HomeMy WebLinkAbout02-12-07
--.J
15056041147
ORlGINAl
REV-1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes
PO BOX.280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
*
County Code
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1
Year
File Number
06
0965
Date of Birth
160012735
10072006
04061915
Decedent's Last Name
Suffix
Decedent's First Name
SUPLEE
RONALD
MI
P
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
[!j 1. Original Retum
2. Supplemental Return
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
Cl 4. Limited Estate
4a. Future Interest Compromise
(date of death after 12-12-82)
[K]
6. Decedent Died Testate
(Attach Copy of Will)
7 Decedent Maintained a Living Trust
. (Attach Copy of Trust)
1
8. Total Number of Safe Deposit Boxes
o 9. Litigation Proceeds Received
10 Spousal Poverty Credit (date of death
. between 12-31-91 and 1-1-95)
11. Election to tax under Sec. 9113(A)
(Attach Sch. 0)
~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
MARIELLE F HAZEN 7175404332
Firm Name (If Applicable)
LAW OFFICE OF MARIELLE HAZEN
2000 LINGLESTOWN ROAD
REGISTER OF WILLS USE,.pNL Y
o c
~.~~ :
:::1:: () 0.
.>~
. ~~ "
First line of address
Second line of address
SUITE 202
State
PA
ZIP Code
17110
.- ;~..:-;~
OA'I'~"'fILED
..,
City or Post Office
HARRISBURG
:J
I'
(.
Correspondent's e-mail address: M FHa zen @ H a zen e 1 d e r 1 a w . com
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knoWledge.
IGNATURE OF P. RSON RES N BlE FOR FlUNG RETURN DATE
Budd Anne Prigge
, PA 17055
DATE
Marielle F Hazen
2000 Linglestown Road, Suite 202, Harrisburg, PA 17110
Side 1
L
15056041147
15056041147
--.J~
--I
1505b042148
REV-1500 EX
Decedent'. Name:
RONALD p, SUPLEE
RECAPITULATION
1. Real Estate (Schedule A).......................................................................................... 1.
2. Stocks and Bonds (Schedule B)............................................................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3.
4. Mortgages & Notes Receivable (Schedule D).......................................................... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)................
6. Jointly Owned Property (Schedule F) Separate Billing Requested.............
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ;Hl Separate Billing Requested.............
8. Total Gross Assets (total Lines 1-7)..................................................
9. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)................................ 10.
11. Total Deductions (total Lines 9 & 10)...................................................................... 11.
12. Net Value of Estate (Line 8 minus Line 11)............................................................. 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J)................................................. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13)................................................. 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X .00
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 1"4'iS'Xable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
o 00
15.
53,66335
16.
o 00
17.
o 00
18.
19. Tax Due....... ................ ....................................,..... ........... ......... ............. ......... .......... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
L
Side 2
1505b042148
Decedent's Social Security Number
160012735
5.
6,200 63
56 674 43
6.
7.
8.
62 875.06
----' '.-----"-----
6 573 62
2 , 638 09
9 211 71
53 663 35
53,663.35
o 00
2,414 85
o 00
o 00
2,414 85
D
1505b042148
--I
Decedent's Complete Address:
STREET ADDRESS
824 Lisburn Road, Apt.#238
--.
CITY Camp Hill
STATE P A
ZIP 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
2,414.85
2,000.00
105.26
Total Credits (A + 8 + C)
(2)
2,105.26
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
309.59
309.59
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;.................................................................................. i x j
b. retain the right to designate who shall use the property transferred or its income;.................................... L!"J
c. retain a reversionary interest; or.................................................................................................................. [!J
d. receive the promise for life of either payments, benefits or care?.............................................................. [!]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................... ............... ..... ........... ................................ ....... .............................
'xl
l.__.J
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?......................................................................... ................................ x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of peljury. I declare that I have examined this retum. including accompanying sclnedules and statements. and to the best of my knowledge and belief, it is true, correct and
<;<:,mplele. Declarati""_ofj>r.ep-,,rer other lhan theJ'ersonal representative is based on all information of which pre parer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
B dd Anne Pri e
x_,
SI
----DATE ~
1109 White Dawn Lane
Mechanicsburg, PA 17055
ADDRESS
DATE
- ---
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
Marielle F Ha en
ADDRESS
2000 Linglestown Road, Suite 202
Suite 202
Harrisburg, PA 17110
DATE
2-8-07
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot 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 dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a
natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S.
