HomeMy WebLinkAbout95-0380.~ ~ ~ r.
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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.
AUG 16 200
Date
HtOS.la3 Rav. g/07
nPEJVRmT
n~
~ERIIAIIBIT NAME
nAaL
2
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Fran eropoli, ' ect
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • V1TAL RECORDS
CERTIFICATE OF DEATH
~~ /~~l
tc ~cni tr.s. moc~e'saatl SE% SOCIAL SECURITY NUMBER pAyE Op DEq„pv,gny~, ~,,.~)
,• Evelyn R
Baker
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.
aFe[IIL
ile a. 174 - 52 - 6257 ~• Ma 4 1995
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ACrOq ABStxN LICENSE IKIAIBER NAMEANDADDRESSOF FACILITY
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• 'MIWIOUNCNp AND CEATIFYNO PNY81pAN (Physician baN LICENSE NUMBER
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uu.y).main.nrlerr•tp•d .......................... ^ a,c. ~ j/ ~ / L ma. J
NAME AN ADDNESSOF PERSON W/q D ATN
'MEDICAL E%AYINER/CORONER (Item 27) Type ar PriM~ ~- , / ~~ F
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REGISTRgR'S SIGNATURE AND NUMBER aa' C
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REV-ISOOEX+1 7-vel ~ FOR DATESCfFDEATHAFTER1ZI31JS11CNECKHEI
A
US
INHERITANCE TAX RETURN IF
AL
SPO
^
1. POVERTY CREDIT IS CLAIMED
-
.f ... RESIDENT DECEDENT Flu NUMSeR
~~~
COiAMONWEA~ITH Of PENNSYLVANIA
DEPART
F
VEN
E 1TOj Bf FILED IN DUPLICATE 21-95-0380
~
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U
p Pi Z~D WITH REGISTER OF WILLS
~
HARRISBURG, PA 17128.06D1 COUNTY CODE YEAR NUMBE
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DECEDENT'S COM LETE ADDRESS
BAKER, EVELYN R. 10 Palmer Drive
z
W SOCIAL SECURITY UMBER
171+-52-257 DATE OF bEATH
5/01+/95 DATE Of lIRTH
5/Ct+/1915 Camp Hill , PA 17011
ccuot Cumberland
p Ilr APPLICTT 1~~5URVIVING SPOUSE'S NAHE ILAST, FIRST AND MIDDLE INI71Al) SOCIAL S CURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS)
lY /li .
F 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return
x a ti (For dotes of death prior to 12-13-8
,y„ d cYS ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Requirod
~ ~ ° (for dates of death aher 12-12-82)
a m ~] b. Decedent flied Testate ^ 7. Decedent Maintained a Living Trust Q 8. Total Number of Safe Deposit Boxe
(Attach copy of Will) (Attach copy of Trust)
dLC,~ i~1lh b ~ _.# . ~ ; . 1~~ '
va Z AME COMPLE 1 1 GAD
sZ DONALD B. OWEN, Esq. Counselor At Law
~~ TELEPHONE NUMBER 105 Mt. View Dr.
1 _3552
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s
1. Real Estate (Schedule A) (1) -0-
2. Stocks and Bonds (Schedule B) (2) -Q-
3. Closely Held Stock/Partnership Interest (Schedule C) (3) -n-
4. Mortgages and Notes Receivable (Schedule D) (4) -n_
5. Cash, Bank Deposits $ Miscellaneous Personal Property (5 )
(Schedule E)
b. Jointly Owned Property (Schedule F) (b )
7. Transfers (Schedule G) (Schedule L) (7 )
8. Total Gross Assets (total Lines 1-7)
9. funeral Expenses, Administrative Costs
Miscellaneous (9) 5 +287.83
,
E
h
d
l
xpenses (Sc
e
u
e H)
10. Debts, Mortgage Liabilities, Liens (Schedule I) (to) ILIA 30
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)
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15. Spousal Transfers (For dates of death aher b-30-94)
(B) $10,95+. 01
fill 5,396.13
(tz) 5,557.88
(13) ----
(14) ~-c QQ
See Instructions for Applicable Percentage on Reverse 11S)
Side. (Include values from Schedule K or Schedule M.) x. _=
$5 557.88
16. Amount of Line 14 taxable at bq6 rate (16) ~
x .ob . 333. t+7 .
