HomeMy WebLinkAbout96-00800
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INHERITANCE TAX RE.TURN FOR DATES OF DEATH AFTER 12131/91
CHECK HERE IF A SPOUSAl.
RESIDENT DECEDENT POVE,R:r_YCREDIT~~,CLAI~~Q.[L_.,._,,,___
COMMONWI:AL TH 01' "':NNSYlVAN'A (TO BE FILED IN DUPLICA'TE FILE NUMBER
OEPAfllMENT 01: Il(VENU[ '11 19'JG
DU'T.18"'OI WITH REGISTER OF WILLS) " . ,)
HARfll!lOuAG, rIA 17128-(\OiJl m__. _.._._~._______.____ COUNTY CODE YEAR
-.--.----..----.-..
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAl.) DECEDENT'S COMPl.ETE ADDRESS
Green, Gladys W 325 WoslflY Drive
SOCIAL SECURITY NUMBER J DATE OFDEAi:t:i--rOA1'E"ClFBIRTH'- Mechani C'sburg Pa ] 7055
DECEDENT 184-36-6693 07/07/96 .l.Q.f!/09/189il Coullly Cuml:.erland
IIf ArPLlCA[llEl SVRVIVINlI SPOllSE'S NAMlILA',T SOCIAl. SECURITY NUMBERI AMOUNT RECEIVED (SEE INSTRUCTIONS) ---,
r-If\STANDMIDDLE\NITIAl.) , ~
1. Original Return supplomental Rolurn 0 3, Romaindor Return - ,--
~5
l'
0800
NUMBER
CHECK
APPRO-
PRIATE
BLOCKS
(l(Jrdalll5ofdealhpriorloI2-13-82)
CORRES-
PONDENT
@ 40, Futuro Intorost Compromiso
(lor dalos 01 doath allor 12-12-82)
Decadont Died Tostate g] 7. Docodent Malntalnod a Living Trust
(Allacll copy 01 Will) (Allach copy 01 Trllst)
ALkC()flfl~SPClNPllNOeANQ OONFlllll~IA~TAX INPPfl"'ATIONSHoU~D,ae DIRECTE TO:
NAME COMPLETE MAILING ADORESS
Mellon Bank N,A" Trustee Attn: Robert G Chase
TELEPHONE NUMBER P ,0. Box 7899 RM 193-0224
(215)553-0308 philadel hia Pa 1
" Roal ESlato (Schedulo A1 (1) None s; '.'C
2, Slocks and Bonds (Schodulo B) ( 2 ) None
3, Closely Hold Stock/Partnorshlp Inlorosl (Sch, C) (3) None
4, Mortgagos and Nolos Recolvablo (Schedule D) ( 4 ) None
5, Cash, Bank Doposlls & Mlscollanoous Porsonal (5) 9,516,87
Proporty (Schodvlo E) -
8, Joinlly Ownod Proporly (Schedulo F) ( 6) None
7, Translors (Schodulo G) (Schodule L) (7)_ 436,342,52 .'! i- \
8, Total Gross Assets (tolal L1nos 1-7) " '( 8 ) t--J
9, Funeral Expansos, AdminlstraUve COSIS,
Miscellaneous E'ponsos (Schodule H)
10, Debls, Mortgage L1ablllllos, Lions (Schodule I)
1'1. Total Doductlons (10101 Linos 9 & 10)
12, Nol Valuo 01 Eslale (Lino 8 minus L1no 11)
13, Charllablo and Govornmonlal Bequesls (Schedulo J)
04
06
o 8, Talal Number of Safe Doposit BOKos
L1mllod Estate
Foderal Estato Tax Roturn Requirod
'.(.',
,I
1
..J
J
RECAPIT -
ULATION
445,859,39
(9 )
33,823,40
(10)
1,109,14
(11)_
(12)
(13)
34,932,54
410,926.85__
2,000.00
14, Net Valuo Subec! to Tax (Line 12 minus Line 13)
15. 3pou!l1l1 TtMsfers (lor elalos of dOlllh ntter !l~Jo~94), See
Instrucllons for Applicllblll Percanlllgfl Oil PallO 2. (Include
values !rom Schedule K or Schedule M.l
16, Amount 01 Une 14 taxablo a16% rala
(Include valuea from Schedule K or Schodule M,)
1], Amount 01 Uno 14 taxable at 15% rata
(Include values Irom Schodule K or Schedulo M.)
