HomeMy WebLinkAbout95-0291H105.112 REV. 8-88 YJARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
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CERTIFICATE $2.00)
DEPARTMENT OF HEALTH V TI AL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. N0. 254~~85
-1'~-95
- atQ of issue of This Certification
Name of Decedent Arthur W. W
First Middle Last
Sex Male Social Security No. 159-07-8958 Date of Death _ 2~1-95
Date of Birth 2-4-1913 Birthplace Duncannon PA
Place of Death _ Holy Spirit Hospital ~oUCumberland E Pennsboro Twp Pennsvlvanla
Faality Name City, Borough or Township
Race White Occupation Mechanic Armed Forces? (Yes or No) N o
Decedent's
Marital Status Widower Mailing Address 208 Senate Ave Apt 15 amra Hi 7 1 PA 17011
Number Street City or Town Stete
Informant Coroner's Office Funeral Director Sallv Myers Mactav; ch
Name and Address of
Funeral Establishment. Myers Funeral Home Newport, PA 17074
Part I: Immediate Cause Interval Between
Onset and Death
(a) Congestive Cardio Myopathy
I
(b) '
(c
(d)
Part II: Other Significant Conditions
Manner of Death:
Natural X~] Homicide ^
Accident ^ Pending Investigation ^
Suicide ^ Could not be Determined ^
Describe how injury occurred:
Name and Title of Certifier Michael Norris Coroner
Address
405 Fairway Drive, Mechanicsbur PA 17055 (M.D., D.O., Coroner, M.E.)
This is to certify that the information here
death duly filed with me as Local Registrar
Vital Records Office for permanent filing.
2-13-95
Date Received by Local Registrar
given is correctly copied from an original certificate of
The original certificate will be forwarded to the State
' ~ 50-455
Local Registrar of Vita Records District No.
101 Barnett St ~~ew 61 nnmf; c7.~1 pQ 17068
Street Address City, Borough, To nship
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of __ARTHilR W. W. BEr mpN No.
also known as ARTHUR W. B .r,mnu To'
Deceased.
Social Security No. x.59-07-g9~~
Register of Wills for the
County of Cutnberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appt , AS for letters of administration
on the estate of
(d.b.n.; pendente life; durante absentia; durante minoritate) '
the above decedent.
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h >_s last family or principal residence at 208 Senate Ave. , Apt. 15 , East Pennsboro Twp.
(list street, number and municipality)
Decendent, then 81 years of age, died February 1 19~_
at-Holy Spirit Hoao;tal '
-ti--° ~'a D~1 r~ri?lyayl ~~ani a •
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property $ 6 r o00 _ o0
(If not domiciled in Pa.) Personal property in Pennsylvania $~/A
(If not domiciled in Pa.) Personal property in County $~jA
Value of real estate in Pennsylvania $~~nP
situated as follows:
Petitioner after a proper search ham' _ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
v _
.. ~~% - e
H
N ~.s
°~ y Marlin R Mr(`~l ah
a~
~~ ?1~ Fac+ Main Q}rap}r p (~ R 730
~'~
~ Marhanir•al-+iir pann
ya 4. svl ~~--= - ~ ~n55
~~
~ o
c
eo
rn
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
• OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF } ss
The petitioner(s) 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(s) and that as personal
representative(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
April 19 95
Register
Marlin R. McCaleh
a
00
No.
Estate of ARTHUR W. W, BECTON, a/k/a ARTHUR W BELTO~T Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 19 95
the reverse side hereof, satisfacto , in consideration of the petition on
IT IS DECREED that Marline Rpr McCa eb been presented before me,
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Marl ; „ u nn..r~~, ,.ti.
in the estate of ARTHUR W. W. BECTON a/k/a ARTHUR W BECTON
Register of Wills
FEES
Letters of Administration . •.... $
Short Certificates( ) .......... $
Renunciation ................ $
TOTAL $
Filed ..................... A.D. 19
Marlin R. McCaleb (ID # 06353)
ATTORNEY (Sup. Ct. I.D. No.)
219 East Main Street, P.O. Box 230
Mechanicsbur Pennsylvania 17055
ADDRESS
PHONE
Arthur W. W. Belton Heirs
Name Address Renun.
Submitted
Ernest A. Wagner c/o Besie Care Center,
R.D. 2, Grantville PA 17028 X
Ruth Messimer 121 Lakeview Lane, Hidden Lake
Cameron, North Carolina 28236 X
Joyce Weikel 87 Appletree Drive
Levittown, PA 19055 X
Carla Hamilton .2651 Booser Avenue
Harrisburg, PA 17103 X
Sandra K. Greider 215 Erie Street, Box 178
Dauphin, PA 17018 X
Paul Lester Belton 103 Cider Drive, P.O. Box 50
York Springs, PA 17372
X
Phyllis J. Leiby 1163 Derry Street, 2nd Floor
Harrisburg, PA 17104
X
Marcelline L. Faust Box 198-F20, R.D. 1
Kempton, PA 19529
X
Bertha Seibert 38 West Main Street
Shiremanstown, PA 17011
X
Earl Wagner 12 Walnut Street
Duncannon, PA 17020
X
Merlin A. Belton 443 Franklin Street
Hamburg, PA 19526
X
MtV346 tx Itl•92)
PA DEPARTMENT OF REVENUE .r``.r,r.%
ES~ATE.INF~RMA~'10f~ SHEEN'
FOR REGiST~A';, OF~iC~ ~ c O:JLY
IiUUC I Year I rile Numoer
DECEDENT INFORMATION: Enter data as it will appear on all documents submitted to the department.