99116 1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116 (a) (1.3)]. A sibling is
defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
rtev-1508 EX+ (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Suplee, Ronald P.
FILE NUMBER
21-06-0965
Include the proceeds of IItlgetlon and the date the proceeds were received by the estate.
All property jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 JDK Catering - Refund
VALUE AT DATE
OF DEATH
40.05
2 Verizon - Refund
25.58
3 2001 Buick LeSabre - Sedan; per attached valuation
6.135.00
TOTAL (Also enter on Line 5, Recapitulation)
6.200.63
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule E (Rev. 6-98)
.
Rev-1509 EX+ (6-98)
.
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Suplee, Ronald P.
FILE NUMBER
21-06-0965
If an asset was made Joint within one year of the decedent's date of death, It must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Budd Anne Prigge
ADDRESS
1109 White Dwan Lane
Mechanicsburg, PA 17055
RELATIONSHIP TO DECEDENT
Daughter
B.
c.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST
JOINTLY-HELD REAL ESTATE.
1 A 9/2006 Blackrock Balanced Capital Fund A - 5.618.86 100.000% 5.618.86
Mutual Fund
2 A 11/2003 Integrity Bank #0401000950 - Savings 20.842.42 50.000% 10.421.21
Account
3 A 11/2003 Integrity Bank #1001102 - Certificate of 5,379.00 50.000% 2.689.50
Deposit
Budd Anne Prigge
Beneficiary & Daughter
4 A 11/2003 M& T Bank - Checking Account 3,557.75 50.000% 1.778.88
#82890048
5 A 9/2006 Merrill Lynch - Money Market #8BA-34388 35.664.80 100.000% 35.664.80
6 A 2/2005 Sovereign Bank - Savings Account 1.002.36 50.000% 501.18
#2334016819
TOTAL (Also enter on Line 6, Recapitulation) 56.674.43
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule F (Rev. 6-98)
REV.1151 EX+ (12.99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Suplee, Ronald P.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-0965
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 3,294.62
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees Marielle F Hazen 3,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills 95.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 184.00
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 6,573.62
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H (Rev. 6-98)
Rev-1602 EX+ (6-98)
.
SCHEDULE H.A
FUNERAL EXPENSES
continued
COWONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Suplee, Ronald P.
FILE NUMBER
21-06-0965
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
JDK Catering - Funeral Reception
423.52
2
Musselman Funeral Home - Funeral
2.871.10
Subtotal
3.294.62
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
R~v-1502 EX+ (5-98)
.
SCHEDULE H.B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Suplee, Ronald P.
FILE NUMBER
21-06-0965
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Central Penn - Legal Publication
109.00
2
Cumberland Law Journal - Legal Publication
75.00
Subtotal
184.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
R.v-1512 EX+ (6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT OECEDENT
ESTATE OF
Suplee, Ronald P.
FILE NUMBER
21-06-0965
Includ. unrelmbursed m.dlc.laxp.n....
ITEM
NUMBER DESCRIPTION
1 E. Pennsboro Ambulance - Medical expense
VALUE AT DATE
OF DEATH
89.00
2 Freysinger Pontiac - Repairs to vehicle
445.78
3 Integrity Bank - Check No. 7616 (Freysinger Pontiac) Posted 10/10/06
891.57
4 Pinnacle Health - Medical expense
170.00
5 Pinnacle Hospital - Medical expense
952.00
6 Verizon - final bill
89.74
TOTAL (Also enter on Line 10, Recapitulation)
2,638.09
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule I (Rev. 6-98)
REV-1513 EX+ (9-00)
*'
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Suplee, Ronald P.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not LllIt TrullteeClI)
FILE NUMBER
21-06-0965
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Budd Anne Prigge
1109 White Dawn Lane
Mechanicsburg, PA 17055
Daughter
100%
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropnate, 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule J (Rev. 6-98)
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of
Ronald P. Suplee
No.
2006-00965
also known as
, Deceased
Date of Death 10/07/2006
- --- -..--
Social Security No. 160-01-2735
Budd Anne Prigge
The Personal Representatlve(s) of the above-Estate:-deceased;verify-thaHheHems-a-ppearln9 inthefoiTowlng Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of
the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except
that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory
are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities.
