfJlr•dt •arl Aila. IMMWYa1NMl1 r re M rrl +••MMIB IArrlyYgrlr•gMwnb RY7f I. Tar ar aa DUE 70 (DR AS A CONSEOIAiNCE 9 B.a,r„w,M]„m„r,,,r o .f / ~t tZ 7 Z raw ~ DUE WP7R ASACONSEOUENCE OF} i CMME(DLrr a pllry r a irBalaew~wa DUE lOA7R ASACONSEOUENCE OFT: m eaan) LABT I a MMBAN AU10PSV WEfE AUIOPBY f1NDING3 MANNER OF OERN D/]E OF BUURV TIM( OF WJURY INJURYQ WORK? DESCRIBE NOW ]iIUR'f 000WIRED. PERPoRMED7 AMY,ABLEPRg11 W (Mmn, Dry. Nr) CO~MPI~MpN OFCAUSE IYUr ~ Nantdr ^ Nw ^ N• ^ AedeNe ^ Paa6glna•MlPlba ^ M Y•• ^ Mo~ Mp ^ No ^ 9aYM• ^ CaM M M Oalarrno.ee ^ . PLACE OF NLAA7Y -At nar.larrrl, se••L raaw rBc• LOCAf10N (Sheol. Cily/T . $Nt•1 OW6q. ra. ISpeuM 1•\ M Nr. ]N. t7RB9ERA]raY aay aul •ca7rIPYBaPNreNaAN(Pnywcrr.cupaycw.s.ere..ri.n.,a.wnwp.ysc~.nna•.mww.aa.eme~aca.wNranamzn s~GNatA~AND TI CF CERTIFIER ~/ /j ,.,y., AMYaalar, rrrM•B•,•a•Ma•ewr•eerM•r eauaa(•1•ae man.nrelMW ..................................................... ^ ~' ],\C. j/H ~~'~•cr 'PRDMOIRICBq ANDCEIITIFYBN)PNYSIGAN IPAyaipaa Dan aawuncaiq e•an aM ,y, b UI• Yrea rY YarrlwB.. ea•M aaa«r.e r tlN IYM, eN•, aM PMaa, mr eua la M• earaNn a(•ne r•rmw) r wre .......................... yy UOENQS/E NUMBER pRE SRlNEp(AAayIpDN. YOrI ]t•( /7 /KF~ ~ Z ~V O ~ ]16 ~ ~ ~ J ' (( '• NAME AND ADDRESS OF PERSON WNOCOMPLETED CAUSE OF DEATN ~~~ EXA]IYIER/CORONER (Item 2~ Typ• a Pr1a CRFS'l D.V ~ ~ NERCn.4, .7'"rQ on Br b••I• a •a•nNn•ewn rw« YI••rIB.NaI, m mY •peae, a•am «e«r•e r NI• IYr, e.r,,ee •. and au• m m• re•rlra•rr Wre............ P~ eaur(•)ane ],.. ...................................................................................... ^ ~$9ovu/Al«.G6iwl.rd /~C., Ca.e~o//1%!,r°/~ i 7oI~ REGIS S SKjRIBURE AND R ~ 3l DATE fBE (Mmn. Day, `Aar( ~. ~, >.. 3 ~ 9 ~s PETITION FOR PROBATE and GRANT OF LETTERS Estate of Arthur H. Geisler No. al o wng~ To: t~~~y,/c l c.`vtl c-~J u ti LLr2 3 8 eceased. Social Security No. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(, who is.tl~o~ 18 years of age or oldeMa thg 8 scut ~' ~ ~ 19 6 ed in the last will of the above decedent, dated 1 , and codicil(s) dated Y yt ~c~rl.~t L7 LL-.2 lrsJ -~- (~~{ ~ cS IfGU t:C ( ! a~ ccr l ~~. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C tmh . 1 and County, Pennsylvania, with h i G last family or principal residence at amp , PA 7011 (list street, number and muncipality) Decendent, then 8 3 years of age, died Mar eh 1 , 19~~, at Blue Ripen West, E. Pennsboro Tw~* CumhPrlanrl Cn, . Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: ~,/ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner( respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters o f a rim i n i c t r a t i nn c. t. a. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. v, v C d Arthur R. Geisler b~ 27 Stephen Rd. ~'~ Camn Hilly PA 17011 u ya ~o C m OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss The petitioner) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner( and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and. subscribed before me this day of 19 Register Arthur R. Geisler Q ... s: y +, _..,.., ............., ~r~^..... r... mow... qy,- •~a'^. _ - '.a!*m?v.""r'k"F°'9Ra'+ r rVr• s ~ Y{ r~ #L'.1 yr+ pzT`~q~%S,p4~shph{ S v~~.~• S+'~~~~~..F~ ~ ~ ~'~£[-0~~{S `"i°~7~ 1 T ~. 5" ~, `.r1; N'~ ~.~~.~;. r ~iy ~:~~ eiiF: r~,y~"ir_~wi~~;Y,~Sr, i~f;<i~{{{ ;1r~ ~~ ~~ Y~ 3 i ny},p''f ~ p 5 ~rf i j4Y Y ll t ~~;~ t ~ ~' "~JY 1~(~ y~~ ! ~j (~ aJl~,~r >. .~. .~~Ta~S ~~Ati i~~:./'f'~tiL ~. }i1 ~r .~ v.; ~~ r - J ~ ~ ~ Y' .~S.t ) y 'Lr.~ i~ t ~ ~;f~ ~ a.r'ktVk' ... r ,l ~rl.. ,r...r. ~.~~~ ~r ~~r 7i 6~. .1Tw i 'WILL I, Arthur Henderson Geisler, do hereby make this my last Will, hereby revoking all Wi11s heretofore made: ' .. . 