Name (Last) (First)
BECTON (Middlei
ARTHUR W. W.
Decedent's Social Security Number Date of Death Date of Birth
159 07 8958 February 1, 1995 February 4, 1913
T~>'1OF F?LING: Enter check (r) mark to indicate the nature of the return to be filed with the department.
Probate Return ^Joint Assets Only ^Estate Tax Onl
Y ^Litigation Purposes (No Other ,4ssets)
I
I_- : 7'cRS GRANTErJ• Enter check (,~) mark tb indicate the nature of the proceedings at the Register of tNi11s
• Office. (Attach additional sheets if explanation is necessary.)
^Testamertary ®Administration ^No Letters ^Other (Please Explain)
~-TTORNE'~/CORRESPONDENT Enter ail data concerning the attorney or other individual to receive all
INFORMATION: tax information and correspondence.
Name (Last) First
( ) (Middle) Supreme Court I.D. ,~
McCaleb Marlin R. 06353
Street Address
219 East Main Street, P.O. Box 230
City
State Zip Code Telephone Number
Mechanicsburg Pennsylvania 17055
717-691-7770
PEr~SONAL REPRESENTATIVE Enter all data concerning the personal representative(s) of the estate
INFORMATION: authorized by the Register of Wills
Executor/Administrator
Name (Last) (First) Middle
( ) Social Security Number
McCaleb Marlin R. 176 34
Street Address 8 7 0 7
219 East Main Street, P.O. Box 230
cicy
State Zip Code Telephone Number
Mechanicsburg Pennsylvania 17055
717-691-7770
Co-Executor/Administrator
Name (Last) (First) Middle
( ) Social Security Number
Street Address i
City State
Zip Code Teleonone Number
Co-Executor/Administrator
Name (Last) (First) Middle
( ) Social Security Number
Street Address i
City
State Zip Code Telepnone Numoer
Prepared By
I i Da[e
I
RENUNCIATION
In Re Estate of ARTHUR W. W. BECTON deceased.
To the Re ister of Wills of CIIMBERLAND
g County, Pennsylvania.
The undersigned niece or nephew (and .next of kin) - of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Leiters
of Administrat-ion
be issued to Marlin R. McCaleb
WITNESS my
hand this ~ day of f~fG~d~, 19 95 .
~~~•.
(Signature)
Ernest Wagner
LAddress)
c/o Bes~ie Care Center, R.D. 2
Grantville, gennsylvania 17028
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
deceased.
To the Register of Wills of CUMBERLAND County, Pennsylvania.
The undersigned niece or nephew (and .next of kin) ~ of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R . McCaleb
WITNESS my hand this a ~ ~ 9 5
day of 7 , I9
`~~ ~~`~
(Signature)
Ruth Messimer
/ ~ ~ p~ /y /lQ~P-u-~'z-X-~]" /
(Address) ENE
121 Lakeview Hidden Lake.
Cameron, North Carolina 28236
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
To the Register of Wills of CUMBERLAND
deceased.
County, Pennsylvania.
The undersigned niece or nephew (and next of kin )
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R . McCaleb
WITNESS my hand this ~ ~ day of 1985,__.
~=~- `mil/
J e eikliegnacure>
j,U E ~ ,~~ L
87 Appletre~dt~.ve
Levittown, Pennsylvania 1905
5
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
To the Register of Wills of CUMBERLAND
deceased.
County, Pennsylvania.
The undersigned niece or nephew (and next of kin) of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R. McCaleb
WITNESS mY hand this day of
19 95 .
~~~a ~ ~a
Carla Hamilton azure)
i~ /~cU / ~/0 3
Address)
265.1 Booser venue
Harrisburg, Pennsylvania 17103
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
deceased.
To the Register of Wills of CUMBERLAND County, Pennsylvania
The undersigned niece or nephew (and .next of kin)
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R. McCaleb
WITNESS my hand this j s T day of (-~ -~ . 19 95 .
i /
Sandra R. d~~t8~r
215 Erie Street,) Box 178
Dauphin, Pennsylvania 17018
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
deceased.
To the Re inter of Wills of CUMBERLAND
g County, Pennsylvania.
The undersigned niece or nephew (and next of kin)
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R. McCaleb
WITNESS my hand this •~ ~ day of ~ ~ G ~l 19 9 5 .