16, Principal ta, due (Add la' Imm Linos 15,16 and 17.)
19. Credits Spollul rnverly Crnelll Prior Pavmants Discount
+ 19,380,00 + 1,020,00 -_
20. If Line 191R groalor Ihan Lino 18, enlor Iho differonco on L1no 20, This is Iho OVERPAYMENT.
~ Chlok here 11 you aro roquesting a r.lund of your overpayment ..J
21. II Uno 181s graator than Uno '19, cnlor tllo dllfor(/Ileo on LInD 21, This is tho TAX DUE,
A. Enler lhe Intorosl on tho balanco duo on Lilla 21A,
B, Enlor 1110 total 01 Uno 21 and 21A 011 lillO 21 B. TI1" "lIl0 BALANCE DUE,
Make Chock Payable to: ReglStor of Wills, Agent
, . .... '.. '.. ...... BE SU~E TO ANSW~R A~L QUeSTIONS ON PAGE 2 ANO TO RECHECK MATH .,...
onder ponal1io9 01 perjury, I doc!llro that I hava l)Xan1inod.tllis roturn, including accompanying flchOdulon and stalomont!l, And to lho bOS1' 01 my krl0wlOdqO
and bOllol, il is trlJo, corrocl and comploto, 1 doclmo that nil rani ostalo 11IIS booll roportod at trllD markol valuo, Doclaration 01 proparor olher Ihan 1110 porsonal
ropro~onlalivo io basod on all ~n_l.?rmatlon 01 whlc~,-propuror 1m3 any knowlodgo,
i.IO~MU.RF. OF.f'lfHlClN RrM''pN!;1~1/1lofl rill () 11f. runN Ml()flf!;~;
_J.:-lS.l.L1.1.: ( ) .' '( ,
5!ONATVF\E Of' f1fllf'AAEA OIlH: A TitAN f1 Yfll.:H:NTATIVI-.
(14)
408,926.85
(16)
x ,
.
(16)
408,926,85, ,08
.
24,535,61
(17)
0,00',15
.
0.00
TAX
COMPUT A-
TION
(16)
24,535,61
Inlerest
(19)
(20)
20,400,00
(21)
(21A)
(21B)
4,135.61
0,00
4,135.6] ,
DATE'
..d...1) '} )
Al}()fl[ ~~;
flAT(
PA15061Nifliiil!;--._.~_._._-_.._-'._------'_.__.-----'
C(lf'yr'\lhl r"fm~ !'1I1\WMIl (.Inly, Iq~14 Noleo.IIIC. N~14f'^1I1l1
HtV-\!il1 EX, (7'60;
COMMONWEALlH or P(NNSYLVANIA
INHERITANCE 1AX ftrTURN
HESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pl.... Print or Tvp.
-,._.,~.._,_._-
-----,~.
F.STATE OF
Gla B W Green
ITEM
_NO,
A, Fun.rai Expen...:
FILE NUMBER
21-1996-0800
DESCRIPTION
AMOUNT
1 Musselman Funeral Home Inc - statement
5/796,40
2 Brachendorf Merrorials Inc - inscription
70,00
3 Rev. W. Green - honorarium
382,00
B, Admlnl."atlv. Coats:
1, Per.on.' Representstlve Commissions 18,250.00
Social Securlly Number of Pereonal Represenlatlve:
Year Commissions palq ..
2, Attorney Fees 9,125,00
3, Famllv Exemption 0.00
Claimant Rel.tlo"Sl1lp
Mdress of Claimant at decedent'. death
Street Addre..
