HomeMy WebLinkAbout01-0068
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~'MMO_YLVANIA
oeeARTMENT OF RE'@lUE
. OE!'T.28llEQ1
HAMI au PA 17128.Q6Jlt
OecElENTS~(l.AST,ARST,AND r.lIOOl.E\NmI.L)IM~~ ~~..~~ '.;~'I.'l.W'.~'-'''',,-'-,''.;I\O'''''''';"''
Canan. Geraldine J.
SOCIAL. SCCURm' NlJMBfR
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DA11:.~ DEATH
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09 I 16
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181
26 - 7764
(IF A?PUCABlE) SURVIIJING SPOUSE'S NAMe (lAST, ARST,AND MIDDlE INTIAW
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THIS RElIlIlN MUST BE FUllIH OUPUCATE WlTllTHE
REGISTER OF WillS
IX] 1.0tigillalRetum 02.Supp\emefllaIRetum 03.RemaiI1derR.tum............,,".IH2)
o 4. Limited Estate 0 40. Future Interest Compromise 1....._ ....12.12~~ 0 5. Fadm! Eslatll Tax Relum Required
\iEl 6. Decedent Died Teslatll (AJIz> "" "WIll 0 7. Deced""t Mainlained a LMng TlUOt __"TMOl ..Q 8. T Olal Numbero! Safe Deposit Boxes
09. UtigationProceeds Recelvad 0 10.SpousalPovettyCred'~I""'''__I2.J1.I'''''''-951 0 11. Eledion III laxun<lerSec. 9113(Al t_ScI101
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPlETE MAlUNG ADDRESS
David A. Eisenberg, Esquire 1132 Hamilton Street
F1RAl...... (II_I Suite 204
David A. Eisenber Esq., LLC Allentown, PA 18101
TELEPHONE. NIJfA8eR
610 437-1410
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1. Real Estate (Schedule A) (1) ,'NONE
2. Stocks and Bond. (Schedule BI (2) t NONE '
~. ~:o$e!y Held CJrooration.Part':ershlp cr SC1/!--PMCrietcrsh:;3 (3\ , NONE-
4. Morlgages & Notes Receivable (Sdtedule 0) (4) r NONE
5. Cash, Bank Deposit! & Miscellaneous Pomona! Property (5) 12 ,407
Z (Schedule E) '.
0 6. Joinlly Owned Property (Schedule F) (6)
~
7. Inler-Vlvos Transfers & Miscellaneou. Non.probale Property ''/.
...J (7)
::l (Schedule G or LI
I- 8. Total Gros. Assets (Iolal Unes H) (8)
ii:
<( 9, Funeral Expenses & MmiIlislrative Costs (Schedule H) (9) 5 793
t)
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a: , O. De~1S of Deoedenl Morlgage Liabilities, & Uens (Sdladu\e I) [10) 5 ,016
11. Total Deduction' (Iolal Lines 9 & 10) (11)
12. Net Value of Estata (Une 8 minus line 11)
13. Charilable and Governmenlal BequeslslSec9113 Tl1JslS (a,which an eleclion to lax has nolbeen
made (ScI1edule J)
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14, Net Value Subject to Tax (Une 12 miIlus Un. 13)
15. Amounloflinel41axable
at the spousal tax. rate , J
See instructions on ~eBe side for appncable pen:;:entage
16. Amount of rrnel41axable
at6% rate
17. Amount of line 141axable
at 15% rate
x .15
x .0
x .06
1
, 597
33
18, Tax Due
19.
(12)
(13)
(14)
(15)
(16)
(17)
(18)
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.61
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12 , 407
.61
.89
.39
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10
.28
.33
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1
,810
,597
,
239
60
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,239
60
> > BE SURE TO ANSWER ALt.QUESnONS ON REVERSE SlOE AND RECHECK MATH < <
Indet oenalties of l*)\lty. \ dedare 'lhai I have axaminId ltIis tetun'I.1ncIudIng _+.....l~ing scn.ftlIeI n statBn'lInts. n 1D!he best rJ. my ~ and belief. it is 'aUt. correct a'ld
complete. Qedtr.llion of ptepnr ctner
ICII'l tile oef'SOnal i"IMX'eSaI'ltlllilM It "'iN..... on all iflfcrmalIoncfwhictl ot8D8I'Ilrl'tas a'lylmowledae
;IGNA E OF PERSON R PONSIBLE FOR FlUNG RETURN ADDRESS DATE
5849 Route 309, Schnecksville, PA 18078 ~II-o/
ADDRESS DATE
1132 Hamilton Street, Suite 204, Allentown Pa J),-I/-()/
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Decedent's Complete Address:
.,
STREET AOORESS 108 October Drive y
Apartment 2 .