Paul Leste=1~e~eton
(Address)
103 Cider Drive
York Springs, Pennsylvania 17372
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
To the Register of Wills of CUMBERLAND
deceased.
County, Pennsylvania.
The undersigned niece or nephew (and next of kin) of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
~f Administration
be issued to Marlin R. McCaleb
WITNESS mS' - hand this ~_ day of LG~,~L , 19 9 5 .
U
~ ~ n lure)
Phyllis J . ~ei~y
(Address)
1163 Derry Street
Harrisburg, Pennsylvania 17104
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W : BECTON deceased.
To the Register of Wills of CUMBERLAND County, Pennsylvania.
The undersigned niece or nephew (and next of kin) of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R. McCaleb
WITNESS mV hand this ~ day of 1.~-' , 19 95
~, ~a~.~~
JC.~t~v~R.
Signature)
Marcelline iL. Faust
(Address)
Box 198-F20, R.D 1
Kempton, Pennsylvania 19529
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
To the Register of Wills of
CUMBERLAND
deceased.
County, Pennsylvania.
The undersigned niece or nephew (and next of kin) ~ of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued tc Marlin R. McCaleb
WITNESS my hand this ~ day of , 19 95 .
Bertha Seib~s~ature>
(Address)
38 West Main Street
Shiremanstown; Pennsylvania 17011•
{Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W . BECTON
deceased.
To the Register of Wills of CUMBERLAND County, Pennsylvania.
The undersigned niece or nephew (and next of kin)
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R. McCaleb
my '
WITNESS hand this _~_ day of ~ 19 95
o
{Signature)
Earl Wagner
12 Walnut StAreet
Duncannon, Pennsylvania 17020
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of ARTHUR W . W. BECTON deceased.
To the Register of Wills of CUMBERLAND County, Pennsylvania.
The undersigned niece or nephew (and next 'of kin.) of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Marlin R. McCaleb
WITNESS mV hand this day of ~ ~' ~ ~, 19 9 5
' /;
(Signature)
Merlin A. Belton
(Address)
443 Franklin Street
Hamburg, Pennsylvania 19526
(Signature)
• (Address)
(Signature)
(Address)
a `
CERTIFICATION OF NOTICE UNDER RULE 5.6 a
LAW pFFIC ES
.AARLiN R. McCALEB
Name of Decedent: ARTHUR W. W. BECTON
Date of Death: February 1, 1995
Admin. No. 25-6495840
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 19, 1995:
Name
Ernest A. Wagner
Ruth Messimer
~ Joyce Weikel
Carla Hamilton
Sandra K. Greider
Paul Lester Belton
Phyllis J. Leiby
Marcelline L. Faust
Bertha Seibert
Earl Wagner
Merlin A. Belton
Address
c/o Besie Care Center, R.D. 2,
Grantville, Pennsylvania 17028
121 Lakeview Lane, Hidden Lake
Cameron, North Carolina 28236.
87 Appletree Drive,
Levittown, Pennsylvania 19055
2651 Booser Avenue
Harrisburg, Pennsylvania 17103
215 Erie Street, Box 178
Dauphin, Pennsylvania 17018
103 Cider Drive, P.O. Box 50
York Springs, Pennsylvania 17372
1163 Derry Street, 2nd Floor,
Harrisburg, Pennsylvania 17104
Box 198-F20, R.D. 1,
Kempton, Pennsylvania 19529
38 West Main Street,
Shiremanstown, Pennsylvania 17011
12 Walnut Street,
Duncannon, Pennsylvania 17020
443 Franklin Street,
Hamburg, Pennsylvania 19526
Notice has now been given to all persons entitled thereto under
Rule 5.6(a).
Date: April 20, 1995 ~' /'~~~Z6
Marlin R. McCa eb
Attorney I.D. No. 06353
219 East Main Street
P.O. BoX 230
Mechanicsburg, Pennsylvania 17055
(717) 691-7770
FAX: (717) 691-7772
Personal Representative
LAW (7FFIC ES
MAF2 LIN R. McCALEB
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REV,1500 EX+ 7-94
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISB RG, PA 17128-0601
DECEO T'S NAME (LAST, FIRST, AND M
~ elton Arthur W.