1. All of my just debts and my funeral expenses shall be paid as soon as convenient after my decease. 2. A11 the rest and residue of my estate I devise a bequeath to my wife, Mary Virginia Geisler, if she is living and if she is living I appoint her executrix of this Will. 3. If my wife has predeceased me, however, I devise and bequeath the residue of my estate to my brother-in-law, John Wisniewski, and his wife, Betty Wisniewski, or the survivor of them, in trust, however, for the children born of my marriage to my wife Mary, of whom there are two now living, Arthur Robert and Kathleen Mary, for the following purposes and on the following conditions: The trustees shall manage, invest and reinvest my estate and shall use the income and the principal if necessary f the maintenance and education of said children until the youngest child becomes twenty-one years of age when the trust shall cease and the balance of the funds, if any, shall be distributed equally to said children as set forth hereinafter. The trusteesc shall treat the children as equally as possible but if sickness or emergency require it, they may expend more for the benefit of one child than another. The trustees may retain any property of which I die possessed or they may sell any of such property for such pricy and upon such terms as they consider wise and they may make, execute and deliver deeds o2- documents of title for such property the same as I could do if living. '' ~?` ~, ~~ r ~ r The trustees shall not be limited to legal invest- ments as now or hereafter defined by Pennsylvania law but may invest said estate as they deem wise. The trust funds cannot be sold or pledged or -, assigned by any beneficiary nor may the same be attached or exe- cuted upon for any default or undertaking of any beneficiary as it is my intention that the funds be used for the purposes ex- pressed herein, The trust shall thus continue until the youngest child shall become twenty-one years of age when the trust shall cease and the balance of the funds shall be distributed equally to said children. If any child shall have died without issue, his share shall go to the surviving child or children, but if any. child shall have died leaving issue, his share shall go to his issue in equal shares. In the event all children have died before reach- ing twenty-one years of age, the balance of said estate shall be divided into three portions. One portion shall go to John Wisniewski and Betty Wisniewski or the survivor of them. One portion shall be distributed equally among my living brothers and sisters, and the final portion shall be distributed equally among my wife~s living brothers and sisters. 4. In the event my wife has predeceased me, I appoir John Wisniewski and Betty Wisniewski or the survivor of them executors of this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~,y day of ~~~~-r 1963. i - (SEAL) GC'~ito-qtr i ,,, ~ r z ~ ~ 83 ~'%H'~?~, ~~', l ~ ~ P`~eP~ ~-~ ~~„'~'(' Sly W6 ~ 3 i4~ ~ ` ti~~N r ;a.. f ,_ ,~y~ NY, ~ ~ f1 ~ _ - ~ ~ ei 1 a { i !1, ~ ~ 4 t~ ~.} Tl ~1 J ~~H r % ~i~ ~ s' ~ 'h k :^ 7j 0. ~- 4 ~~.u,!^~~ 3~ :, t ) ~n i ~~ i ' ... s We, the undersigned witnesses, subscribe that while we were in the presence of Arthur Henderson Geisler we did witnes him sign the above instrument and declare it to be his las dill •,. . ~I': `l~ R '. ~^'T'`~~` f~G ~dA~J. ~i YaT'Af:.i ~.l f ~~1t •, ~~'1.'~ ~r ~f~~ K ~ ~ r :ti.~ ~rr`~ ~~ ,'unrrt,~'n~~Jrt ~i s A ~~~? ~~ '' F~'~~, S~ .~~ r~ n"7!~e : J~" ~~ Sx .. . ~n~~~, a „t t ~~ fi~ Pk3J ` c 'E ~ ,~ ~ ,. ,~ o vc~mrDDm r m cn cn rnmcDD~~cn rn ~ ~ N rn z v m== ~ n o I rn ~ ~ p rn ~~ N ~ D ~ n r m rn I ~O i) c G ~ mrrm-*l. N d Q ~~~ z p C7GDZ =2,0 -' y~ ~r"~ o z n Dzz m m T~ ~ ~ ~ zc~W orn ~ ~~ m a = m ~"~ ~ D n o rn F--r ~ -~ 3 ~ ~ ~ c O N r O C~ ~ ' ~ ~ _ ~ ° z ~ ~ , r ~ O z ~ D~ r ~ ~ W Z m~ ~ n 1 c Z r~ tJ~ ~ (./) H~ -G l!? N ~ ~ = N o ~ (~ sp ~ I~ ~ tD' .