HomeMy WebLinkAbout95-0355_ _ _ _ _ _
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 narrle 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 16 200T ? •
Date Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
/!~ rytOS lM Rev. 1/Bt
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RERr~rIENr
BLACK BIK
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH ~ "
(Coroner)
NAME Of DECEDENT IFrsL Midtlle. Lmq SEX SOCIAL 9ECUIIITY NUMBER DRE OF DEATN (Mahn, a%~)
,. John W Howard >L Male ~. 220-03-4664 .. May 4, 1995
ADE M1+Y Betsey) IKJDERIYEAA LIN061t DA' DATE dF BIRTN BIRTIWIAL:ELaIyeM PLACE OF DEATN (Check aey ar-re,rbuceormaner rds)
Ma+en D,y, Noun MYwM (Maa.Dty,1W) StW aFaegn Cawe,Q IIOSPI7AL: R.
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COUNTY OP DEATH CRV, TMIP DERH FACILITY NAMEI"nd iMnp~Oen. pve etrM andnm0er) NRS DECEDENT OF NISPAMC OPo(LIN7 RACE-AmMken Ytlrn, BpCk~LA7ete. MC.
"°® MN^Byee,epec"yCubr. ) White
Cumberland East Pennsboro Holy Spirit Hospital Meaken. PUerb Rlon.eN.
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S OCCUMJYJII qND OF BUBNE891NDUSTRY VNB DECEDENT EVQLIN DECEDENT'S EDIICIBION MARIBILBWUS-Mrded SUNVMNO SPOUSE
U.B. ARMEDfORCES9 NwwMrrrd, MlMened. (" wAe. Rive msiean erne)
Florence LaBrandi
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New Cumberland, PA 17070 a
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RYIER'BNAME(Fil. I.tidrte.laoB '9 NAME lFe•L MidW. M,b,n Surnrny
~ George H. Howard , Alice L. Snodderl
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tNPOMiANr E NAME (TYPaPriAO pCaly
WFORMANT'S MAKKID ADDREBBgra.cllWbAn, elec. L
Anna M. Barber 2 Northwestside P.O. BOX 419 Funkstown Md.21734
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gJNEML UCFJI9EE ACTINOAB tX~NeENUMBER NAMEANDADOREBSaPFAQK7rr
FD 012342-L Stone6Murra FH 408 3rd St. New Cumberland PA 1707
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^ SgNRURE OP
Coroner
m ib s.aan,1.wr!.eB•,awnoeeue.aawba.ewn.L•1••anwwraew ..................................................... te.
UCEN NULIBER DATE SIONED(Maeh, De%Mrr)
'-ROIIOIRCMO AND CENTIFYKq PHYSICIAN (PnYasien Car Vanpach0 asaw end uatilyhp basAr N arfN)
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w. NAME AND ADDRESS aF PERSON WHOCOMPLETED CAUSE OF DERV
(Item 27)TyPe«PrIM Michael L. Norris, Coroner
•YEDICAL IEXAYINER/CORONEA
on rwrr.leveeX.anawn.rldlorlmnelgetbn,Mmy oplnton.drth oeeunseatnetNn..dH.,.RdP~...tdd..bn»cw.a•)•Dd ~
405 Fairway Drive
B, n.M....a.ad .................................................................................................. ~ Mechanicsburg, Pa. 17055
REOISTRIIR'S sIDNATURE AND NUM ,~
i DATE FlLED (MMn, Day, lber)
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INHERITANCE TAX RETURN
®~ ~'~ ®"' RESIDE ~~
FOR DATES OP DEATH AFTER 121,1191 CHECK HERE \
IF A 6PQUgAI
PO~~ ~'°'T'~ ~
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r NT DECEDENT ~
~ ~ YlvAN1A
~ARTY~Nr E
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TO BE FILED IN DUPLICATE FILE NUMREk
~-~
A ~~~.osot WITH REGISTER OF WILLS _
~355
CC+<JNTY CODE 1 YEAR 9 5 NUTiA6ER
ward John W.
a OYtAMAeER nAnoF T" oA ornRiH ~ °E
523 RE
Bridge Street
2 -03-4664 -04-95 5-01-21, New Cumberland,,;PA 17070•
eURVNR1a IraY1[7 NAME EAtT, nRiT rpD<t N11Mt1 RITY NUMfaER R IVED ~ .