(Include values from Schedule K or Schedule M.)
17. Amount of line 14 taxable at 15% rate (17) x .15 =
(Include values from Schedule K or Schedule M.)
18. Principal tax due (Add tax from Lines 15, 16 and 17.) (18) _~?~,~+7
19. Credits Spousal Poverty Credit Prior Payments Discount' Interest
+ + $17.57 _ (t9j 17.57
20. If line 19 is greater than Line 18, enter the difference on Line 20. Thia is the OVERPAYMENT. (20)
21. If line 18 is greater than line 19, enter the differonce on line 21. This is the TAX DUE. (21) 3~ ~ _ Rn
A. Enter the interest on the balante due on Line 21A. (21A) --
B. Enter the total of Line 21 and 21A on Line 21 B. This is the BALANCE DUE. (21 B) ~ ~''
~
Make Check Payable to: Register of Wills, Agenf •
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules an statements, on to t s bes
it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than
based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
WAYNE E. ,BAKER, JR 5 05 Wertzville Road, Enola, 17025
SIGNATURE OF PREPARER OTHER THAN REPRESENTATI E ADDRESS
DONALD B. OWEN, Esq. 105 Mt. View Dr., Eno1a, PA 17025
~s personal rspressnlati
GATE
~o a ~
DATE
C~ -lu - .f~
/Lct #48 of 1444 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°/a (.A3) will be applicable far estates of decedents dying on or after 7/1/44 and before 1/1/96
• Z% (.D2) will be applicable for estates of decedents dying on or after 1/1/4b and before 1/1/97
• 1% (.Q1) will be applicable for estates of decedents dying on or after 1/1/4T and before 1/1/48
• Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax.
PkE~-SE ANSWER TF1E FOkkOWING Q~JESTIONS
~Y PLACIP~G A CHECK MARK (r~ IN THE APPROPRIATE 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 decadent 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
adequate consideration$ ...........................................................:......................
.................
3. Did decedepi own gn~in trust for'. bank account at his or her death$ ......................................
a ~..,
~,~ ~-,
IF fiHE AN-SWER TO ANY OF THE ABOVE QUESTIONS IS YESr
YC)U MUS~COM~'kETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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Register of Wills of CUMBERLAND County, Pennsylvania
Certificate of Grant of Letters Testamentary
No. 1995-00380 PA No. 2195-0380
ESTATE OF BAKER EVELYN RUTH
Late of LOWER ALLEN TOWNSHIP
Deceased
Social Security No. 174-52-6257
WHEREAS, on the 19th day of May
dated _Ap_ r~_ 16th 1993 1995 an instrument
was admitted to probate as the last will of BAKER EVELYN RUTH
~ ~ ,
.late of LOWER ALLEN TOWNSHIP
CUMBERLAND County, who died on the
4th day of May 1995 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS
the County of CUMBERLAND in the Commonwealth of Pennsylvaniaf hereb is and for
that I have this da Y ertify
y granted Letters TESTAMENTARY
to WAYNE E BAKER JR
who has duly qualified as Executor rix
and has agreed to administer the estate according to law, all of which fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office the 19th day of M_ay
1995.
~. ~
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.«
LAST WILL AND TESTAMENT
OF
EVELYN RUTH BAKER
-i~ ~.~$~
I, EVELYN RUTH BAKER, widow woman of Mechanicsburg, ~,.1
Township, Cumberland County, Pennsylvania, being of sound and c~sposing mind
memory and understandng, do hereby make, publish,and dedare this to be my~Last
Will and Testament, hereby revoking any and all Wills and Coc~als previously made
by me at any time heretofore.
FIRST: I hereby direct that my personal representative, hereinafter named, to
pay all of my just debts, funeral and testamentary expenses, inclining Pennsylvania
Inheritance Taxes, as soon after my demise as may be practicable.
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SECOND: All the rest, residue and remainder of my estate, I hereby give, devise
and bequeath among my six (6) children, equally and per stirpes, as follows,
WAYNE E. BAKER JR.
LEON BAKER
CARL BAKER
GEORGE W. BAKER
DONALD BAKER
CAROLYN STEINER
FQURTH: I hereby nominate constitute and appoint my son, WAYNE E.•BAKER,
JR., as Executer of my estate. In the event that my son, WAYNE E~ BAKER, JR.,
should predecease me, fail to qualify, cease to act, or for any reason is
L
unwilling or incapable of performing the tasks requ~ed as executor, then I hereby
nominate, constitute and appoint my son, GEORGE W. BAKER, as alternate executor.