~ r cv ~ O w c ~ ~ ~ ~ ~ m O CERTIFICATION OF NOTICE IINDER RIILE 5.6(a) Name of Decedent: Arthur H. Geisler Date of Death: March 1, 1995 Will No.: Admin. No.: 2195-0260 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on April 26, 1995. Name Address Kathleen M. McClure 3321 Martin Kings Rd. Charlottesville, VA 22902 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none Date: 4/26/95 Murrel R. Walters, III, Esq. 54 E. Main Street Mechanicsburg, PA 17055 (717) 697-4650 Capacity: Personal Representative x Counsel for Personal Representative 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°/6 (.03) will be applicable for estates of decedents dying on or after 7/1 /94 and before 1 /1 /96 • 2°ib (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1 °Yo (.01) will be applicable for estate: of decedents dying on or after 1 /1 !97 and before 1 /1 /98 • Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (~~ IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: X a. retain the use or income of the property transferred, ....................................................... X b. retain the right to designate who shall use the property transferred or its income, . .............. X c. retain a reversionary interest; or ................................................................................... X 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 decedent transfer property within one year of death without receiving X adequate consideration$ ................................................................................................... X 3. Did decedent own an 'in trust for'. bank account at his or her death$ ...................................... IF THE ANSWER TO ANY CAF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE'IT AS PART OF THE RETURN. REV-1508 EX+ (2.87) COMMONWEALTH Of PENNSYLVANIA INNERITANCETAX RETURN RESIDENT DECEDENT ES SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or GEISLER, Arthur H. 2195-0260 (All property jointly-owned with fM Right of Survivorship must be disclosed on Schedule F1 ARTHUR H. GEISLER $200 SAVINGS BONDS (SERIES Ej BOND NUMBER ISSUE DATE VALUE R42118186E January 1970 $863 36 R42118187E January 1970 . 863 36 R42479155E February 1970 . 865 52 R42479156E February 1970 . 865 52 R42479655E March 1970 . 865 52 R42479656E March 1970 . 865 52 R42485902E April 1970 . 865 52 R42485903E April 1970 . 865 52 R42490255E May 1970 . 865 52 R42490256E May 1970 . 865 52 R42490556E June 1970 . 838 16 R42490557E June 1970 . 838 16 R42497629E July 1970 . 846 48 R42497630E July 1970 . 846 48 R42499576E August 1970 . 848 40 R42499577E August 1970 . 848 40 R42499859E September 1970 . 848 48 R42499860E September 1970 . 848 48 R43581070E October 1970 . 848 48 R43581071E October 1970 . 848 48 R43582465E November 1970 . 848 48 R43582466E November 1970 . 848 48 R43591468E December 1970 . 819 60 R43591469E December 1970 . 819 60 R43615089E January 1971 . 736 96 R43615090E January 1971 . 736 96 R43620604E February 1971 . 738 48 R43620605E February 1971 . 738 48 R43620883E March 1971 . 738 48 R43620884E March 1971 . 738 48 R4362481OE April 1971 . 738 48 R43624811E April 1971 . 738 48 R44104854E May 1971 . 738 48 R44104855E May 1971 . 738 48 R44396328E June 1971 . 731 84 R44396329E June 1971 . 731.84 R44398367E July 1971 726 32 R44398368E July 1971 . 726 32 R44410535E August 1971 . 727 60 R44410536E August 1971 . 727 60 R44410923E September 1971 . 727 60 R44410924E September 1971 . 727 60 R44414526E October 1971 . 727 60 R44414527E October 1971 . 