Attorney:
Marielle F Hazen
Signature:
1.0. No.:
68003
Signature:
Firm: Law Qffice_QtltlJBr!~lIeE_.IfB~el1
Signature:
Address: 2000 Linglestown Road, Suite 202
!til!~is~U~9,~~17110
Telephone: 717-540-4332
Address: 1109 White Dawn Lane
Mechanicsburg, PA 17055
Telephone: 717-697-6749
Dated:
Personal ProDertv
Cash...............................................................................................
Personal Property.........................................................................
Stocks/Listed.................................................................................
Stocks/Closely Held......................................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property...................... ....... ........................ ..... ...............
65.63
6,135.00
Total Personal Property. ..... ..... ..............................
6,200.63
Total Rea I Property... ........... ..... ......... ..... ..... ..... .....
Total Personal and Real Property.........................
Total Out-ot-State Real Property..........................
, COMMONWEALTH OF PENNSYLVANIA
. DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LAW OFFICE MARIELLE F HAZEN
2000 L1NGLESTOWN ROAD STE 202
HARRISBURG, PA 17110
__nun fold
ESTATE INFORMATION: SSN: 160-01-2735
FILE NUMBER: 2106-0965
DECEDENT NAME: SUPLEE RONALD P
DA TE OF PAYMENT: 12/20/2006
POSTMARK DATE: 12/19/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 10/07/2006
NO. CD 007588
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 8711
SEAL
INITIALS: CJ
RECEIVED BY:
TAXPAYER
$2,000.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
,.~.,.;.;i"~",~':W~~,.,~,.:.
.l"1 .'!"~,~--" ~i':~1f'l,~
002696-00003/Fe~ruary 7. 1997/CRW/SLR/60839
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RONALD P. SUPLEE
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I. RONALD P. SUPLEE. of the Township of Lower Allen, County of Cumberland, and
Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding,
do hereby make, publish and declare this as and for my Last Will and Testament. hereby revoking
all other Wills heretofore made by me.
ARTICLE I
I direct the payment of my legal debts and the expenses of my last illness and disposition
of my remains from my estate as soon after my death as conveniently may be done. All of the
foregoing shall be considered expenses of the administration of my estate.
ARTICLE II
I bequeath all of my tangible personal property (excluding cash or securities), together with
any existing insurance thereon. to my daughter, BUDD ANNE PRIGGE. if she survives me for a
period of thirty (30) days. If she does not so survive me. I bequeath said tangible personal
property to her children, to be divided between them in as nearly equal shares as possible by my
Executor after giving due regard for their personal preferences.
_- ~';~i
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OO.2o~t)-UUUU,j/,..eorUi:lrv IV, I "'.;/llv'\W' 1"'-1....' .,-----
ARTICLE III
I devise and bequeath all of the residue of my estate to my daughter, BUDD ANNE PRIGGE,
if she survives me for a period of thirty (30) days. If she does not so survive me, I devise and
bequeath all of the residue of my estate in equal shares to her children.
ARTICLE IV
I appoint my daughter, BUDD ANNE PRIGGE, Executrix of this my last Will. In the event
of her inability or unwillingness to act or continue to act as Executrix, I appoint my son-in-law,
EDWARD M. PRIGGE. Executor.
ARTICLE V
I direct that my Executrix, or her successors, . shall not be required to give bond for the
faithful performance of their duties in any jurisdiction in which they may be called upon to act,
insofar as I am able by law to do so.
IN WITNESS WHEREOF. I hereunto set my hand and seal this
1997.
day of February,
Ck.! ~ $, g~f.u/ (SEAL)
Ronald . uplee p
Signed, sealed, published and declared by the above-named Testator as and for his Last
Will and Testament in the presence of us, who at his request, in his presence and in the presence
of each other have hereunto subscribed our names as witnesses.
002696-00003/Feoruary 7. 1997/CRW /SLR/60839
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
I, Ronald P. Suplee, Testator, whose name is signed to the foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
~~~.~
aid . Suplee f .
Sworn or affirmed to and acknowledged before me, by Ronald P. Suplee, the Testator, this
~
1 ~ day of February, 1997.
~~~
Notary Publi
NOTARIAL SEAL
DIANNE lENIG, Notary Public
Lemoyne Borough Cumberland Co.