ClTY I STATE I ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1, Tax Due (Page 1 Une 18)
2, CreditslPayments
A, Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
239.60
Total Credits (A + 8 + C) (2)
3. InterestJPenalty ij applicable
D. Interest
E. Penalty
TotallnteresUPenalty ( D + E ) (3)
4. Ifline 2 is greater lJ1an line 1 + line 3, enlerlJ1e difference. This is lJ1e OVERPAYMENT.
Check box on Plge 1 Une1910 reqU''''-1 refund (4)
5. If line 1 + line 3 is greater lJ1an line 2, enter lJ1e difference. This is lJ1e TAX DUE. (5) 239.60
A, Enter lJ1e interest on the tax due. (SA)
8. Enter the total of Une 5 + SA. This is the BALANCE DUE. (58) 239.60
Make Check ~yable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; .............................................................0 liD
b. retain the right to designate who shall use the property transferred or its income; ................ 0 liD
c. retain a reversionary interest; or............................................................................................. 0 iD
d. receive the promise for life of either payments, benefits or care? .........................................0 []
2. If death occurred on or before December 12,1982, did decedent 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? .............................................................................................. 0 0
3. Did decedent own an 'in trust for" or payable upon death bank account or security
at his or her death? ......................................................................................................................0 IiJ
4. Did decedent own an individual retirement account, annuity, or other non-probate property?.... 0 IiJ
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
~_____...__.S'"~jIII""III
72 P.S. ~9116 (a) (1.1) (i) provided for the reduction of the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995.
72 P.S. ~9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995. The statute does not exempt a transfer to a surviving spouse
from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse
is the only beneficiary.
FOR OATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please answer the following question by placing an 'x' in the
appropriate space. '
Did the decedent create a tnust or similar arrangement which Is solely for the surviving spouse's benefit for his or her entire
lifetime? Yes 0 No []
If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time it will be fully taxable at the rate(s) applicable to the remainder beneficiaryOes). Enter the value of the trust on
S<:hedule J, Part II, in order to remove it from the calculation of the tax due in this estate. You may wish to file Schedule 0 in orderto
make the election available under Section 9113. If the election is made, the trust or similar arrangement is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse is taxed at the zero tax rate,
and the remainder is taxed at the rate(s) applicable to the remainder beneficiary(ies). If you choose to make the election, you must
attach Schedule 0 to a timely-filed tax return, along with Schedule(s) K and/or M in order to show the apportionment of the trust or
similar arrangement between the surviving spouse and the remainder beneficiary(ies).
STATE OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SHORT CERTIFICATE
I,
MARY C. LEWIS
Register for the Probate of Wills and Granting
Letters of Administration &c. in and for said
county of CUMBERLAND do hereby certify that on
the 16th day of January A.D.,
Two Thousand and One.
Letters of
ADMINISTRATION C.T.A.
in common form were granted by the Register of
said County, on the
estate of CANAN GERALDINE J , late of CAMP HILL BOROUGH
ILA~~, rlK~~, M1UUL~)
in said county, deceased, to
N/K/A CHERYL SPINOSA
(Ll\~'l', r lK~'l', M1UUL~)
CHERYL ANN HORWATH
I LA~'l', r lK~'l', J)IllUUL~)
and
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of said office at CARLISLE, PENNSYLVANIA, this 16th day of January
A.D., Two Thousand and One.
File No. 2001-00068
PA File No. 21-01-0068
Date of Death 9/16/2000
S.S. * 181-26-7764
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(I.';Cnu."pN. J~
II
Register
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COi, Mh'"F t j OF :r 'l~;YL
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DateollsslJeolfhisce'lifiC<lliOn
Name of Decedent _. ,._.___ __---G_-eJ'A..J...d.l.N'~ _ __
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Sex__.roMI1UI......___Sociai Security No. .__1.2.1- ~,-. lU'l____n_ Date of DeathJe.f'L IL, Loo".
Date of B,rth 5vnr.. J.o.t.J.'ll.o__.__ Birthplace __?i.N.fI-_Gr.P.JL'l,fu.:..___n__~__~__________
Place of Death lJ.o.4-.{~::~~'.!JksJ';tIl.L----C.-.~;~r!..A.illL-.---~~S,~.:'~,L > __Pennsylvania.