..
..
- ~
-
..
..
~. Origittd Retura
^ 2. Supplentemal R.turn .. ~ .,. _.,,
^ 9. Remainder Ret
^ 4. ltsaBed Erta»
,, ,t ~ ^ 4a. Futurre~ In» st Contpromiw
~. - ~: ` ~ (for states o~ death afNr 12-12-62)
^
d uns
(fw~ dates of death
prior ro 12-13-62)
hderol Esro» Tax Return Required
.; ^ S•
6. ca
ent Died Te
sxspy ssf VVN~ ^ 7• ~ ~ ~ a lieinp Trust _
.: ~ -
_ 6. Total Number of Safe Deposit loxes
arbara Sum le-S
vNON NUMBER ullivan Es uire
549 Bride S
g treet
717 774-1445 ~ New Cumberland PA 17070-1931
i. Rwi Esro» (Schedule Ay (1 ! -- n
~. Stocks and !Dods (Sd-edule 8) (2) . 00
3. Cbaiy Held StodJPartnenhip In»nst (Schsdub C) (3) 00
4. Mortgages and Noros Receivable (Schedule D) (1)
S. Casio, lank Deposits l Misailansous Personal Property ( 2 6 5 5 9_ 5 n
(Sdiedule E) -
5 6. Jointly Owned PropeAy (Schedule F) (b j - n n
7. Tran:hr: (Schedule G) (Schedub lJ (7 j _ 00
8. Total Gross Asset: (total line: 1-7)
~ 9. Funeral Ezp~~ws, Adminiarotive Costs, Mi:cepansous (9 _8 4 g~ _ ']~r~
Expensa tSchedule H) _ (8 j -~i~9 • S 0-
10. Debts, Mortgage liabRities, liens (Schedule I) (Lpi~ 1 4 2 . '] 4
11. Total Deductions (total lines 9 6 10) ~ - ~~3~
12. Nst Volue of Estate (line 8 minus line i l) (r 1)
13. Charitable and Governmental Bequests (Schedule 1j (12} ---,1' 92 H n 1
1/. Net Valve Sub sd to Tax (line 12 minus Lins 13 (13) 00
1S. Spousal Tronshn (for dates of death otter b-30-94)
See Irutrudions for /,~plicoble P~rantoge on Reverse (i5)
Sid (14)
e. (Indude values From Sdtedub K or Sd-edule M.) x•-~
16. (indude valves from Se ~dule K or aSdudule M.) (16) _ 5 9 7 F, n 1
x .06 X 5 9 T 7
17. Amount of Line 11 taxable of 1514 rote
(Indude valves from Schedule K or (i ~---,1-~-; Q ~~ n n
Schedule M.)
x .15 _ 1 r 7 Q 2 R n
18. Principal rox dw (Add rox from line: 1S, 16 and 17.)
19. Credits Spousal Poverty Credit Prbr Payments Discount (18j 2 ' ~ 5 ~ • 3 6
In»»:t
+ _ ASn _ nn + 1 n7 75 - ~
~_ (19j
1 p57 S7
20. ®stn19 k Oro»r Iltan line 16, enter tM dEfenena ssn Late 20. This M Ate OVERPAYMENT.
~~
21. R lire. 16 Is pneo»r Than line 19, en»r the dilfenna on line 21. This is the TAX DUE -
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.
A. En»r dse kttensl on Au balance dw on Lkte 21A. ~ ,.],.,~
I21) 1 e n 9
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1. Eller dse rota! eF Une 21 and 21A on tMse 216. This k the IAIANCE DUE i21N
.
