HomeMy WebLinkAbout95-0379o~ ~ ~`~=~~7c
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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 1 s nor
Date
M1os.I~ Rav. 7187
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Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
COMMONWEALTH OF PENNSYLWNIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
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• INHERITANCE TAX RETURN iF°A
K.- .2Y!
'~'~"`~ RESIDENT DECEDENT POV
AITH of PENNSnvANIA (TO BE FILED IN DUPLICATE FILE
MENT OF REVENUE
~EPT.280ao1 WITH REGISTER OF WILLS)
URG, PA 17128-0601 ~~~ ~
~ ~y-o~ - ~Sz3
1~` 1. Original Return
^-, 4. limited Estate
I-tJ'6. Decedent Died Testate
(Attach copy of Willl
DEATH AFTER 7 2f31 fq l CHEtK HERE
:RtDiT t5 t1A1MED ^
NUMBER
Z~ ~S ~3~q
QTY CODE YEAR NUMBER
DATE Of DEATH DATE OF BIRTH ~2G~nSxAA,~C S~sJ /•~, 1~ 1~ (~~SS
Y u ~i.~~
^ 2. Supplemental Return
^ 4a. Future Interest Compromise
(for dates of death after 12-12-82)
^ 7. Decedent Maintained a Living Trust
(Attach copy of Trust)
7 17) ~G11 -S~q~
^ 3. Remainder Return
(for dates of death prior to 12-13.82)
^ S. Federal Estate Tax
Return Required
_. 8. Total Number of Safe Deposit Boxes
- - ... ..:
MPIE E MAILIN ADDRE ~^~
~0 3DK 33 ~ :_.. _ ;
1. Reai Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Mortgages and Notes Receivable {Schedule D) (4)
5. Cash, Bonk Deposits 8~ Miscellaneous Personal Property( 5) _ 3~0,$ tq $(o
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (Schedule L) (7)
8. Total Gross Assets (total lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous (9) _ ~ ~, t7l'1.7 g
Expenses (Schedule H)
'10. Debts, Mortgage Liabilities,-Liens (Schedule I) (10)
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. Amount of line 14 taxable at 6°h rate (15) Z ~ , ~
(Include values from Schedule K or Schedule M.)
16. Amount of line 14 taxable at 15°k rate (16)
(Include valves from Schedule K or Schedule M.)
17. Principal tax due (Add tax from line 15 and from line 16.)
I8. Credits Spousal Poverty Credit Prior Payments Discount
Interest
19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT
~^
!0. If line 17 is greater than line 18, enter the difference on line 20• This is the TAX DUE.
A. Enter the interest on the balance due on line 20A.
B. Enter the total of line 20 and 20A on line 20B. This is the BALANCE DUE.
Make Cheek Payable to: Register of Wills, Agent
( B) _ ~~ .8 l9.8~
(11) ~olcoi~,7~
(12) Z Z b8
(13) ~Z[[. DUCE . O C~
x .06 = x,('008• IL
x .15
(17) I~ ~~S.I2-
(l g) go. yl
(19)
(20) 1~ 5 Z 7~ 7 t
(20A)
(208)
~ ; ~- ~ O J~1S'iAt~f" 1
Under penalties of perjury, I declare that I have examined this return,
it is true, correct and complete. t declare that all real estate has been
based on all information of which preparer has env knowledew
accompanying schedules and statements, and to the
at true market value. Declaration of preparer other
~~
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t~~.T P NAIVE ~~ DD E
~ tn>~k~~- S~ ~ L.e ~ ,~ ,~ c~~~3
r~s
of my knowledge and belief,
the personal representative is
DATE
-~~~r'~~
DA E
f REV iSDS EX• (t.87)
SCHEDULE E
CASH, BANK DEPOSITS AND
COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS
1N REESD~ENTEDE~EDENTRN PERSONAL PROPERTY
ESTATE F Pleose Print or T e
~.L~C~ '(~A ~~ ` FILE NUMBER
(All ro • V " ` ~ ~T L-' "' [ , ^' v7
P p rty leintlyewned with the Ripht of Survivorship must b~ disclosed on Schedule F)
ITEM
NUMBER DESCRIPTION VALUE AT
DATE OF DEATH
,~ ~, I~Z.•0 t7
TOTAL Also enter on line 5, Reco itulation) $ 3~ $ ~9 _ 8 (p
(Attach odditionol 614' X 11' sheets if more :poce is needed.)
' REK1517 E%~ (7.88
~~~~ SCHEDULE H
FUNERAL EXPENSES,
EALTFI OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
TANCE TAX RETURN MISCELLANEOUS EXPENSES
DENTDEGEDENT
I~- L 1 c c ~. S ~+-~ +~ ~-t`~
ITEM
NUMBER DESCRIPTION
A• Funeral Expenses:
1. ~`It~r~ ~..~ N er c~. t~ovv~.~
Please Print or Type
E NUMBER
AMOUNT
B• Administrative Costs:
'~• Personal Representative Commissions p
Social Security Number of Personal Representative: ~~~ - 3Z- - 7~ I ~
Year Commissions paid ~t~~
2• Attorney Fees
3• Family Exemption
Claimant Relationship
Address of Claimant at decedent's death
Street Address
City State Zip Code
4
c.
1.
2.
3.
4.
5.
6.
7.
8.
Probate Fees
Miscellaneous Expenses:
I~}a JRpP~~~ s i J C,
~Js~~ Q ~~P-v~Ses.
~`>~, ~ 7~ . ~ o
~`~S• c~
~, 8 yo. a ~
80.00
1~~1nn1.00
C~ • 1
7o8.IS
~ ~~.~ ~{
TOTAL (Also enter on line 9, Recapitulation) I $ ~~' ~ ~ ~ ,j8
(If more space ~s needed, insert add~tiona) sheets of same size.)