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Race_'t\f~lL._ . Occupation Stilt. 'WO(Ku .__..__. Armed Forces? (Yes or N.2l ~~_-.-
Decedent's
Marital Status .2:""or(.o~ ____on Mailing Address 4Jz-Qcfu.h.!'.c.J2~~-CA"1 ~u:~,;;L, 1'4, /7 ~:,~~
Informant ...M rlY"'''/J/4 J'IVI:tl1_______._ Funeral Director ..DI~ "nIp IYJ...s.UlfW_'J..;Jn.Itl2.C.lJt111N..__
Name and Address of /J
Funeral Establishment H.L.J",yJ.rfu""idl J.I..",. 1'JII[,.l3Cj.j'.::fJLU"t,nLl(ew sf. 'r~.b^ ",<l, 17...3~.L.I2.Z.i'...
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Interval Between
Part I: Immediate Cause : Onset and Death
(a)
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(b)
(c)____
Part II:
(d)__"___..__~__~.~.____.~..___~_~_____";"_.._.~~______
Other Significant Conditions I
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_,___~._.1--_________,___._,___
Manner of Death
Describe how injury occurred:
Suicide
Homicide
Pending Investigation
Could not be Determined
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[]
Natural Iii
Accident
Name and Title of Certtier .___MiC.h..l Odl'lich~M.P.
Address _~3.Jll.'ll4l..s1. , C' II IYJ ~ iLl.LL,---1A.
(MJl.. 0.0, Coroner. ME)
17011. 7.~.k'1
This is to certify that the information here given is correctly copied from an original certificate
of death duly tiled with me as Local Registrar. The orig',nal certificate witt be forwarded to the
State Vital Records Otfice for permanent filing.
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SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAlTH OF PENNSYLVANIA
INNERlTANCE TAX REruPH
RESIO NT OEC NT
ESTATE OF
Geraldine J. Canan
FILE NUMBER .
21-01-68
Indude"'e proceeds of litigalion and "'e date 1he proceeds were received by "'e estate. All property jointlyo()woed with the right of sUNivoMip must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
PNC Checking account number 51-4016-3381
VALUE AT DATE
OF DEATH
10,673.48
2.
Household goods and furnishings sold by David L. Ebersole,
Auctioneer.
1,029.00
3.
AARP Membership refund
27 .00
4.
5.
IRS Tax Refund - 2000
Erie Insurance - contents ins. refund
619.13
59.00
TOTAl (Also enteron line 5, Recapitulation) S 12.407.61
(If more space is needed, Insari additional sheets of the same size)
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- $
0': --
.;< ,')()
3.-
RUNNING TOTAL $ StJ <:!!-
BUYER
ITEM A'JrJd' 0
LOT #
~70
@
- $
1(.....-
3
BUYER ~ ~
ITEM ~!,;) ~ ?J.:;i; .u:J-1,u ('Jd:~
~~CbA"
\.8!t) @ -$ J.-
/5
BUYER
7
BUYER
ITEM ?fit!1J/tJ-fJ: ~V
LOT # U
.;<,{'7
~s;
,-2. --
@
- $
9
BUYER
ITEM P-hi M- O';I~
~
~ @ -$
;;)73
~/-
.
11
BUYER ~
ITEM ~aU it;/{~~ .
~
~ @ - $ f.---
13
""~e ~ .
ITEM {)t/(/':f
( LOT #
,;(.::) @
~'J3
[))Clkf) c!,MJ;W
- $ 0--:--
SHEET #
SHEET TOTAL $
''';::
, 2
c:<iR L/
BUYER
ITEM 1::?I)wV
~
~
- $
0- ---
.
@
4
BUYER
"~:/'~ <i .tt..
.:{,511 @ ~ $
6'b
!. -
"\
-B
BUYER
ITEM /~,1,~/y
~
~ @
?1
$
.3':-
8
BUYER ~ Lf C;
ITEM ?A;1;.~~, dr
~OT#
tl.!J/ @O.-
" $ -/
"
10
BUYER )?7'
7=)4 l' :/o:t+-7Jr' /
:<.:,/ @ _ $ -3.'-
'12
BUYER :;.. rO
"~ '1 t;""tZ./l
jb/V @ ~ $ 2? ~..J
1:UYER 11/
ITEM J ,w/ltJ-k, M /JI.O q ~
~ ./-
~ @ ~ $ 7.
r1J. cJi!
RUNNING TOTAL $ {Z\ -
'1
BUYER
,-1.j~
ITEM ,~.- JLI.':;'N' /'J
~
$ 0.-
~ '
BUYER Lf V
rrEM ~fl a&//F 4J .
~ ./'
l0f!1J @ - $ /.-
@
5
.;?..!>1J
'( _ BUYER
\: ITEM~.aeu/ ~Yk~
~
lE!!J
)/J . --
@
- $
7
BUYER a-b'{)
ITEM f'd,,~//~ a~Nlht) ;;y.a.