727.60 R44438058E November 1971 727 60 R44438059E November 1971 . 727 60 R44854007E December 1971 . 712 08 R44854008E December 1971 . 712.08 Arthur H. Geisler $200 U.S. Savings Bonds (cont'd BOND NUMBER ISSUE DATE VALUE R44854349E January 1972 $715.12 R44854360E January 1972 715.12 R44868265E February 1972 716.80 R44868266E February 1972 716.80 R45489231E March 1972 716.80 R45489232E March 1972 716.80 R45489639E April 1972 716.80 R45489640E April 1972 716.80 R45511054E May 1972 716.80 R45511055E May 1972 716.80 R45511488E June 1972 697.84 R45511489E June 1972 697.84 R45511867E July 1972 704.64 R45511868E July 1972 704.64 R100487075E August 1972 706.24 R100487076E August 1972 706.24 R100501234E September 1972 706 24 R100501235E September 1972 . 706 24 R100501630E October 1972 . 706.24 R100501631E October 1972 706.24 R101101143E November 1972 706.24 R101101144E November 1972 706.24 R101101491E December 1972 687 12 R101101492E December 1972 . 687 12 R101101916E January 1973 . 693 76 R101101917E January 1973 . 693.76 R101118356E February 1973 695 52 R101118357E February 1973 . 695 52 R101118855E March 1973 . 695 52 R101118856E March 1973 . 695 52 R101557288E April 1973 . 695 52 R101557289E April 1973 . 695 52 R101557779E May 1973 . 695 52 R101557780E May 1973 . 695 52 R102507341E June 1973 . 676 80 R102507342E June 1973 . 676 80 R102507956E July 1973 . 683 44 R102507957E July 1973 . 683 44 R102884613E August 1973 . 684 88 R102884614E August 1973 . 684 88 R102912148E September 1973 . 684 96 R102912149E September 1973 . 684 96 R102912892E October 1973 . 684 96 R102912893E October 1973 . 684 96 R102943443E November 1973 . 684 96 R102943444E November 1973 . 684 96 R103394194E December 1973 . 665.60 Arthur H. Geisler $200 U.S. Savings Bonds (cont'd.) BOND NUMBER ISSUE DATE R103394195E December 1973 R103394806E January 1974 R103394807E January 1974 R103423435E February 1974 R103423436E February 1974 TOTAL VALUE: VALUE 665.60 665.60 665.60 665.60 665.60 $74,12 .12 REV-1509 EX+ (3-86) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GEISLER, Arthur H. SCHEDULE F JOfNTLY-OWNED PROPERTY Joint tenant(s): NAME A• Arthur R. Geisler B. c. Jointly-owned property: ADDRESS 27 Stephen Road Camp Hill, PA 17011 E NUMBER 2195-0260 RELATIONSHIP TO DECEDENT son ITEM LETTER FOR DATE NUMBE JOINT MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S DOLLAR VALUE OF TENANT % INT. DECEDENT'S INTEREST 1 . A ~-/"26/9 arris Savings __ hecking ~~04-00011470 27,598.60 00 7,598.60 2. ~'~ A~ 5/26/9 Harris Savings yG ~ / Savings ~~04-60-002217 143,746.5 10 143,746.57 TOTAL (Also enter on line 6 Recapitulation) I $ 171 , 3 . 17 (If more space is needed insert additional sheets of same size) - _ 1 REV-1511 EJ(+ (7-88) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please Print or ""~ " FILE NUMBER GEISLER, Arthur H. 2195-0250 ITEM NUMBER DESCRIPTION A. Funeral Expenses: ~• Greenlee Funeral Home 2. Bentleyville Floral SY~op 3. Jet's Food Center/Ramada Inn - funeral reception AMOUNT 6,488.50 318.00 769.95 B. Administrative Costs: 1. Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees Murrel R. Walters, III, Esq. 2,530.00 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address - City State Zip Code 4. Probate Fees 5 5 0. 0 0 C. Miscellaneous Expenses: ~• Cumberland Law Journal - estate notice publication 40.00 2• Patriot News - estate notice publication 62.71 r 3• Crystal Hackett, CPA - 19~'S income tax preparation 75.00 y' 4. 5. 6. 7. 