Make CMdk P te: bNr ssi Mlws, (21 ll ---_1 n q ~ 7 9 •-
r W
~~ ~~
basstd~en aN k s per) ury 1 dedon that 1 r~hs . ~~ iDE D .O C
and tanptiete. l dedan Ntsst reai e<<ate~has bee ~"~ o10a~^Pa aheduk+s a sta»menf:, and h eel so
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Peat tsve va
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and beH.f,
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penonol repo»ntatiw is
Anna M.
f1G H. Barber R"
r P.O. Box 419, Funkstow}>, 2 4
AT~~-'•
NATUR REMRE TM R /R 3lNTATIVE ADpRES3
3arbara Sumple-Sullivan, Esq
549 B
~~ _ S^ ~~^
A
., erland, PA
_~_
Act 848 of 1994 provides for the reduction of the tax rates imposed on the net valueof transfers to or for
the use of the spouse. The rate: as prescribed by tiu statute wail be:
• 3°Xo (.OS) will be applicable for •:tales of decedents dying on or after 7/1/94 and before .1/1/96
• 2°y6 (.02) will be applicable for estaN: of decedents dying on or after 1/1/96 and.befon 1/1/97
• 1'K (.Ol) wNl be applicable for estates of decedents dying on or after 1 /1 /97 and before 1 /1 /98
• Spousal transfers occurring on or after 1/1/9$ will be exempt from inheritance tax.
BY PLACING AS CHECK MARK ~ r~ IN H APPRO R ONS
ATE BLOCKS.
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 years preceding
death transfer property without receiving adequate considerati6n$ If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration$ ..................................
.................................................................
3. Did decedent own an 'in trust for'. bank account at his or her death$ ...................................-..
IF THE-.=~4NSi1VER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G~AND FILE IT AS PART OF THE RETURN.
.=,
' REK1508EX+11.87) _ ~~~~~~~~
~ CASH, BANK DEPOSITS AND
COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS
'"NEEITANCE Ti-x RETUiett PERSONAL PROPERTY Please Print or T e
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
unSanun .Tnhn w 2195-0355
(Ail property IoinNjr-owned wiH~ fhe W~ht of Survivorship must be disebsed on Sdndyle F)
ITEM DESCRIPTION VAWE AT
NUMBER DATE OF DEATH
1 PNC Bank
Account No.: 000000005080434142 $10,019.31
2. PNC Bank
Account No.: 000000005140080658' 12,174.14
3. Automobile:
1990 Oldsmobile Cutlass 3,000.00
Appraised Value: $3,000.00
4. Personal Property 767.00
Appraised Value: $767.00
5. One-half 1994 Joint Federal Income Tax Return 106.50
6. Security Deposit 385.65
7. Auto Insurance (Rebate) 106.90
TOTAL (Also enter on line 5, Reca itulation $ $ 2 6 , 9
(Attnda additional 845" x il^' sheets if more space is neAdad.)
REK1511 EX+17-B8~
Y' SCHEDULE H
FUNERAL EXPENSES,
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
IN RESIDENTEDECEDENTRN MISCELLANEOUS EXPENSES Please Print or Type
ESTATE OF ~ FILE NUMBER
HOWARD John W. 2195-0355
ITEM
NUMBER DESCRIPTION AMOUNT
A. Funeral. Expenses:
~, Stone and Murray Funeral HOme 2,805.00
Stone and Murray (Flowers) 45.58
B. Administrative Costs:
` 1. Personal Representative Commissions _ _
Social Security Number of Personal Representative: 21 3 2 4 9 2 3 7 7 5 4 .2 0~,
Year Commissions paid 1 9 9 6 2, 5 5 0. 0 0
2. Attorney Fees
3. Family Exemption
Claimant Relationship
Address of Claimant at decedent's death
Street Address
City State Zip Code
4. Probate Fees
2x8.92
C. Miscellaneous Expenses:
.L
7
Bill Chenoweth (Personal Property Appraisal 50.00
2' PP&L 22.90
3. Susanne Kohn (Cleaning 25.00
4. Nationwide Auto Insurance 272.00
5• Administrative Expenses (postage, mileage, phone) 480.85
6• Sheaffer's Carpet and Upholstery Cleaning 59.30
7• Apartment Rental - May, June, July 1,125.00
8.