~
~ @ - $ 3'.-
9
BUYER &QL)
ITEM Yc/J ~"V ~
~OT# t
/ n -
.3~ @ ~$ /.
'11
d623
BUYER
ITEM /1, (~~lIj rf~
~
~ @
L;(. __/
~ '---- "
- $
13
BUYER &
ITEM 7J ~//C Of-ri~
~
~ @ -$
/.-
SHEET #
SHEET TOTAL $
,
, 2
71
BUYER
ITEM {' ~, V; II. Wi j?"I//A-t
~
@
--
$ A.3.
-
4
.R'IJ
:~j
~"y @
"
$
'"
13- -
.
6
BUYER
ITEM (lfi./;//1~ O:"Jdt ./:L ~
~
\Jf}j) @ ~ $
.-<
....sU
~{;. --
8
BUYER /7
ITEM ?~e}ci-"'21w- t0N~
(' LOT #
lA!jLj) /d -
@ - $ .
10 :< 5:3
BUYER
~~=;YS~NWh.' ..1-a-
.A(' R~. ..->
- @ $
12
BUYER ~~
ITEM
~ <:r~;;t;i/
//'1 @ -- --
- $ l~ .
14 7~
BUYER
~ $
f.-
@
RUNNING TOTAL $ /33. q!l-
""'''''".,''".
~1liOFP94NSYlVANIA
INHeRITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Geraldine J. Canan
FILE NUMBER
21-01-68
Debts of decedent must be reported on Schedule l
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. H.L. Snyder, Funeral Home, Inc. 4,513.74
-
B. ADMINISTRATIVE COSTS: .
1. Personal RepresentatiVe's Commissions ,
Name of Personal RepteSenlalive (s)
Social Security Numbe!(s) I EIN Number of P"""nal Represenlalive(s)
Street Address -
City Slate Zip
Yea~s) Commission Paid:
2- AtlDmey Fees to David A. Eisenberg, Esq. , LLC 800.00
3. Family Exemption: (If decedents address ~ nollhe same as daimants. allach explanalion)
Claimant
Street Address
Cily Slate Zip
Relationship of Claimant to Decedent
4. Prooate Fees to Register of Wills, Cumberland County 91. 00
5. Accountanrs Fees
-
6. Tax Return Preparers Fees
7. Auctioneer's Fees and Costs to David L. Ebersole, Auctioneer 389.15
TOTAl (Also enter on line 9. Recapitulation) $ 5,793.89
(If more space is needed. insert additional sheels of lIle same size)
It(II.r!r2;tll:.(I.t1l
'*
COMMONWeALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Geraldine S. Canan
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
FILE NUMBER
21-01-68
Include unreimbursed medical expenses.
ITEM
NUMBER
1. Comcast Cable TV
2.
3.
4.
5.
6.
7.
8.
9.
10.
DESCRIPTION
Commonwealth of Pennsylvania State Employees' Retirement System
overpayment
A.T. & T.
Boscov's
P. P. & L.
Verizon
Ward's
Camp Hill Apartments
Meals on Wheels
Hal S. Fineburg, M.D.
AMOUNT
80.39
615.47
10.77
883.82
65.33
129.70
1,245.44
1,865.00
3.40
117,07
TOTAL (Also enter on Une , 0, Recapitulation) $
(If more space is needed. insen additional sheets of the same size)
5,016.39
,.. """1"" *'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
R 51 ENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Geraldine J. Canan
FILE NUMBER
21-01-68
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee{s) OF ESTATE
L TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1. Cheryl Spinosa Niece Half
2. Eric William Hochstrasser Nephew Half
-
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON. TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II. ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S
(If more space is needed, insert additional sheets of the same size)
.. . ..-I
Estate of 0t.?rcllcl/ne r G~j'1'(r1
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
dJ-Ol --- ~ ~
C.T.A.
No.
To:
Register of Wills for ~he ,
Deceased. County of UlrYl b e~f\Iq,cld: in the
Social Security No. /0/ -- 2 t; - 711; LI Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older aJhe execut If. I t
in the last will of the abov decedent, dated e:J.-,z
and codicil(s dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in (, LA-rl'i b~ )t:{r;d ~ ~~,o.unty, Pen~sylvania~ with.L)
h ~ last fam~ or principal residence at 10 g Ccf-"bclL J-),c t&l~. L~iY(~ 1-tI1I. ~A
{ ('/!/J/jJ //1// ijtff'~o!lg IJ ) , f )
(list street, number and muncipality)
Decendent, t~en ? 0 , ye.ars of age, died . [;ep1trr,heL 1(" , J# :2 O[">L'-;"
at Hvlt <p,ti.it- ~IW I LnIY/fJ fh II (1./rt7b.-1J! jpJ?d (-42~~' PA .