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/~ FIFTH: None of the above named persons shall be required to post ` .
surety in this or any other jurisdiction for faithful compliance of the office of sx~
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ill ll/~T~~rAA Ui•~w~M+I-/. tl~~.._y~.. _. _ ,. ~... a r ~ ~ • ~ _t .. ,y.~w
:~' ~~:
EVEL N RUTH BAKER
The precec~ng instrument, consisting of this and one (I) other typewritten pa9e
identified by the signature of the Testatrix, EVELYN RUTH BAKER, as and for her
Last Wiil; who at her request, in her presence and in the presence of each other
have subscribed our names as WITNESSES hereto.
~, Residing At
~~~~~ Residing At
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COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND )
WE
gn o e a an oregang instrument, bung first duly
sworn, do hereby declare to the undersigned authority that the Testatrix, EVELYN R.
BAKER, signed and executed the instrument as her Last Will, and that she signed and
executed it willingly, and that she executed it as her free and vduntary act for the
purposes therein expressed, that each of the Witnesses, in the presence and hearing
of the Testatrix signed the Will as witnesses, and that to the best of our knowledge
and sight, EVELYN R. BAKER, was at the time eighteen (18) or more years of age, of
sound and disposing mind, rnemory and under no constraint or undue influence.
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r ~ e ~ ~.estamx, ~hd the w~esses, respectively:
wh se names are si ed t th ttached d f
EVELYN R. BAKER
WfTNE
WITNESS
Subscribed, sworn to and acknowledged before me by EVELYN R. BAKER, the
Testatrix, who personally appeared before me, the undersigned officer,and
subscribed to an~~by th~IITNEASSFyLS, Q ~ _
U the ~_ day of ~/t~_ 19~
,,., ~.,
My Commission Expires: ~ .~~ ~> sy x:
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1-x.96. ~ ~ ~ ~ ~: ~- ~o '~
= ~ ~•_ ~
N~s~ai ~ ~~ ~'Hot~ e .
Donald B. O ven, Notary Pubic
'$ ,~Ir=.
••.
East Pen.~oro T Cumberland County '',,1it rT ~ r .j C4 . `~•
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r nn1MOI~f W EA TTF~~ylVAN1A
INI{ERITANCE TAX RETURN
Rf.SIDEIJI DECEDENT
FSI/~iE OF -- - --
BAKER, EVELYN R.
.foinl Innonl(s~:
----
NAME
A.
WAYNE E. BAKER, Jr.
R
J~inlly-owned propn-f
:
y
I~rM LETTER
FOR
DATE
'JUr:Tnc
JQItJT MADE
TENANT JOINT
i. A._____ 7/18/86
- --_ _
SCHEDULE F
JOfNTLY-OWNED PROPERTY
_ ADDRESS
5205 Wertzville Road
Enola, PA 17025
I
DESCRIPTION OF PROPERTY
BELCO Credit Union
Account # 165120
Regular Savings
YTD /Regular
Money MarketSavings
q YTD /HMS '
Checking Account
~ YTD
RELATIONSHIP TO D DECE ENT
Son
TOTAL VALUE
OF ASSET DECD'S
% INt. DOLLAR VALUE OF
DECEDENT'S INTEREST
$ 4,685.35 50q, $ 2,342.68
42.80 5oq 21.40
15,817.40 50~ 7,908.70
224.92 5 q 112.46
1,329.74 50% 664.87
7.80 50% 3.90
~~,.~
~ ,~ ,
- ---__._____ ~__ TOTAL (Aho enter on line b, Recopiivlotion) $
(ll more spots is needed insert additional sheets o/ some e.-~J 10 954.01
E NUMBER
21-95-0~8n
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X~~NSES .
«~. Mr)N AITN or PENNSYLVANIA ,
ADMINISTR~ITIV~ COSTS AND
IfANCf 1/~X REtURN MISCELLANEOU7 ~XPEN$ES
RESIDENT DECEDENT Pleos• Print or Type tf
F'sn'rE aF._-..__ ------ _~
IiAY.FR, E,VE;LYN R.