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
j~~~~3
FOR DATES DEATH AFTER 12131/91 CHECK HERE
IF A SPOU AL
POVERTY CREDIT IS CLAIMED ^
FILE NUMBER 21-95291
COUNTY CODE YEAR NUM
208 Senate Avenue, Apt. 15
SATE OF BIRTH Camp Hill, PA 17011
02/04/1913 c°°ory Cumberland
o OCIAL S URITY NUMBER DATE OF ATH
W 9-07-8958 0 01/1995
D APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND DDLE INITIAL) 5
1. Original Return
^ 4. Limited Estate
^ b. Decedent Died Testate
(Attach copy of Will)
lin R. McCaleb, Es
^ 3. Remainder Return
(for dates of death prior to 12-13-82)
^ 5. Federal Estate Tax Return Required
._ 8. Total Number of Safe Deposit Boxes
Law Offices -Marlin R. McCaleb
219 East Main Street, P.O. Box 230
1. Real Estate (Schedule A) (1) Non
2. Stocks and Bonds (Schedule B) (2) None
3. Closely Held Stock/Partnership Interest (Schedule C) (3) None
4. Mortgages and Nores Receivable (Schedule D) (4) None
5. Cash, Bank Deposits & Miscellaneous Personal Propert y 7, 055.42
(Schedule E)
b. Jointly Owned Property (Schedule F) (b) None
7. Transfers (Schedule G) (Schedule L) (7) None
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous
Expenses (Schedule H) (~'_ 4, 509.79
10. Debts, Mortgage Liabilities, Liens (Schedule I) /
(1 6.147 93
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 (for dates of death after b-30-94)
See Instructions for Applicable Percentage on Reverse
Sid
I
l
d
l (15)
e. (
nc
u
e va
ues from Schedule K or Schedule M
)
.
16. Amount of Line 14 taxable at b% rate (16)
(Include values from Schedule K or Schedule M.)
17. Amount of Line 14 taxable at 15% rate (17)
(Include values from Schedule K or Schedule M.)
18. Principal tax due (Add tax from Lines 15, 16 and 17.)
19. Credits Spousal Poverty Credit Prior Payments Discount Interest
+ + _
?0. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT.
!l. 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 21 B. This is the BALANCE DUE.
Make Check Payable to: Register of Wllls, Agent
~~" ~~
Under penalties of perjury, f declare fha
it is true, correct and complete. I declare
based °P all information of which preps
awrvATJsI~ OF PERSON 1'~IBIE FILING
(8)
7,055.42
(11)
(12)
113)
(14) 10, 657.72
_ (3,602 30)
None
(3.602 30 )
x•-= 0 00
x .Ob = 0.00
x .15 = 0.00
118) 0 00
(19)
(20)
(21)
(21 A)
(216) 0 00
ve examined this return, including occompanying schedules and statements, and to the bes
all real estate has been reported at true market value. Declaration of preparer other than
~s any knowledge.
219 E. Main St., Mechanicsburg, PA 17055
^ 2. Supplemental Return
^ 4a. Fufure Interest Compromise
(for dates of death after 12-12-82)
^ 7. Decedent Maintained a Living Trust
(Attach copy of Trust)
~....v.. ~iyryi ~..-t ~ --
~f my knowledge and belief,
le personal representative is
DATE
r~ z-~--
DATE
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
~ 29/0 (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97
• 1 % (.O1) will be applicable for estates 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 x
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$ ......................................
=1F THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST -COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
~~,
t,_V ., . "~ ~jc
~ REV-1508 EX + (Z-g~) SCHEDULE E
CASH, BANK DEPOSITS AND
COMMONWEALTH OF PENNS~YpLVANIA MISCELLANEOUS
IN-~F~s~a~NNS~FbT~(RET~(iN PERSONAL PROPERTY Please print or Tvoe
ecr.Tr i,~ ESE
FILE NUMBER
Arthur W. Belton SS# 159-07-8958 02/01/1995 21-95-291
All of with RI ht of8urvlvorshl must be dl9xaosed on Schedule
ITEM
NUMBE DESCRIPTION VALUE AT DATE
PNC Bank, N.A., Checking
A OF DEATH
5,981.97
ccount No. 5140149344,
2 Coins in Decedent's
possession. 11.25
3 Internists of Central PA,
Ltd., check in Decedent's 70.00
possession.
4 Cash in Decedent's
possession. 19.00
5 Furniture and furnishings
(sold at public sale). 441.50
6 Internal Revenue Service,
1994 federal income tax 402.10
refund.
7 Commonwealth of
Pennsylvania, 1994 Tax 129.60
Rebate.
TOTAL (Abo enter on line 5, R Itulatbn) S 7 0 .42
(Attach additional 81/2" x 11" sheets ff mare space is needed,)
Copyriyht(c)1991fcrm softwus only Csntsr Piscs 3oftwaro, Ine. Form 1500 3chsd E (Rsv. 2-8>)
PNC Bank, N.A.
" 4242 Carlisle Pike
Camp Hill, PA 17011
May 4, 1995
Law Offices of
Marlin R. McCaleb
Frankeberger Place
219 East Main Street
P.O. Box 230
Mechanicsburg, PA 17055
RE: Arthur R. Belton
Date of Death: February 1, 1995
Social Security No. 159-07-8958
Dear Mr. McCaleb:
PNC 1~~~II~
As per your request for information on accounts the above
referenced decedent held with us, the information is as follows:
-Checking c~coun~~~t No . 514 01.~ 4~ 4~opened 12 / 01 / 7 5 in the f
Arthur Be o1~He7en ~el~n. Balance at date of deat 5 9
$ , 11.97.
If I can be of any further assistance, please feel free to contact
me at (717) 730-2321.