Except a follows, decedent id not marry, was not di~orced and did not have a chi d born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ i~1 oa;., 00
$
$
$
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
theron.
e~t:6v~~nl"llfi
i~ C~J~nJ<L)
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en
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA I s~
COUNTY OF Lr;;H/6'H J ~
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 represen-
tative(s) of the above decedent petitioner(s) will well a
affirmed and subscribed
.J- ~ day of
, ~.. 1=9 J-. ~TlN
1+' i<:/t~
Register
ini~tX~kcording to law.
~ /' CI)
()Q'
::s
~
-
~
~
~
/t - c::?Ool- /,-3
.. .
No. 21-2001-68
Estate of C31tK:.t:Lld 'h-e- .J, ~"Ja-h
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW J a n u a ry 16, ~ 2 0 0 f in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated Jun l- ;),-:J.-; i L.l 73
described therein be admitted to probate and filed of record as the last will of
Utl(J:\ ld '"'Ie .J C-a.rlan
and Letters TkR1if/~r~~t*~if}fX~~~XX
are hereby grant~d to , ~~X;;~.MlIJ~
Cheryl Splnosa
Administrqtion C.T.A
Cheryl Ann Horwath,n/k/a/
a~ &~sJJ?
, t ~ ir4 f'A.9 (vJ:JIIEES '3 .00
Probate, Letters, Etc. ......... $ 50 . W
. 1'6 00
Short Certlficates((P) . . . . . . . . .. $ 4
Renunciation . ( .2 ) . . . . . . . . . .. $--ll)--..aL
.J Lf $ G. 00
TOTAL $ 91lQ~o
-. .
Filed .Januar.y. .16.,.2Q01.. S..........
1>~\J\~ A E:senbei'1 2S5-iJ3
A ITORNEY (Sup. Ct. I.O. No.)
11.32-- ~rn'J J-tv11 Sf. F;'u;te lOlf
fflle/1t-OfoLI'1ADDRESS ~,.A )8'JO /
C:; J 0 / 4-3 -7 .- I '-/ } 0
/
PHONE
:J ;:.,
MAILED LETTERS TO ATTORNEY 1-16-01
01/02/01
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09:21
REGISTER OF WILLS ~ 610 437 2350
NO, 435
[;103
,I
REGISTER OF WILLS OF . , COUN, Y
OA TH OF SUBSCRIBING WIifNESS
J
; Ii.
( Ih) b 'bO' h cO~lilcil ed h . h ( h)fb;. d 1 l'fi il d' ·
eac a su see! lfig wItness to t e WI present ereWll, eae l'i elng u y qua I .+ accor \ng to
laJ. depose(s) and say(s) that J Jesent and saw
~ J.I j ,
th+estat . sign the same and that L signed as. witDess at tile
r,lJest of testa! in L_ presen~e and (in the presence oflFeh other) (in lhe"bresenee of the
other subscribing wirness(es)). I: I
s...Jorn to or affinned and subscribed before I ;
I I; :1
m~ this 19 day of I! (Name) J
~ i - 1'_: (Address) .j'
Reg;ster _.
'Ii (Name) I
i I]
fi (Address)
21-2001-68 1
REGISTER OF WILLS OF LPJYjb, i 'An4 CO' NTY
OATH OF NON.SUBSCRIBI:tN~ WITNESS,
I CJte.~ J An., f!1>ftwath.. I'lIKA CJ/~'o/L ~' ,i ami EkL?! ~
j<e&Ch) a subscriber hereto, (each) being duly qualified accordtI)g to law, depos~ ) and say(s) that
~'7 A/lL. familiar with the signature ~f ~~ I . ~ .J . ~
I testat )e I JC.. of (one of the subSCrlt1lng wjtness~s to) th~ll! will presen: ed herewith and
! th t ~t-7 b )' h' ! h '~Il. 0 " !/h h d ., f
a e leves t e s\gnatur-f on t e Wl lS In;~ e an wnung 0
I I
GtttAldly)L ,oJ ~ ~AY1 ! ,
I to the best of tt-Jt.I'l(.. knowledge and belief. 'I
Sworn to or affirmed and subscribed before
me this "fth day of
J~~~ca> K-
L'_ Z,~
Register
~S"S~~
~
~.