My Commission Expires Dee. 21. 1997
002696-00003/February 7. 1997/CRW/SLR/60839
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
We, G..Q~'Nh1\^""A l~ . and~~ .(4, {(~...1^-6 the witnesses
whose names are signed to the foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw the Testator sign and execute the foregoing
instrument as his Last Will and Testament; that he signed willingly and that he executed it as his
free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight
of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator
Sworn to or affirmed to and subscribed to before me by ~. -Q ~ "N ~~ ... ()'- .
and ~~"':'L.l'~ ~_ -Q ~~ , witnesses, this) ':\ ~ay of February, 1997.
~ ~
. ~ ~
Notary Public "'"E;;'
NOTARiAl SEAL
DIANNE LENIG. Notary Public
Lemoyne Borough Cumberland Co.
MYc Commission Expires Dec. 21, 1997
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COMMONWEALTH OF PENNSYLVANIA
'DEPART"ENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 06-0965
ACN 06156613
DATE 11-15-2006
REV-1543 EX IFP 1D9-DIl
EST. OF RONALD P SUPLEE
S.S. NO. 160-01-2735
DATE OF DEATH 10-07-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
Iil SAVINGS
o CHECKING
o TRUST
o CERTIF.
BUDD A PRIGGE
1109 WHITE DAWN LN
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
INTEGRITY BANK has p..ovided the Depa..b1ent with the info..sation listed below which has been used in
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e a joint owne../beneficia..y of
this account. If YOU feel this info..satian is inco....ect, please obtain w..itten co....ection f..os the financial institution, attach a copy
to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the COB.onwealth
of Pennsylvania. Questions say b~ answe..ed by calling (?17) ?87-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 401000950 Date 06-06-2003
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
23.307.58
50.000
11.653.79
.045
524.42
TAXPAYER RESPONSE
To insu..e p..ope.. c..edit to you.. account, two
(2) copies of this notice sust accoBpany you..
paYBent to the Registe.. of Wills. Make check
payable to: "Registe.. of Wills, Agent".
x
NOTE: If tax paYBents a..e Bade within th..ee
(3) sonths of the decedent.s date of death,
yoU say deduct a 5~ discount of the tax due.
Any inhe..itance tax due will becose delinquent
nine (9) Bonths afte.. the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above info..sation and tax due is co....ect.
1. You sey choose to "&Bit paysent to the Registe.. of Wills with two copies of this notice to obtain
a discount 0.. avoid inte..est, 0.. you say check box "A" and ..eturn this notice to the Registe.. of
Wills and an official asseSSBent will be issued by the PA Depa..tBent of Revenue.
~The ebove asset has been 0" will be ..epo..ted and tax paid with the PennsYlvania Inhe..itance Tax ..etu..n
to be filed by the decedent's ..ep..esentative.
[] The above info..sation is inco....ect and/o.. debts and deductions we..e paid by you.
You BUSt cOBplete PART ~ and/o.. PART ~ below.
If you indicate a different tax rate. please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balence
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
[!J
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
OF
I
2
3
4
5
6
7
8
x
TAX ON JOINT/TRUST ACCOUNTS
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
I
$
I declare that the facts I have reported above are true. correct and
and belief.
HOME (
WORK (
TElEPHONE
)
)
NUMB R
~
The Law Office of
MARIEu..E F. HAzEN
Certified Elder Law Attorney.
An Estate Planning and Elder Law Firm
2000 Linglestown Road
Suite 202
Harrisburg, PA 17110
TEL: (717) 540-4332
FAX: (717) 5404313
www.hazenelderlaw.com
February 8, 2007
CERTIFIED MAIL
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PAl 70 13
Re: Estate of Ronald J. Suplee
File No.: 21-06-0965
Inheritance Tax Return
To: The Register of Wills:
Enclosed for filing please find the original and one copy of the above-referenced
Inheritance Tax Return and Inventory, along with a copy of the first page of the
Inheritance Tax Return. Please date stamp the first page of the return and a copy of the
Inventory and return them to my office in the enclosed self-addressed envelope.
Also enclosed are two checks, one in the amount of $309.59 for the inheritance tax owing
and the other in the amount of $30.00 for payment of the filing fees associated with the
return and the Inventory
If you have any questions or require any additional information, please do not hesitate to
contact me.
Sincerely,
&p<1b- l//~r
~nthia J. Wenger
Paralegal
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Enclosures
cc: Budd A. Prigge
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*Certified Elder Law Attorney by the National Elder Law Foundation as authorized by the Pennsylvania Supreme Court