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HomeMy WebLinkAbout03-30-15 s pemsyWan a. ms�t mrarpevmome. EX x'2.4)� @FFfCL4dL USE ONLY Bureau of kf-n7Wual Taxes C=t Cab Yew Fib Nth PO BOX 200501 IHERMA CE TX RETURN + �f nom, fl Il '[ N E�E�E ,e �`. 12,1 1 1 ENTER SIE i'ff&- RAPl TION,6EfLM esem, G of Dea& mmsuffw nafeofww n m?102012 � �91�81938 DeCeClEmrs ILS Namme Sam ms's Fkst Narm ME SKELTS KF�ViENE A I (MA mel Enter Survivft Starlse!�ft f"aeenaf B Sys Last KWM Slerfix Sols FFst Name quo F- F TM RETU E WiST BE RLED IN DJafPUCATE WH THE REGESTI ER OF VWLLS FULL M APPRCH ATE GVALS BEL ap T- C=0p 3 Renimad&Reftn(daSe of death pdwtb Q 4- a (e9a of © 5.F qday of ©, &FeAmdD Esq lax ane Requmd a9ea o osa ar after F-� 92� din after 9212- -I-Decedent Mad e © S-Deceftt blawaimed a Lmwq ThsG G d'Tom mober of Safe Deposk&i am vtla�h Cow of -D Wilaeft OUN of ) © 9C Lffgaftn *ems © 91_ ! Tram Asn CM, 12-DebmgfiAmfm at SpousalThmft (Sdmdk to E and G G= I&EkoknewAsseft O' w.S '-.Sore semodmy (NO tUA k=kEd) COONG3M—THM SEMM WZr EtE g2OWLETiElDL A LIEEGD CQNFMBriML rhe aMW TIGNl SRUUD aE mMWM LGE_ Name DE=ERE ,E_BOSHIE E 1" 17)938-90. Fzst Line offAd&em 363 OLD STAGE ROAD Sam Lm old aj�r oc PbGt Maine SL-Ibe 2TP Code E..E1`dF4 SKERRY ETA@ E� 9 c Correspondent'al effm79 address m v¢a ars"f ax 7 'M REGRSYMCFWUSUSECKY ti ma &YYYY EMEAM USE CIRIG NAL FORM CRUX RE -15M EK" ms's Social Sem Mmdw Damomft mme: CHARLENE A SHELTS *- RECAPM ULATIMS 1. Red Esftfe(SchimbfieA ----------------------------------------- 1 13.1 2. Stocks m-d Bonds(Srlmdni--S) --------------------------------------- 2 0.0 Ii ----------- 1 3- ()-C s) 4. Voovtq3ges and Notes Reodwable(Schedule®)--------------------------- 4- 5_ CasfL Bank a Fs (Sdm&&4------ 5. s r-dmd&F) C= SWWdtB BMM Requested------- rx � -- -_ -_--- --0.00 (SdmMeG) C3 Separorm BMW ReWesfed------ -- ll_ Total Gross Assets(1oW Lines 1ftouo7)------------------------ 9- Funerd Expenses and Mmkisft (SchedWeH)------------------- 9- 16. Debts of DecedeK M mDaage Liablfkw and Liens(ScImedule 9--------------- 10-� 2D, ,.39 -- — -- -- 11. Total Deftctuos( Lines 9and 10)--------------------------------- 11. 3MOSA6 12- Mt.Valm of Estate Pm Lim 11)------------------------------12 � =-2Dg767'.16J 13- Char le-vW l;anlnmmental 9113 Tox9s fon- 13 anelec�antc tax has not been (Schedule J) ----------------- h 14 get Vatue Sv BoTRm(Lim 12tnktusLi e13) -------- --------------- 14- TAX CALCULATION-SEE MESTFUJCTMS FOR APPLICABLE RATES 15. Asnou nt of Lane 14 tam at the spousal tax eases or _ Vansfers under Ser-9116 r- 000 0-00 16_ AnxxjKd of Line 14 tam at anal rate X-0— 0 16_ ---- -- 1T_ Anvowd of Line 94 -- -_ � of sbMM rdfe X-12 - 1S_ Amount of Lias 14 taxable �� at raise X.195 _ 1� 19- TAXDUE --------------------------------------------119-L 20. FjuL,M UM Cff#&.IF Y,OU AM E!EQUESTM A REFU MD GEE AN OVERPAYMEWrQ MmJW penm5m of pe*my.l demes 1 hme emilhieed Cm and sWfeTm&,and to tree best of nV bowkdW aaud bd5d. k r.t up-cam2d and Dedlarafmae of Pceparm md'ft m Me persm for ffhq gm mfwn Is based an a1B kftroaftwa of wftfid paq3arer.has SKMAJURE OF PERSON RESPONGMLE FOR MING REMMI,)L a ADDRESS CD ADDRESS Side 2 1505614205 1505614205 REV-1500 EX " Page 3 Ewe Deced4GWs Compkf Adder: DECEDEIf S NAME CHARLENE A SHEL.Ti S SiREETADORESS 1524 EISBUM ROAD rm SrxQE zE' CAW, HILL �� 1 ii011' Tax Payments and Crefts: 1. Tax Due Page 20 fide 19) (1) 0.00 2_ affl&%?qpmT*s K Fetor pxpmft 0.00 0.Dswo t (See ihswuCrmm) Tobi Cres(A.+B) W 0.00 3. kft (3) 0.00 4. 9 Line 2 is gmare r M lime 1+lime 3,,enter flee nae. This is flee GVERPAYNEW. t?f I in ord an Page 7,Line 2fl fo mqpest ai refvred« (4) 5. 9 Line 1+Liee 3 is greeter Share lime 2,enter Me Mmum Ths is the TAX DM m 0.00 Make check moble tDe REGISTER OF WILLS,AGENT. PLEASE SSW THE POLLENG QUESTKXS BY PLACING AN wr IN WE APPROPRIATE BLOMS 1. Did deoeftt make a tiannster and Yes Pte a. retain the use ar ieaonre afr She property m 0 Ib. resin She right So desigmte who shall use iRee property kmiemed or its inm m y _— El 11 c, rsair a reversionary irrtest--- d. weeive The promise for Ife of eigier payrrras„beneft or care? 11 El 2. 