Jill ~2(J' J
RENUNCIATION
21-2001-68
In Re Estate of
c:,lKAldIYl~ .J. ~~h
deceased.
to the Register of Wills of ~b~land County, Pennsylvania.
The undersigned eltl~ Wl~lllA.m Hochs/-Kas'sex. of
the above decedent, hereby renounce(s) the right to administer the estate and
respectfully ask{s) that Letters
Tesfttmevd"rJ_,
Sft'Y1OS~
be issued to
WITNESS
hand this
qtA
day of J &t.Y1 Lu:tllf.-'/, ,;J-6C)O
(
C w~-I~~
(Signature)
.;1.110 CAJtl'.J~'~hf piAu, hs/.", J/-f .:2.7-0'"1 I
(A dress)
(Signature)
(Address)
,."-='
RENUNCIATION
21-2001-68
In Re Estate of
0ef'qld;'rle r GI'/Qr7
deceased.
To the Register of Wills of Cu f!I1 b e f' )q Il cP
f(' 4th/e.!!,? Ht>1'1 dTC(SSeI'
The undersigned '-- !J. ~ )
County, Pennsylvania.
Exec-i) tr\ x
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
-reS ~ r?1 efl Tn ry
,
Chel'\J J SO; noY,
I r-
be issued to
WITNESS
(1/11
hand this '27 f{ day of N{"\h?lI1bef.~ 2 oqv
/,:!/,(S' 7
I '", c2-/~ .:-1 e-1< (.,i:;-/~\k..>-P.:("_~J";;';"N ";'~~';'---'-_
(Signature)
1l12~ !Cr;ler St. 41/er1 f-vu1f/ / e. 1ft/Of-
(Address)
(Signature)
(Address)
(Signature)
(Address)
'Mll.RtJ1NG: 1T rs ILLEGAL TO ALTER THIS COpy OR
TO DUPi.ICA Tl: BY PHOTOSTAT OR PHOTOGRAPH.
l. ) I ,1( I ~\ Vi ~i OF PENNSYLVANIA
m~'i\H M:Nf f !'::/I.LTHVITALRECOHDS
. (> 1(.1 . I E Ii ~ F: A F
;E RTIFICA TION OF DEATH
CERT. NO.. T 4 6 6 4 8 3 gl
i',-,,;J!r 'f/~/~~-~;;,~~--.,~
,\f.> \" \. \ t\ OF P f,A;'-':::;,
? ,....:;...'./.--- ---,,::r/jl--~\
~. ~/"'~~\
//~/ . .~\.~~\
ft~ . . ~ \.~l\
i~~' _ , ~$":., ,:~~)
t -- ',' .'. ,'i ~' - ~ " - ~/
\~. ~.,...:.: -'-~.' *~~.
\:. <:::.>\ .... .' I~..... ~
''G- ?'-.<) . /~l
,':. '/I' ........ . . ~'f
\'~~~,:!II.1'(N"1' o~ ~';II.\II)\
"<:<<,.... l \ U III?
21~'i-68
____ SlLpt. !LA OOQ______
Date of Issue of This Certification
Name of Decedent . _____~ALcLLML--_--------~----------LA AI A hL____.______ -------.-----...----
['",' khJcll( i,.
Sex_.feJY1ALg.,___________ Social Security No. --J..S 1- J' ----:Z2-'-.L------- Date of Deal S ~ r t:.._~_'~tl-----
Date of Blrth_:S.J1.NL~!J-j _L!l31L_____ Birthplace ~'Ne M_Q,Y-e 1 f4_:.._._____.______________________________ -....
Place of Deathld<)~J;~,l'-if~iLl~L C u ~",~~..l.. It 1\1 J -~~}t!"t~~---- Penr1Sy~vi'nl_Cl
Race_H-"Wh.~'.t.2..___ Occupation Si~.::w.(} {K~ (' Armed Forces? (Yes or NQ) _ND_______________
Decedent's
Marital Status ____D.~_v~'----.------- Mailing Address I ~lH~t" 0 ili1.~ r ~r~/' v~_~ O~'!.~" f!,~' L- Lr-~---.:il-__:;::--.
--- .
Informant_d1YlJ1ctl\_~...Al_A._rSM~th..____._._______._____ Funeral Director ~JJfLiYJl S"IU'1J~ r .7..JAam.~rlY1(l4l.--. .-..