Sincerely,
~~~~~ ~
Edith Tancil
Miscellaneous Services Supervisor
Bank Operations
ET/mky
r
REV-1811 Ex+ (6-88)
COMINHE3IDENTDT~TNT NANIA
SCHEDULE H
.FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
21-95-291
Arthur W. Belton SS# 159-07-8958 02 O1 1995
ITEM
NUMBER DESCRIPTION AMOUNT
A Funeral Expenses:
1 David M. Myers Funeral Home, 3,089.10
funeral expense.
B• Adminlstratlve Coate:
1. Personal Representative Comrnissbns
Social Security Number of Personal Representative: 17 6 - 34 - 8 707
Year Commissions paid
2. Attomev Fees
3. ~ FamN)f Exemptbn
Gatrnant Relatbnahip
Address of Gaimant at decedenYa death
Street Address
~ State 2lp Code
4. Probate Fees
C. Miscellaneous Expenses;
1 Stickers Auction, expenses
of public sale of furniture
and furnishings.
2 Cumberland Law Journal,
advertising.
3 The Patriot-News,
advertising.
4 Register of Wills, filing
Inventory and Appraisement.
5 Reserve for filing Account,
Notices, etc.
0.00
750.00
0.00
121.00
141.50
40.00
48.19
20.00
300.00
TOTAL Also enter on Nne 9, R itulatbn S 4 5 .79
(If more space is needed, insert additbnal sheets of same size.)
Copyrlyht (c)1991 form software only Csntsr Piscs Software, Inc. Form 1500 Schedule (Rw. 7-88)
REV-1512E7(+ (t0-BB)
SCHEDULE I
COMMONWEALTHF~PE~NN$yLVANIA DEBTS OF DECEDENT
INH€sITANNSS~F T T N MORTGAGE LIABILITIES AND LIENS
ESTATE ~ nt IOE Nr
r
FILE NUMBER
Arthur W. Belton SS# 159-07-8958 02/01/1995 21-95-291
ITEM
NUMBER DESCRIPTION AMOUNT
1 Susquehanna View Apartments
,
account payable, rent. 1,107.60
2 Bell Atlantic-PA, account
payable, telephone. 50.17
3 Holy Spirit Hospital,
account payable, medical 2,075.00
expense for deceased wife.
4 SmithKline Beecham Clinical
Laboratories, account 214.25
payable, medical expense.
5 A. Z. Ritzman Associates,
Inc., account .Payable, 19.00
medical expense.
6 Holy Spirit Hospital,
account payable, medical 2,681.91
expense.
TOTAL Also enter on line to, llulation ; 6 1 .93
(If more space is needed, Insert additional sheets of same size.)
Copyright (e)1991 form software only Csntsr Plecs 8oitwars, Inc.
Form 1600 Sched I (Rev.7-88)
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REV-1547 EX AFP (12-95)
COMMONNEALTH OF PENNSYLVANIA
• DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ACN 101
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601
HARRISBURG, PA 17128-0601 OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 02-12-96
eerere nr
~~~~• HR~nuR w FILE N0. 9 -0 9
DATE OF DEATH 02-01-95 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 T0:
MARLIN R MCCALEB ESA
219 E MAIN ST
PO BOX 230
MECHANICSBURG PA 17055
DISCOUNT (+)
INTEREST (-) AMOUNT PAID
Amount Remitted
CUT ALONG THIS LINE - RETAIN LOaER POR_TION_ FOR YOUR RECORDS ~
----------------------------------------------
---------------------
REV-1547 EX AFP (12-'35) NOTICE OF INHEttYTANCE TAX APPIIAYTSENtNT, ALLOWANCE OR
DISALLOYIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BECTON ARTHUR W FILE N0. 21 95-0291 ACN 101 DATE 02-12-96
TAX RETURN WAS: (X) 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 Daposits/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/Adn.~ Costs/Misc. Expenses f~Schadule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Nst Value of Tax Return
13. Charitable/Governmental 8egwsts (Schedule J)
14. Net Value of Estate Subject to Tax
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
(1) .00
(2) .00
(3) .00
(4) .00
(5) 7.055.42
(6) .00
(7) .00
(8) 7, 055.42
(9) 4, 509.79
(io) 6.147.93
(11) - 10.6 7 7
(13) .00
NOTE: if an assessment was issued previously, lines
reflect figures that in
l
d 14, 15 andior 16, 17 and 18 will
c
u
e the total of ALL
ASSESSMENT OF TAX: returns assessed to date.
15. Amount of Line 14 at Spousal rate (15) • 00 X . 00_ . 00
16. Amount of Lins 14 taxable at Lineal/Class A rata (16) .00 X.06_ 00
17. Amount of Lina 14 taxable at Collateral/Class 8 rata (17) .00 X .15. .
00
18. Principal Tax Due .
TAX CREDITS'
(18)
: 00
PAYMENT RECEIPT
DATE NUMBER
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 1/21/1997
MC CALEB MARLIN R
219 E MAIN STREET
MECHANICSBURG, PA 17055
RE: Estate of BECTON ARTHUR W W
File Number: 1995-00291
Dear Sir/Madam:
It has come to my attention that you have not filed the Status Report
by Personal Representative (Rule 6.12) in the above captioned estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1,
1992, the personal representative or his counsel, within two (2) years of
the decedent's death, shall file with the Register of Wills a Status Report
of completed or uncompleted administration.