CIIy State Zip Code
4, Probate Fees 0,00
C, Mlaoellaneoua Expen.ea:
1 Closing Cbsts 200.00
TOTAL (Also entor o'lIlIlO 9, Roca lIulatlon $
(II more apaoe i. needed, Insert sddltlonal shuts 01 s.me sl..,)
33/823.40
PAt6111 Nr, ""
Copyright Forms S-oltwa" Only, 1994 NOlcl'l, IMe, N04PAl \ I
AMEN1::MENT 'I\) DEED OF TRUST
I, Gladys W. Green, curencl my trust dated February 27, 1981, under which
CXlMM:lNWEl>J:l NATIONAL BANK is trustee by revoking all the articles an:i
replacing them with the following:
"I, Lifetilre Trust; D.lring my lifetilre my trostee shall invest an:i manage
the property as a separate trust, and make distributions as follC1.>JS;
A. Pa~.nts: As nlJch, cven if all, of the net income and principal as
I may from till18 to tiIre direct in writing shall be paid either to
me or as I J1'ay specify;
B. Balance; Any remaining net income shall from tirre to time be
aCClll1lUl.ated and added to principal; hat/ever,
c. Disabilj.j;y: If I am, in my trustee's opinion, disabled by aclvanc€d
age, illness or other cause, as much of the net income and principal as my
trustee may from tiIre to time think desirable for my or my dependent I s
welfare, comfort, support or emergency needs shall be paid to either of us or
applied directly for those purposes.
II, Disoosition at~; Upon my death my trustee shall pay the
then-remaining principal and any un::listributed net income to certain
beneficiaries I name on a supplemental beneficiary schedule. If that
schedule is not accepted by my trustee or if the schedule is not :in exl&-tence
at my death the principal and income shall be paid to or in tl:ust for such
one or m;,n! persons or organizations on such terms as I may appoint by a will
specifically referring to this power of appointment or, in default of
appointment or insofar as it is not effective, to my personal representative
for distribution as part of my estate.
III, Riahts Reserwrl: I resetve the following rights, each of which may be
exercised whenever and as often as I J1'ay wish:
A. To Add; '!he right to add to thi.s trust with assets acceptable to
my trustee; and
B. To Revo}<e: 'Ihe right. by an instrument :in writing - other than a
will - to revoke or amend this deed and the trust hereunder in part
or in whole, However, amendments must be approved by my trustee.
rv. Manaaement Provisions: I authorize my trustee:
A. Retain/Invest: To retain and to iiwest in all forms of real and
personal property, including common trust funds., mutual funds and
money market deposit a=unts operated or offered by my corporate
trustee or any affiliate of it, regardless of any limitations
imposed by law on investn-P...nts by trustees, or any principle of law
concerning investJTent diversification:
B. C=~: To compromise claims and to abandon property which, in
my trustee's opinion, has little or no value;
C. Borrow; To borrow from anyone, eVl?..l1 if the lender is a trustee
hereunder, an::l t.o pledge property as security for repayment of the
funds borrowed;
D. Sell/T.."SEl; '1'0 sell at public or private sale, to exchan:J'e or to
lease fot" any period of time, any real or personal property, an:! to
give options for sales or leases;
E. Caoit",' O1anae.s: To join in any merger, reorganization, voting-
trust plan or other concerted action of security holders, an:! to
delegate discretionary duties with respect thereto;
F. Allocate: To allocate any property received or charge incurred to
principal or income or partly to each, without. regcu:d to any law
defining principal an:! L,COI1'e; an:!
G, Distribute; To distribute in cash or in kind.
These powers shall exterd to all property at any time held by my trustee and
shall continue in full forc'.e until the actual distribution of all such
property. All powers, authorities, and disaretion granted by this deed shall
be in addition to those granted by law and shall be exercisable without court
authorization.
V. ChTn>"""'~: My corporate trustee shall receive compensation in
aCCOrdance with its standard schedule of fees in effect while its services
are performed,
VI. Sir"" and Gov~; The situs of this deed shall be in
Pennsylvania, and all questions as to the validity or effect of this deed or
the administrdtion of the trust hereunder shall be govemed by the law of
F-ennsylvania. "
EXecuted ~. }\..'-'~ ;?l- & I q 0
, I
~
I 19_,
:' " I ~\
'Jltul~~,/ ~, 'J'<.-U.J(SFAL)
Gla, S W. Green
wrrnESSES ;
'U. ~\ ~L '" Q~
\ t \
, JLu..l"i.1 :11
"-
, .