Name and Address of; J
Funeral Establishment fJ~~1J.n--tU1Yg1J!L-~iI.D.Mq, fif.) J3 9 tf/ruL9~h()l.~AI ~ ~'A1~ ~ft..:...l2~~t:__~}.,i.__
; Interval Between
Part I: Immediate Cause i Onset and Death
(8)
___.fJv_d.StA1-~____8_LLa...lt>> D L / -,---_C; ~ r' h D~:._u_.____________________~__________________
(b)
-...- ,~,,_'_--'-~-._' ._------_..>-----~.~.~------------~---._--_.._-----~--~.__.,._-....-_._---,-_._._----_._-_.-._----_._--------_..~--
Ie)
._. ._.____._________________.__.__.________.__...L....__....._._..__.._____._____..u._ .. _"
( d ) _____... .. ___... ___ _____________ .------
Part II: Other SIgnificant Conditions
---------.---------r--------------------.-.---..-.--.. ---
__________.____________________.__.____L-___________
Manner of Death
Describe how injUi"y occurred:
Natura!
Accident
Homicide
Suicide
PendIng Investigation
Could not be Determined
n
Name and Title of Certfier __________111.' chll~L 0 e lYlic:./1l' L ~ f IV/. D. -----------
(f'vU)., D.O., Coroner, M.E.)
Address____u. _ ...._,f()~tlI-'6L~7 C A fI1 r. I-J ~~.--!.7 0 1/ - J. 2 ,9-[$ __~__._ ---
This is to certify that the information here given is correctly copied from an original certificate
of death duly flied with me as Local Registrar. The original certificate will be forwarded to the
State VItal Records Office for permanent filing.
~J ;~, /i,;, /d~~,:I-~------- f~.",~_____
-.";-..':5,,...fL....,..,.-.li,.,...,.,'-.;J...,~,3.\....-.._-J--......-...~.-QO"'O_- 303 S,'h,Lf'eho(~I., ~~"'e. ~flOVe.1 fA, li'l~S'
. . '1" Street Address City Bor~h_ Townshrp
(
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Geraldine J. Canan
Name of Decedent:
Date of Death: September 14, 2000
Admin. No.
21-01-68
Will No.
To the Register:
I certify that notice of (beneficial interest) estate administration 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 February 21, 2001 :
Name
Address
Eric William Hochstrasser
2110 Cartwright Place, Reston, VA 22091
Cheryl Spinosa
5849 Route 309, Schnecksville, PA 18078
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
None
Date: February 21, 2001
Q~(jJ~AH)(t j
Signature
Name Cheryl Spinosa
Address 5849 Route 309
Schnecksville, PA 18078
Telephone C610) 767-1625
Capacity: ~ Personal Representative
_Counsel for personal representative
/'
L
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Geraldine J. Canan
Date of Death: September 16, 2000
Will No.
Admin. No. 21-01-68
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 X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: May 15, 2001
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 attached to this report.
Date:
2/21/01
G ~--- ,~ ~ ..J
Si~~
Cheryl Spinosa
Name (Please type or print)
5849 Route 309, Schnecksville, PA 18078
Address
(610 ) 767-1625
Tel. No.
Capacity:
X
Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)
c
STATUS REPORT UNDER ROLE 6.12
NAME OF DECEDENT: GERALDINE J. CANAN
DATE OF DEATH: September 16, 2000
FILE NO. 2 1 01 68
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 X 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 X
b. The separate Orphans' Court No. (if any) for the personal
representativels account is:
c. Did the personal representative state an account informally
to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and approvals of
formal or informal accounts may be filed with the Clerk of the Orphans'
Court and may be attacheq to this report.
C~J.~ \ ----
SIGNATUtE ~
DATE: May 11, 2001
Cheryl Spinosa
NAME (please type or print)
5849 Route 309, Schnecksville, PA 18078
ADDRESS
TEL NO.
capacity:
x
Personal Representative
Counsel for personal
representative
~ / b -;;L:;,;) - /.:g
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-25-2001
CANAN
09-16-2000
21 01-0068
CUMBERLAND
101
DAVID A EISENBERG ESQ
STE 204
1132 HAMILTON ST
ALLENTOWN PA 18101
)~I-
~
V
*
REY-1547 EX AFP Cl2-00)
GERALDINE J
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY=is4j-EX--AFP--fi'2-:0(jr-NOTicE-OF-'fNHEifiTANCi-TAi-A-PPRAisEi'-ENT~--Aii-oWANCi-OR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CANAN GERALDINE J FILE NO. 21 01-0068 ACN 101 DATE 06-25-2001
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 Deposits/Misc. Personal Property (Schedule E)
6. ~ointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
12,407.61
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ~)
14. Net Value of Estate Subject to Tax
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that include the total of ALL
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (IS)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
(9)
(10)
5,793.89
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
12,407.61
10.8]0 28
1,597.33
.00
1,597.33
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00
.00
.00
239.60
239.60
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-11-2001 AA496590 .00 239.60
TOTAL TAX CREDIT 239.60
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
5,016.39
(11)
(12)
(13)
(14)
.00 X 00 =
.00 X 045 =
.00 X 12 =
1,597.33 X 15 =
(19)=
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDIp. (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
. -,.