8. TOTAL (Also enter on line 9, Recapitulation) S 1 ~ ~ $3 , 16 (If more space is needed, insert additional sheets of same size.) REV-1512 EX+ (1-93i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS car GEISLER, Arthur H. Please Print or NUMBER 2195-0260 ITEM NUMBER DESCRIPTION AMOUNT 1. Pharmacy Corp, of America - medicine 63.60 2. West Shore Medical 386.55 3. Charlottesville Family Medicine 79.61 4. AZ Ritzman - medical 19.29 5. Blue Ridge Haven - residential nursing care 421.40 6. West Shore Ambulance - medical 12.27 7. Holy Spirit Hospital - medical 736.66 8. East Pennsboro Ambulance medical 6.11 9. Harrisburg Radiology - medical 1.92 10. EKG Associates - medical .4.50 TOTAL (Also enter on line 10, Recapitulation) ~ $1 7 . 41 (ff more space is needed, insert additional sheen of some size.) REV-1513 EX+ ~~-R7~ i' a COMMONWEALTH OF PENNSYLVANIA INNERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GEISLER, Arthur H. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: ~- Kathleen M. McClure 3321 Martin Kings Rd. Charlottesville, VA 22902 2. Arthur R. Geisler 27 Stephen Road Camp Hill, PA 17011 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY B. Charitable and Governmental Bequests: SCHEDULE J BENEFICIARIES FILE NUMBER 2195-0260 RELATIONSHIP AMOUNT OR SHARE OF ESTATE daughter ~ 50% son ~ 50% AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13 Recapitulation) $ (If more apace is needed, insert additional sheets of same size) REV-1547 EX AFP (12-941 CDHMONMEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ACN 101 BUREAU of INDIVIDUAL TAxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX HARRISBURG, PA 17128-0601 DATE 08-14-95 w ~n~c yr VG1JLGfC HRInUK n FILE NO. 2 9 -0 0 DATE OF DEATH 03-01-95 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: MURREL R WALTERS III ESQ REGISTER OF WILLS 54 E MAIN ST CUMBERLAND CO COURT HOUSE MECHANICSBURG PA 17055 CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE ------- RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------- ------------------------------------------------------------------------ REV-iS47 EX AFP (12-94) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR - DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT t)F TAX ESTATE OF GEISLER ARTHUR H FILE N0. Z1 95-0260 ACN 101 DATE 08-14-95 TAX RETURN WAS: (Xl ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule Il 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests (Schedule J) 14. Net Value of Estate Subject to Tax (i) .00 (2) .00 (3) .00 (4) .00 (5)_ 76.502.85 (6) 171.345.17 (7) .00 (B) 247,848.02 (9) 10,834.16 (lo) 1.731.41 (11) . - 1 .565 S7 (12) 235,282.45 (13) _ . 00 n4) 235,282.45 NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will reflect figures that include the total of ALL refurr~s assessed t~ date, ASSESS MENT OF TAX: 15. Amount of Line 14 at Spousal rata (15) .00 X . 03= .00 16. Amount of Lina 14 taxable at Lineal/Class A rata (16l 235, 282.45 X . 06. 14, 116.95 17. Amount of Lins 14 taxable at Collateral/Class B rate (17) .00 X .15. .00 18. Principal Tax Due (ig) 14, 116 .95 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 05-12-95 AA047761 705.85 13,414.67 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE rnw rein n ATTnN nF AnniTTONAL INTEREST. TOTAL TAX CREDIT 14,120.52 BALANCE OF TAX DUE 3.57CR INTEREST .00 TOTAL DUE 3.57CR ( IF TOTAL DUE IS LESS THAN !1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE REV-I]IJ EX (12-8(I) ~, ;~;,~ Official Use Only .,~:,~~!y~, APPLICATION FOR REFUND COMMONWEALTIi OF PENNSYLVANIA OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE/ESTATE BUREAU pF INDIVIDUAL TAXES TAX DEPT. 26060 I HARRISBURG, PA 17126-0601 TO: PA Department of Revenue Bureau of Individual Taxes Dept. 280601 Harrisburg, PA 17128-0601 FROM: Official Representative Decedent Data Name Murrel R. Walters. III. Esd~lame of Decedent Arthur H. Geisler ' Address 54 East Main Street