9deafh acauned atter Der-12,19OZ,did decedent iarsfes pmpedywow one year of deal wZvi reaeirkV adequ&amddwAm? D 0 1 Did decedent own an-a last far"or payabb4gw-death bat acaarart or se ct*ai his or heir death?. 4_ Did decedent mm an mdm&al reftwai aeoourt,amuly or oMer non-prat PAX whidr coders a benefiday deco ion? ll w IF THEAMM TDA OF THE ABDVE WESWUS IS YIES,YOU AM COWLETE WHEWLE G MD FILE fT AS PART OF THE FtETUM Far dates df deaf h on or atter J*1,199 ,and before Jan 1,1995,Be tax rale in osed on the net vahre of bansfers to or fear fire use of She su*AV spouse is 3 percud 172 PS_§9116(a)(1-1)011 For dages of dente on or atter Jane. 1, 1995,flee tats rafe knposed on to erne value of kans€ers be or for the use of the sir#*q spouse is 0 pereeset [12 R&§9116(a)(1-1)till Re side does not emW a tri 9a a mFWYkV sponse from tax,and fire siandoryr Mpkeneaft for die of and titfm a tax rrdun are sM appicab5e ear fl the srrnvift steorese is the ork bele yr. For dates of deafly on or after July 1,2000_ a The tax rate inposed on flee rent value of bis horn a deceased ddd 21 years of age or younger at death 1a or for to use of a embryol pa vK an adopive praw&or a Apprerd of tfee chid is 0 pment[72 P.S.§9116(aXl-41 w Theis rale inpased on flee netvairedi 1b orfarthe used to demo's lineal benek ariesis 4-5 percent,meptas noted lo[72 P&§9116(aXit w The tax rate imposed om the net valoe of eserines to or for the use of the deoedmCs sib6mgs is 12 percent 172 PS.§9116(ax13)).A SUM is deemed, under Secka 9102,as an kxbidual who has at lead one parent in oortmam rri n to decedeK whether by blood or adoprm nL CQ ti Cr Do'j--: G3 t LAST WILL AND TESTAMENT OF : .° CHARLENE A. SHELTS D ca T' I, CHARLENE A. SH LT&, of Upper Alden Township, Cumberland County, -Pennsylvania, declare this to be my last.,will and revoke any will previously made by. me. ITEM I: I direct that my Executrix hereinafter- named shall pay all my just debts and funeral expenses as .soon as conveniently may be done after my decease from the residue of my estate. ITEM II : I devise and bequeath all the rest, residue and remainder of my estate of every nature and .wherever situate to my daughter, DEBRA L. BCSHINSKI, if she survives me . ITEM III : Should my daughter, DEBRA L. BOSHINSKI, fail to survive me, I devise and beque-ath all the rest, residue .and remainder of my estate, of every nature -and -wherever situate„my son-in-law, WILLIAM E . BOSHINSKI, or to hi.s issue, per stirpes. I'r,-EM TV: I appoint ,my grandson, jOSEFH W. BCSHINSKI, and his successors guardian cf any property which .passes, ether under this iii. or otherwise, tc G mi c'r and with -respect to wh=ch I am G:.-._ cr..zed to C'.ap�.`✓_..- j1..:rdiGn and ha .�!G ii�L 'J_r.'e_.i'.1-se sr- cif ic ..�! =...iv.:C S':/ P=`:�ded =. _ l.ti=S a p en.. c g''......y _^i! ...1GI- _. 1t _gid _�' 'z _., S •d_.. _ `_.._. tc d;S-.-_1'�`_= SIGNED, SEALED, PUBLISHED and DECLARED by CHARLENE A. SHELTS, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of each other, aV�s`ysubscribed our names as witnesses . 414 Bridge St. , New Cumberland, PF WitnessAddress �L 414 Bridge St . , New Cumberland PA Witness Address COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND I, CHARLENE A. SHELTS, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; 4hat I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. CHARLENE A. SHELTS Sworn :o or .f _.'.eo t and ackno:J1: eCdaed tefore e CH=.iZ?L".Elvi . S-1-1EL-TS, t;e yes t-a t: I:, 1-his QaV Of� 200 h. . i COMMONWEALTH OF PENNSYLVANIA 3 NOTARIAL SEAL E t.TROXELL, Notary Publicberland Boro.Cumberland Co.mission Expires Dec.27,2009 COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF CUMBERLAND We, and the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence . Witness's WTtness Sworn to or afflrm.ed to and acknowledged before -me by and wit-nesses, thisa y of 2006 . COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL CAROL L.TROXE New NotaryPublic :N Cumberland Cumberland Co. Y Commission Expires Dec.27,2009 =I��• SKS eRoaa; FI141F iii}Ifiiii lic _ Sii�l:i 'i i �illf c I ; •# � t Is5PUSS �BoshO`6 stag A13 Y P 010 — - r�.. 2 1p $001.61,( 0000532610 MAILED FROMZ!P CODE 17051-- Register of Wills 1 Courthouse Square Carlisle, PA 17013 w