TOTAL (Also enter on line 9, Recapitulation) $ $ ~ 4 . 75
(If more space is needed, insert additional sheets of same size.) l/~
REV•1512 EX+ (I.99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Please Print or
HOWARD, John W.
2195-0355
REV-1513 EX+ ~2-87)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA B E N S FI C I AR I E S
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HOWARD, John W.
2195-0355
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
1 A. Taxable Bequests:
.
1.
Estate of Florence Howard
c/o William C. Dissinger, Esquir
Dissinger &Dissinger
400 South State Road
Marysville, PA 17053
Counsel for Estate Wife 33 1/3~
2. Anna May Howard Barber
P.O. Box 419
2 North Westside Avenue
Funkstown, MD 21734 Sister 66 2/3~
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Bequests:
AMOUNT OR
SHARE OF ESTATE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) I $
FILE N
(If more apace is needed, insert additional sheets of same size?
Rj'-1547 EX AFP (12-951
CUi1MONMEALTH OF PENNSYLVANIA
DEPdRTMENT 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
ACN 101
DATE 05-27-96
ESTATE OF HO A D J W FILE N0. ~l y5-u~~~
DATE OF DEATH 05-04-95 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:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BARBARA SUMPLESULLIVAN ES
549 BRIDGE ST
NEW CUMBERLAND PA 17070
Amount Remitted
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t
- - - - - - - --- -- -- - - --- - - -- - - - -- - - --- -- --------- --- -- ---- - - - y--- ------ ---- - - - - --- - -- -- - - --- ---- -- -- --- --- - - - - - - - - - -
REV-1547 EX AFP (12-951 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOWARD JOHN W FILE N0. 21 95-0355 ACN 101 DATE 05-27-96
TAX RETURN WAS: ( l ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
(1) .00
(2) .00
(3) .00
(4) .00
(5) 26 , 559 .50
(6) .00
(7) .00
(g) 26,559.50
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stooks and Bonds (Schedule Bl
3. Closely Hald Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule Dl
5. Cash/Sank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(9) 8,488.75
(lo) 142.74
(11) R .631.49
(12) 17,928.01
(13) . 00
(14) 17,928.01
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedule Jl
14. Net Value of Estate Subject to Tax
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
• 00
X . 00_
. 00
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Lina 14 taxable at Lineal/Class A rate (16) 5,976.01 X .06. 359.17
17. Amount of Line 14 taxable at Collateral/Class 8 rats (17l 11,952.00 X .15. 1,792.80
18. Principal Tax Due (lg) 2,151.36
TAY f_QFIITTC!
TOTAL TAX CREDIT 2,093.79
BALANCE OF TAX DUE 57.57
INTEREST AND PEN. 1.72
TOTAL DUE 59.29
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
08-OZ-95 AA048067 50.00 950.00
02-02-96 AA082581 .00 1,093.79
INTEREST IS CHARGED FROM 02-05-96 TO 06-04-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LE55 THAN S1, NO PAYMENT IS RE@UIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE
errn.~n rrr neurnwr wtnr nr ~..~.w rwnu rnn ~•.w~m.w~.wuw
REV~1470 E% 16-88)
'^"~MMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-060 1
DECEDENT'S NAME
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER ii
i Y C _~.. .
ACN
1:,'t
SCHEDULE NO EXPLANATION OF CHANGES
.. ,- ,_
x.!c~' ~ ._ ilif:' I [. i_i:.ci E' ~~%1:L--' !;~. ~ :<t:F:l? H:', ilaE3L ci;~ d.S L t-.. . .. ..,:.3 ~ !~i r.h;' CC`Y T'fi'i'.L ;_C,"il
TAX EXAMINER: ~ t' '' ~ ~; ' ~' ' ~`' i _ PAGE