..-, CLl...(~'~'i.' "
"" f="" ""'t Ft
Pennsylvania, on ,
was delivered, and is hereby accepted, in
"2- t.. , 19~,
2Pl32/jclb
~=~<~
Commonwealth J~
National Bank ~
Dille
H,p..1.~...,.L..7.:-:. 8 L
C,Hh Amount S
Tlllst Agreement No,
.....l. '),1.,'2-..~,91 L...
This TRUST is established betwcen Tho Cornmonwt)lllth National Bank a\ Trusteo and the ulldorsigned 11S
settlor. The settlor hereby grants & conveys 10 the Trustee all right, title and intcrcH in the cash amount indicated
above and 10 any other llSSr.ts or lillbilltics $01 forth on Schedule "A", which may be attachod to f1nclmaclc a part
of this agreement.
In managing these and any other assets subsequently transferred to this TRUST, the Trustee is charged with
the following duties: keep the assets safely; use \he care and attention which a reasonably prudent man would dAvote
to the management of his own financial affairs considering the economic conditions of the time; advise the settlor
monthly of the past month's transactions and the valuation of assets held at month end, and annually of any nec""
sary Information for the preparation of the sottlor's tax returns; transfer the net Income El8ch month to tho principal
of the TRUST for reinvestment, to or for the use of the settlor, to the settlor's checking account tiS indicsled below,
or to other persons in amounts described in a separato lettor delivered to the Trustee.
In addition to those powers granted by law, the Trustee may exercise the following powers in order to perform
the above duties: receive proceeds from the sale, matwltYI call or conversion of TRUST assets; invest in and buy or
sell "sets (including real or porsonal property, common funds managed by the Trust.., and obligations, deposit
accounts, or stock of the bank or its affiliates) subject to the settlor's 9lJidelines indicated bolow; borrow money at
re"onable rates and pledge TRUST assets as collateral, should it be prudent to do so; pay any necessary expenses,
Including reasonable Trustee's compensation; allocate transactions between income and princlpal as the Trustee deems
best; and hClndle routine matters according to the Trustee's best iudgment, including but not limited to making
timely exchange of temporary Issues for permanenc executing proxies or voting shares, buying or selling fractionl11
shares, and exercising, holding, or selling warrants representing rights received in corporate recapitalizations or
reorganizations,
The settlor may alter or amend this TRlIST in any way provided that such change does not result in making
the TRUST irrevocable or creating dispositive provisions to take effect at or after the settlor's death. The settlor
may add to or withdraw from tho TRUST'S Income or principal at ony time, subject only to providing reasonable
notice, and may provide for automatic funding by indicating below, The TRUST shall terminate upon the settlor's
death with principal and undist! ibuted income being paid Into the settlor's estate, The Trustee rooy expend TRUST
Income or principal In behalf of the "ttlor at his direction or in behaif of any named beneficiary to the extent of his
beneficial interast. Only the settlor shall hava the power to assign or encllmber his interest in the TRLJST or other.
wise cause Its BlSets to become liable for the payment of a beneficiary's personal obligation or debt. The Trllstee is
respons~ble for losses caused by its gross negligence but not for other losses such as, but not limited to, those created
by fluctuation In market valuations. The Yrustee is not required to account to anyone, except as described above,
unless expressly directed In writing by the selllor or his personal representative. Either party may terminate this
TRUST at any time, subject only to providing reasonabl. notice.
This agreement is not binding upon the bank until such time as it has been accepted by an administrative officer,
whu will be asslgnod to the TRUST; this officer will be in contact with the sell lor and may be called upon by him
at any time,
INVESTMENT GUIDELINES
........... Commercial paper
..,........ Treasury bills
.........., Taxable bonds
........... Tax exempt bonds
......,.... Common stocks
........... Trustee's discretion
AUTOMATIC FUNDING
I ) The Trustee is to charg. my Checking
INCOME TRANSFER
........... For reinvestment
........... To Checking AlC
........... To addross shown
~;.w.l.~
GJ:: jQ.d1,v <; .. \!11L~r..e.e.n,
pr~eanllmfl
Rb.~.I.s..........6.o,'X.J~,~.,...
q,f...La9..8.., 1{f..Jj,~3fp_~,~J3 "J--.r"'yg"h"Jt:d'''~' lJ /701.8
thone No. Soe. See. No. U,"r1<.~.., rJ.... ""1;""" .. ..,"' .