This filing will become delinquent on 2/01/1997.
Your prompt attention to this matter will be appreciated.
Thank You.
S' cerely,
MA C. LEWIS
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ~ iyU~ ~ ~ ~~1~'~/V~
Date of Death: ~L~rc.~,c.~-y /_r /~ts~
Will No.
Adm i n . No . v< ~` ~5~' = 0iZ ~//
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes~_ No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes~_ No
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be aL-tached to this report..
Date : I z3 ~7 ~~~~~
Signature
~~%~~~~~
Name (Please type or print)
ra '~v ~,"-~~~
~"' ,i. alb
L~': I c( bZ f~~(' 16.
Address
Tel. No.
Capacity:
Personal Representative
_~Counsel for personal
representative
(MAH:rmf/AM3)
ACCOUNT OF
Marlin R. McCaleb, Administrator
for
ESTATE OF ARTHUR W. BECTON, Deceased
Date of Death: O1-Feb-95
Date of Executor's Appointment: 18-Apr-95
Date of First Advertisement of Letters 02-May-95
Accounting for the Period: O1-Feb-95
19-Apr-96
Purpose of Account: Marlin R. McCaleb, Administrator
offers this account to acquaint interested parties with the
transactions that have occurred during this administration.
The account also indicates the proposed distribution of the estate.
It is important that the account be carefully examined. Requests
for additional information or questions or objections can be
discussed with:
Marlin R. McCaleb, Esquire
219 East Main Street, P.0. Box 230
Mechanicsburg, PA 17055
717-691-7770
PRINCIPAL Page
Receipts: Per Inventory Filed or Balance of Prior Account 0.00
This Account 8,689.82 1
Net Gain (or Loss) on Sales or Other Disposition/Principal 0.00
8,689.82
Less Disbursements: Debts of Decedent 0.00
Funeral Expenses 0.00
Administration Expenses 673.69 ~
Federal/State Taxes 0.00
Fees & Commissions 0.00
Family Exemption 0.00 673.69
---
Balance before Distributions ------------ -----------
8,016.13
Distributions to Beneficiaries 0.00
Principal Balance on Hand -- -----------
8,016.13
For Information:
Investments Made
Changes in Investment Holdings
INCOME
Receipts: Per Prior Account Filed 0.00
This Account 246.02 3
Net Gain (or Loss) on Sales or Other Disposition/Income 0.00
246.02
Less Disbursements 3.00 4
Balance Before Distribution
__
____243.02
Distributions to Beneficiaries 0.00
Income Balance on Hand -- -----------
243.02
For Information;
Investments Made
Changes in Investment Holdings
Combined Balance on Hand
8,259.15
RECEIPTS OF PRINCIPAL
Description
Cash:
1995-02-01 PNC Bank, N.A., Checking
Account No. 5140149344.
1995-02-01 Coins in Decedent's
possession.
1995-02-01 Internists of Central PA,
Ltd., check in Decedent's
possession.
1995-02-01 Cash in Decedent's possession.
1995-02-01 Office of Personnel
Management, CSF death
benefits.
1995-05-23 Federal Employees Group Life,
life insurance.
1995-02-01 Internal Revenue Service, 1994
federal income tax refund.
1995-07-10 Commonwealth of Pennsylvania,
1994 Tax Rebate.
1996-02-13 Internal Revenue Service, 1995
federal income tax refund.
Misc. Personal Property:
1995-02-01 Furniture and furnishings
(sold at public sale).
Total Receipts of Principal
-1-
Fiduciary
Acquisition
Value
5,981.97
11.25
70.00
19.00
32.40
1,500.00
402.10
129.60
102.00
8,248.32
441.50
441.50
8,689.82
DISBURSEMENTS OF PRINCIPAL
Administration Expenses:
1995-04-21 Cumberland Law Journal,
advertising.
1995-OS-02 Marlin R. McCaleb,
reimbursement for probate
expenses advanced.
1995-05-02 Marlin R. McCaleb,
reimbursement for costs of
death certificates advanced.
1995-05-04 Register of Wills, short
certificates.
1995-05-19 The Patriot-News,- advertising.
1995-06-23 Brickers Auction, expenses of
public sale of furniture and
furnishings.
1995-11-02 Register of Wills, filing
Inventory and Appraisement.
1995-11-02 Reserve for filing Account,
Notices, etc.
1996-02-13 Marlin R. McCaleb,
reimbursement for cost of
short certificate.
Total Disbursements of Principal
40.00
109.00
6.00
6.00
48.19
141.50
20.00
300.00
3.00
673.69
b73.69
-2-
RECEIPTS OF INCOME
Interest:
1995-OS-23 Federal Employees Group Life,
interest on insurance
proceeds.