21-95-0380
f
I - --- ---------
~rt~n
PJltME1ER DESCRIPTION
n• Funeral Expenses: -
~ Funeral bill/casket, etc -prepaid
2• See attached list of incidental expenses associated with
funeral
n• Adrrrinistrative Costs:
i ~ Personal Representative Commissions
Socio) Security Number of Personal Representative:
Yenr Commissions paid
2. IAtforney Fees
3• Family Exemption t ,
Claimant DONALD L. BAKER Son $ 3,500.OQ' l
-- ---- .Relationship ~,`
Address of Claimonf of decedent's death
Street Address )-U Palmer Drive
City ___ Camp liill, Slate PA Zip Code 17025
A
C.
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3.
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.5,
6,
7.
it .
Probate Fees Letters Testamentary
Additional Probate Fee /over $10,000 •
Miscellaneous Expsnie~ling Fee
Certified Ltr/ DPW_ Estates Recovery Act # 49
__
CPA ~ Filing/Computation of. taxes 199\x/1996 - PA 40/1041
~----- _ ------Fudiciary 41 / 1041
M
1
tOtAl rAisv enter on line 9, Recapituldtion~
(li more space {s needed, Insert additlonol streets of z~.~„r stze.+
! /~
S 5,287.83
n~.,,~nrr~ ~lo~~ ~
1`
" ~' ~ ~ SCHEDULE I
~~~~ti~MOE,WEAE111 nE RENNSY«,A NI^ DEBTS OF DECEDENT,
INIIE RIIANCE fAlf RETURN
R"'°E"'°ECE°,"' MORTGAGE LIABILITIES AND LIENS
---- _
F *tATF. OF -:-.- _-_-_-- __ _ __--_--___-___--_ _-_--- _----.~_ _
BAKER, EVELYN R.
---
I1EM ---__ - _.------
FJIJMBER DESCRIPTIC-N
~ CP02 - rental of bend
$100 deductible
2• Final telephone bill
-------------
----- - - TOTAL (Also ent
(H ITlnre spore is needed, insert addiliono! s„~~„ ~, same slze.)
_ Please Print or Type
LE NUMBER -----_____
21-95-0380
,. 1
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'4~~' ~' scFiEnu~E
„„~,.,rP l+n~F 4(111 .,1 N1111.'.Ylvnr~ln BENEFICIARIES
Irllli FIMFICF TAX AF flraH
a F51UF11/ UFCEUFNI
____
IiA}~ ~;R, EVIsLYIU R.
r r s: r,t _ _ _ - - -- .._.------ .- _ _
rnrr.~nFR NAME AND ADDRESS OF BEWEHCMRY
r DONl1T_rD L. BAYER
10 Pa.lme.r Dr., Camp Hill, PA SSN:_162-,36-934
%' • WAYIdE E. BAYER, JR.
5205 Wentzville Road, Enola., PA SSN:1.68-26-2667
~. George W. BAKF,R
]_ Forge Rd. , Shiremanstown, PA SSP1: 20}--26-7782
}~ • LEOP1 C. BAI~:ER
}r9}r c.) Simpson Ferry Rd. , Mechanicsburg, PA
SSN : 186-2~3-3654
}i .
CARL W. BAhF'R
]_2?_ L,ynhurst Ave. , North Syracuse, NY 13212
SSN: 186-30-6651
~~ • CAROLYN E. S`1'EINER
SLR. Lin7den Court, Carlisle, PA
r r r: ryl _ --- ---- -
rrfrr.~nrR NAME AND ADDRESS OF BENEFICIARY
__ _ __
r- c6nrflnhle ~Ihr~ c;,.vnrnn,onrnl Aehuesrs: _ --._ ___---------
t
FILE NUMBER
21-95-0380
RELATIONS/TIP
Son
Son
Son
Son
Son
Daughter
AMOUNT OR
SHARE OF ESTATE
1/6th share
1/6th share
1/6th share
1/6th share
1/6th share
1/6th share
AMOUNT OR
SIIARE OF ESTATE
,. ~~,
~!
lc~f/1L (Il11RIlARIf /1110 Gt-~VERNMENtt~L RE(JUESTS (Also enteF on Iif)a 13, Rpcr,n~-uletion)
(If more space le needed, MseEf addillonol sheen of tams fize)