File Number 21-95-0260 _Mechanicsburg, PA 17055 Date of Death 3/1/95 --- Social Security Number?08-10-4938 Phone Number (717 ) 697-4650 The undersigned requests a reFund in the amount of $ 3.57 _ for the above referenced decedent's estate. REFUND REQUESTED ON: ~X Original or Supplerne.ntal Joint/Trust Assets ~ Remainder Return ~ Estate Tax Probate Return You must enclose a copy of the latest assessment received from the Department of Revenue. EXPLANATION OF OVERPAYMENT ~~ 4 r" Please allow four to six weeks for the processing of your refund request. REV-1607 EX AFP (12-94) CDMMDNNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENIE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 NARRISBUR6, PA 17128-0601 INHERITANCE TAX STATEMENT OF ACCOUNT ACN 101 DATE 09-25-95 GsIATE of GEISLER ARTHUR H FILE N0. 21 95-0260 DATE OF DEATH 03-01-95 COUNTY CUMBERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM KITH YOUR TAX PAYMENT TO THE ADDRESS SF10HN. MAKE CNECK PAYABLE AND REMIT PAYMENT T0: , MURREL R WALTERS III ESp 54 E MAIN ST MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Arount R~witt~d CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR FILES __~ _ _ ----------------------------------------------------------- REV-1607 EX AFP (12-94) N~ INHERITANCE TAX STATEMENT OF ACCOUNT ~ -----------------' ESTATE OF GEISLER ARTHUR H FILE N0. 21 95-0260 ACN 101 DATE 09-25-95 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOMi BELOM 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: OS-07-95 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 14,116.95 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST (-) AMOUNT PAID 05-12-95 AA047761 705.85 13,414.67 09-11-95 REFUND .00 3.57- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS TNAN !1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT^ (CR), vOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 14,116.95 .00 .00 .00 ~NOJ4~ ~~776~ ~OiNIMONWfALTH Of PENNSYLVANIA ..DEPARTMENT Of REVENUE.. r ,~ Rev.lre2 Ex ~a.va> OffIC1Al RECEIPT ~ pFhINSYtVANIA INiiERRANCE AND ESTATE TAX ~~ ACN RECEIVED FROM: ASSESSMENT CONTROL ' AMOUNT • NUMBER FOLD HERE © I WALTERS 1'"IURREL R III 54 E P1AIt~f STREET MECHANICSBURG PA 17p55 TAXPAYER FOLD HEI TOTAL AMOUNT PAID ~ 13 , q 1 tF 6'] SG RECEIVED BY SIGNAT MARY C . LEW I S ~~~~'; /~ REGISTER OF WILLS 3~ i - ~ , REMARKS ARTHUR R GE I S~.l~.R SEAL CHECIC# 18d JRD/June 30. 1992/17858 REGISTER OF WILLS Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative COUnsel: _ Mi RR L WAT TFRC Fqp RE: Estate of ARTHUR H. GEISLER ,Deceased, Late of EAST PEIVIVSBOKO 3'WP Estate No.: 21=1995=0260 Date of Decedent's Death: 3 =1= 9 5 Pursuant to Rule 6.12, the above named personal representative or the above named attorney, if applicable, within two (2) years of the decedent's death, and annually thereafter until administration is completed, is required to file with the Register of Wills a Status Report as required by Rule 6,12, in substantially the prescribed form, showing the date by which the personal representative, or attorney, as applicable, reasonably believes administration will be completed. -The purpose of this Notice is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills is required to notify the Orphans' Court Division, Court of Common .Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should be imposed upon the A~~~ t personal representative and the delinquent personal representative's counsel, if any. gly, if the requisite Status Report is not filed by 4 = 3 0 19 ~ 8you are hereby advised that a request will be submitted to the Court in accordance with Rule 6.12. Date: ~~~~---- ~~ ~) - D gister of Wills ~ Distribution to Estate File ~ /~ ~ ~~