1995-12-31 PNC Bank, 1995 interest on
Certificate of Deposit.
1996-03-06 PNC Bank, 1996 interest on
Certificate of Deposit.
Total Receipts of Income
18.73
97.36
129.93
246.02
246.02
-3-
DISBURSEMENTS OF INCOME
1996-02-14 PA Dept. of Revenue, 1995 3.00
Fiduciary income tax. 3.00
-4-
AFFIDAVIT
Marlin R. McCaleb, Administrator of the Estate of
Arthur W. W. Belton, Deceased, hereby declares that he has fully
and faithfully discharged the duties of his office; that the
foregoing accounting is true, correct and complete and fully
discloses all significant transactions occurring during the
accounting period; that the attached list or schedule (*)
contains the names, addresses and amounts due unpaid creditors
having given notice of their claims; that the attached list or
schedule (**) contains the names and addresses of all persons
interested in the distribution of the said Estate; that all taxes
presently due from the Estate have been paid; that more than four
months have elapsed since the first complete advertisement of the
granting of letters in the Estate; and that the facts set forth
in the foregoing Account are true and correct to the best of his
knowledge, information and belief.
I understand that false statements herein are made
subject to the penalties of 18 Pa.C.S., Section 4904, relating to
unsworn falsification to authorities
Date: April 19, 1996 ~ 4
v~-
Marlin R. McCaleb
Administrator
*UNPAID CREDITORS:
1. Susquehanna View Apartments ($625.69)
208 Senate Avenue
Camp Hill, Pennsylvania 17011
2. Holy Spirit Hospital ($1,172.18)
503 North 21st Street
Camp Hill, Pennsylvania 17011
3. A. Z. Ritzman Associates, Inc. ($127.67)
P.O. Box 655
Camp Hill, Pennsylvania 17011
4. Bell Atlantic-PA ($28.34)
Philadelphia SSG
2000 South Broad Street
Philadelphia, Pennsylvania 19145-2305
**PERSONS INTERESTED IN ESTATE•
1. Ernest A. Wagner
10180 Allentown Blvd.,
Grantville, Pennsylvania 17028
2. Ruth Messimer
121 Lakeview Lane, Hidden Lake
Cameron, North Carolina 28236
3. Joyce Weikel
87 Appletree Drive
Levittown, Pennsylvania 19055
4. Carla Hamilton
2651 Booser Avenue
Harrisburg, Pennsylvania 17103
5. Sandra K. Greider
215 Erie Street, Box 178
Dauphin, Pennsylvania 17018
6. Paul Lester Belton
103 Cider Drive, P.O. Box 50
York Springs, Pennsylvania 17372
7. Phyllis J. Leiby
1163 Derry Street, 2nd Floor
Harrisburg, Pennsylvania 17104
8. Marcelline L. Faust
Box 198-F20, R.D. 1
Kempton, Pennsylvania 19529
9. Bertha Seibert
38 West Main Street
Shiremanstown, Pennsylvania 17011
10. Earl Wagner
12 Walnut Street
Duncannon, Pennsylvania 17020
11. Teresa Masters
213 Palermo Drive
Fort Walton Beach, Florida 32547
12. Ronald Osborne
General Delivery
P.O. Box 28
Swengel, Pennsylvania 17880
13. Elaine May
17 South Market Street
Duncannon, Pennsylvania. 17020
14. Betty Jean Burd
546 Fishing Creek Road
Lewisberry, Pennsylvania 17339
-2-
15. Sharon Drayer
4616 Crooked Hill Road
Harrisburg, Pennsylvania 17110
16. Arthur Freeman, Jr.
67 Camber's Corner
Duncannon, Pennsylvania 17020
17. Merlin A. Belton
443 Franklin Street
Hamburg, Pennsylvania 19526
18. Dale K. Wagner
2641 Grand Street
Williamsport, Pennsylvania 17701
19. Ronald Wagner
35 Reed Avenue
Marysville, Pennsylvania 17053
20. Robert Peters
c/o William Peters
1035 State Road
Duncannon, Pennsylvania 17020
21. William Peters, II
c/o William Peters
1035 State Road
Duncannon, Pennsylvania 17020
22. Larry Peters
c/o William Peters
1035 State Road
Duncannon, Pennsylvania 17020
23. Russel Kiner, Jr.
112 Roseglen Road
Duncannon, Pennsylvania 17020
24. Kenneth Kiner
20 North Enola Drive
Enola, Pennsylvania 17025
25. Edward Kiner
-120 Ann Street
Duncannon, Pennsylvania 17020
26. Jane Engle
Bunker Hill
1404 Yorktown Road
Mechanicsburg, Pennsylvania 17055
-3-
27. SmithKline Beecham Clinical Laboratories
P.O. Box 13858
Philadelphia, Pennsylvania 19101-3858
28. David M. Myers Funeral Home
Second & Walnut Streets
Newport, Pennsylvania 17074
-4-
S
.