1 .
111a13t Mill aub ffit13tanwut
I~ GERALDINE J. CANAN~ of the Borough of Camp Hill~
County of Cumberland~ State of Pennsylvania~ being of sound and dis-
posing mind~ memory and understanding~ do hereby make~ publish and
declare the following to be my Last will and Testament~ hereby re-
voking and making void any and all Wills by me at any time hereto-
fore made.
FIRST: I direct that all my just debts and funeral expenses~ be paid
and discharged by the Executrix of this my WiZl out of my estate as
soon as may be convenient after my decease~ and as may be for the best
interest of my estate.
SECOND: I give~ and bequeath to my beloved niece~ Cheryl Ann Horwath
418 Carolina Avenue~ Whitehall~ Allentown~ Pennsylvania l8052~ all of the
jewelry of which I die possessed.
THIRD: I give~ devise and bequeath all the rest~ residue and remainder
of my estate~ real~ personal or mixed~ of whatsoever nature or whereso-
ever situate at the time of my death to my beloved niece~ Cheryl Ann
Horwath~ and my beloved nephew~ Eric William Hochstrasser~ 2324 Living-
ston Street~ Allen~own~ Pennsylvania l8052~ in equal shares~ share and
share alike. If either of them predecease me~ leaving issue~ then I give~
devise and bequeath their share in said residuary estate to their issue~
per stirpes and not per capita. If either my niece or nephew fail to
survive me~ leaving no issue~ then I give~ devise and bequeath all my
residuary estate to the survivor of them~ or their issue~ per stirpes and
not per capita.
FOURTH: My Executrix~ hereinafter named~ shall have the right~ power and
authority to distribure my estate to the devisees and legatees either in
cash or in kind.
FIFTH: I authorize and empower my Executrix~ for any purpose of adminis-
tration or distribution~ to sell any or all of my real estate for such
price or prices and upon such terms and conditions as she deems best. I
further authorize my Executrix to retain all stocks~ bonds or other in-
vestments made by me for distribution in kind~ or in her discretion to
sell and transfer such investments either in person or by attorney; to
borrow money~ and pZedge any stocks~ bonds or other personal property of
the estate as security therefor; and to exercise my option to subscribe'
for stocks~ bonds or other investments~ and to join in any plan of lease~
mortgage~ consolidation~ exchange~ reorganization or foreclosure of any
corporation in which the estate may hold stocks~ bonds or other invest-
ments.
SIXTH: I hereby authorize and empower my Executrix to carryon any busi-
ness or businesses in which I may be engaged or interested in at the
time of my death until such interest or interests can be turned over to
my heirs or legatees~ as above named or set forth~ if not sold.
SEVENTH: I hereby nominate~ constitute and appoint my sister~ Kathleen
Hochstrasser~ as Executrix of this my Last Will and Testament~ and here-
by authorize~ empower and direct my Executrix~ to do every act and thing
necessary or proper for the full and complete administration of this my
Will. Further~ my Executrix shall serve without the necessity of filing
bond or security in any jurisdiction in which she may be called upon to
act.
~ 11-
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GeraZdine J. ffanan
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.
.
. .
.. .
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....
EIGHTH: I direct that all estate3 inheritance and succession taxes3
interest and penalties on property passing under this my Will3 shall
be paid out of the principal of my general estate to the same effect
as if such taxes were expenses of administration3 and all legacies3
devises and other gifts of principal and income made by this my Will3
shall be free and clear thereof.
IN WITNESS WHEREOF3 I3 GERALDINE J. CANAN3 Testatrix3 have3 to this
my Last Will and Testament3 typewritten on two consecutive sheets of
paper3 of which this is the second3 set my hand and seal this ~~ day
/~J
of;" / /. JP ;' 3 l 9 7 3 .
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~k.+-tl- ~,.u- ~~ . Cra'.:7ld ;1::;../ (SEA L )
"'" Geraldine J .(/Canan
**************************
SIGNED3 SEALED3 PUBLISHED3 AND DECLARED by the above-named Testatrix3
as and for her Last Will and Testament in the presence of us who have
hereunto subscribed our names as witnesses at her request3 and in her
presence3 and in the presence of each other.
);J ~uL '>>;~r?reSiding
J ~~.q;J ~ 9P7~ residing
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