__
P
COMMONWEALTH Of -ENPISYIVANIA SCHEDULE J
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF
{/~ a FILE NUMBER
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
RELATIONSHIP SHARE OF ESTATE
A. Toxable Bequests:
t. 3*Jd,~. ~. S~~r~
z • Sose ~
~~~~~ v ~ v~ner~~r,1 lA~ S t ~~e~~ ~ 2'z.l SD C, ~ .` ~1
~~ ~~
3• ~.a k . 5~,1,.w,,-~
Ps c. 3°3, '~~c `~s, tl~Qo ~p g4-ZO~-ao~Fs- CI,.,~~
s c~..~~
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Bequests:
t. l~~i ~ ~ ~sS t~_
~e~t ~.~~~~5-~re~"~ ~~arrls~~rc~, P,a. C?lo
,~-N,~J~f't ~s
t Ito Cocoa, « ~Tt v C , ~-4-.,rr~sl~~~ , 9ti. ~'r~~o ~
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS fAlso enter on line 13, Recopitulotionl
(If more space is needed, insert additional thee!: of same sire)
~~
L ~~
Zo
zap
2. C~
SHARE OF E TATS
~ lftS~. ~
'r ~ V V r
~~
$ '
z, a;~5 . ~
WILL OF ~j
ALICE D[. SCHIrIITT Gv"
~~ 6
I, ALICE M. SCHZiI'Y"i', of Mechanicsburg, Cumberland
County, Pennsylvania, deolare this to be my last Will and
hereby revoke all prior wills and codicils.
1• I direct that all qty just debts, funeral
expenses, gravemarke~r and adainistrative expenses shall
be paid from my residuary estate as soon as practicable
after my death.
a• I direct that all iriheritanoe, estate, transfer,
gucaession and death texas of any kind whatsoever which
aay be payable by r,:aason of my death shall be paid out of
my residuary estate.
3• I direct that my entire estate be disctributed as
follows:
A. I leave my entire estate of whatever nature and
wherever situate to be divided e
five children, Carol A. Ruh, JudithlMy Shirk, my
Susan A. Soasman, Joseph K. Schmitt and John K.
Schmitt.
B• Should any of my childr®n predeceas® me, then
that child's share shall pass equally to my
surviving ohildren.
LAW OFFICES OF
gas E. LOUTHER S71aEEr
CARLISLE, PA 17th 3
4• Y appoint my daughter, Judith M. Shirk, ail
Executrix of this my last Will. If ah® should
me or cease to act in such capacity, I name CarolgA~cRuhe
to so eery®.
5. The Executrix of this Will shall have the power
to distribut® my estate in kind or in cash, or partly in
either.
6• I direct that no Executrix acting under this
Will shall be required to enter bond in any jurisdiction.
I~ WITNESS WHE OF, Y have hereunto set my hand this
~_ day Q$
1993.
~~•
ALICE M. S Zy±
~G
d~
REV-1547 EX AFP (12-94)
CDMRIONMEAL7H OF PENNSYLVANIA
DEPARTMENT ~ ~~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRISSUR6, PA 17128-0601
acN lol
DATE 11-06-95
DATE OF DEATH 05-07-95 ~~ FILE N0. 21 -
000NTY 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:
RANDALL L HARTMAN ESQ
PO BOX 33
LEMOYNE PA 17043
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE - RETA_IN LOITER PORTION_ FOR YOUR RECORDS ~
-----------------------------------------
REV-1547 EX AFP (12-94) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
---------------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SCHMITT ALICE M FILE N0. 21 95-0379 ACN 101 DATE 11-06-95
TAX RETURN WAS: ( )ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
2. Stooks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
4. Mortpayes/Notes Receivable (Schedule Dl (4) .00
5. Cash/bank Deposits/Misc. Personal Property (Schedule E) (5) 36,819 86
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfiers (Schedule Gl (7) .00
8. Total Assets
(8) 36,819.86
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortyaye Liabilities/Lions (Schedule I)
11. Total Deductions
' 12. Net Value ofi Tax Return
13. Charitable/Governmental Begwsts (Scl-edul• J)
14. Net Valw of Estate Subject to Tax
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17 and
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rst•
17. Aaount of Line 14 taxable at Collateral/Class B rate
18. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST (-)
08-04-95 een4An~~ __ __
18 will
t15) • DO X . 00_ . 00
(16) 26,802.08 X .06. 1,608.13
(17) .00 X .15. .00
cla) 1,608.13
AMOUNT PAID
PAYMENT MUST BE MADE BY 02-08-96~(. TOTAL TAX CREDIT
1,608.12
BALANCE OF TAX-DUE .O1
INTEREST .00
TOTAL DUE .O1
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN fl, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ^CREDIT^ (CR), YOU MAY BE DUE
(9) 10,017.78
(107 00
(11) 70.077 78
(12) 26,802.08
(137 . 00
(14) 26,802.08
~~-1470E%(6-881
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEN' OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128.0601
DECEDENT'S NAME
'~ i_ ~' Ft `~'
_~crr~i t.t
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER
ACN
---~
SCHEDULE ITEM ~ J f; 7
NO. ~ EXPLANATION OF CHANGES
~%:~lae of ~ Yte cf}~r;t~i-)?.~ ~~~ Llt'_st .~-a~ 3...
~ •~ ~ ..!~Fl~ Ci2z a i J.C%WF!t. l,'`F Y t<;
.. t1 __..•._ .:
..1 ~~, !' rC)I1L.'1? ~l ~~??E'CJ_f l(' ~c~(l i_ic`SC CC t.f`. Et ("~.a~-j r`T _.. _..
TAX EXAMINER: i,::i' t1c:~ "ZCii _ c;~;,,~
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