STATEMENT OF PROPOSED DISTRIBUTION BY
MARLIN R.McCALEB, ADMINISTRATOR
OF THE ESTATE OF ARTHUR W. W. BECTON,
LATE OF EAST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY,
PENNSYLVANIA, DECEASED
MARLIN R. McCALEB, Administrator of the Estate of Arthur
W. W. Belton, Deceased, proposes to distribute the balance of
said Estate in his hand, to wit: $8,259.15, in accordance with
Section 3392 of the Probate, Estates and Fiduciaries Code of
Pennsylvania, as follows:
The Costs of Administration (Section 3392 (1)):
TO: Marlin R. McCaleb, Esquire, attorney's fee: 750.00
750.00
The Family. Exemption (Section 3392 (2)):
No eligible claimant
The Costs of Decedents Funeral and Burial
and Medical and Hospital Services Furnished
Within Six Months of Death (Section 3392 (3)):
TO: 1. David M. Myers Funeral Home,
funeral expense:
2. Holy Spirit Hospital, medical
services rendered 1/31/95-2/1/95:
3. A. Z. Ritzman Associates, medical
services rendered 1/31/95:
4. SmithKline Beecham Clinical
Laboratories, medical services
rendered 10/25/94:
The Cost of a Gravemarker (Section 3392 (4)):
No eligible claimant
None
3,089.10
2,681.91
19.00
214.25
6,004.26
None
Rents for Six Months Prior to Death (Section 3392 (5)):
LAW OFFICES
MARLIN R. McCALEB
No eligible claimant None
All Other Claims (Section 3392 (6)):
(Claimants paid at 43.51% of original
claim. Amount of original claim
stated in parentheses)
TO: 1. Susquehanna View Apartments, rent
and late charges, 2/1/95 - 3/31/95
($1,107.60): 481.91
2. Bell Atlantic - PA, account payable,
telephone ($50.17): 21.83
3. Holy Spirit Hospital, account payable,
medical services provided in 1987
($2,075.00): 902.82
4. A. Z. Ritzman Associates, account
payable, medical services provided
7/19/94 - 7/20/94 ($226.00): 98.33
1,504.89
TOTAL TO BE DISTRIBUTED: $ 8,259.15
Marlin R. McCaleb
Administrator
LAW OFFICES II
MARLIN R. MCCALEB
-2-
AFFIDAVIT
MARLIN R. McCALEB, hereby certifies and says: that he is
the Administrator of the Estate of Arthur W. W. Belton,
Deceased; and that the facts set forth in the foregoing
Statement of Proposed Distribution are true and correct to the
best of his knowledge, information and belief.
I understand that false statements herein are made subject
to the penalties of 18 Pa.C.S., Section 4904, relating to
unsworn falsification to authorities.
Date: April 19, 1996 ~~~~w[c-L
Marlin R. McCaleb
Administrator
LAW OFFICES
MARLIN R. McCALEB
-3-
COMMONWEALTH OF PENNSYLVANIA '
COUNTY OF CUMBERLAND S5 JUNE 18 19 96
I, Mary C. Lewis, Register for Probate of Wills and granting Letters of Administration
for the County of Cumberland, in the Commonwealth of Pennsylvania, do hereby certify the foregoing to be
true and accurate copies of the
FIRST AND FINAL ACCOUNT OF MARLIN R.MCCALEB ADMINISTRATOR O THE
ESTATE OF ARTHUR W W B T TON ATF O , F___AyT PENNSBORO TnWNNTP r ,_
CUMBERLAND COUNTY. PENNSvLVANTA DFC ASFn
as the same were passed and advertised and remain on
file and of record in this office.
IN TESTIMONY WHEREOF, I have hereunto set
my hand and official seal the date above.
C
Mary C. Lewi ,Register of Wills
NOW TO WIT, JUNE 1819 9 6 ,came into Court MARLIN R. MCCALEB ,
ADMINISTRATOR
and presented an account and statement of proposed distrubution,
which were examined, passed, approved, and confirmed with a balance in his hands of $ * . (~ ~ (. ! ~
and the. accountant was directed to distribute said balance in accordance with the
statement of distribution filed.
i
M C. is, Clerk oft Orphans Court
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ~ ss
I, Mary C. Lewis, Clerk of the Orphans' Court, in and for said County, do hereby certify
the foregoing to be a true copy of the account and statement of proposed distribution of
MARLIN R. MCCALEB ADMINISTRATOR
as full and entire as the same remain on file and record
in this office.
IN TESTIMONY WHEREOF, I have hereunto set
my hand and official seal at Carlisle, this 18th
day of _ JUNE 1991i-
,~
Mary ewis, Clerk oft Orphans Court
`''•`~- ~ ~' ~ ~Y'~ 4;:ceunt Gonfiir!~na~ci
~absolutaly and dish?'~~±?!on decr~~;r;
in accord:~rica wits er~Ycszd selad
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