Clly, Stllltl, lp .Cldt
account S .....'........,.,............. on the
..,...................... of each ..................
and add It to this TRUST for investment
Daie.o"i"oiiii,...........
Occup.a'i(on........., ..
. ...J...... nt"tii,c'kln'Q 'Ac.counYN'i:..'..........
+e. e. 9;2../'2-5'0 B
ONLY YOUR ATTORNEY CAN PROVIDE LEGAL ADVICE
rORM 197 JKG
,::~ ;;,/ (;
BUREAU OF INDIVIDUAL TAXES
INllon TANn IAl( DIVISION
m:rT, ;'60601
HAIlRISnURG. P", I flZ8.060t
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE YAX
APPRAISEMENT, ALLO~ANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01-05-98
GREEN
07-07-96
21 96-0800
CUMBERLAND
101
F=- _~~~~,=R.";IH8d__ . "l
L'''n____....____
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 ~
R 'EV: iS4; - E'if oA F'ii - i 0 ij:97i" 0 NoYi c r "oF - "iNtiE;l i;: A ire E - --fAx - 'A"p PRA is E;'lE NT", - -A L i."OW A NOe E 0 'OR"" 0 0.... - -. - - - - -.,
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GLADYS W FILE NO. 21 96-0800 ACN 101
MELLON BANK NA
C/O ROBERT G CHASE
PO BOX 7899
PHILA
PA 19101
ESTATE OF
GREEN
TAX RETURN WAS' I
) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VAL,UE OF RETURN BASED ON: ORIGINAL RETURN
I. R.al Est.t. (Schadule Al
2. stock. and Bonds (Schedule 81
3. Closely Held S'tock/Padnltrsh1p Interest (Soh.d~ll. CJ
4. Harig.gas/Nota. Receivable (Sohedule Dl
S. Cash/Bank Deposits/Mise, Parsonal Property '(Schedule E)
6, Jointly Owned Property (Schedula Fl
7, Transfars (Schedule G)
8, Totel Assats
I XI CHANGED
SEE
III
121
13 I
I').
151_
161
17)
,00
,00
,OQ...
,00
9,516.87
.00
436.342.52
IB)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schadule H)
10. Debts/Hortgave Liabilities/Liens (Schedule I)
11. Total Deduotions
12. Net Value of Tax Return
13. Charit.bl./Govarn~ental BequestsJ Non.alectad ql13 Trusts (Schedule J)
14, Net Value of Est.t. Subjact to Tax
If an assessment was issued previOUSlY, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX;
15. Aftount oi Line 14 at Spousal r.ta (15)
16. A.aunt ~f lln. 14 taxable .t Lineal/CI..I A rat. (16)
17. Aftount 01 Line 14 t.xabla .t Collateral/Cia.. B r.tn (17)
18. Principal Tax Dua
NOTE;
TAX CREDITS:
PAVMENT
DATE
-10-04-96
03'05-97
RECEIPT
NUMBER
AA146818
AA185252
DISCOUNT 1+1
INTEREST/PEN PAID I-I
1.020.00
.00
. IF PAID AFTER bATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
33,823,40
1.109.14
1111
1121
1131
(141
(9)
110 )
~~,~.".
ttW~~
II;. \~.I fI '" (0,.1/1
GLADYS
w
DATE
ATTACHED
01-05-98
NOTICE
NOTE: To insure proper
cradit to your account}
s;uhlllH the uppe,' portion
of this forM with your
tax pay",ent,
445,859,39
34,93Z..5.L
410,926,85
2,000,00
408,926,85
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
,00 X ' 0 O.
408.926.85 X ,06.
,00.. x ,15.
IUI
AMOUNT PAID
19,38'0,00
4,135.61
TOTAL TAX CREDI1'
BALANCE OF TAX DUE
-_._~._-------
INTEREST MID PEN.
_~_.....o.oo____~~_____
TOTAL DUE
,00
24.535,61
,00
24.535.61
.. ._-~
24.535.61
-----
,00
_-____0_.0__0
.00
_,.,_,___'_.___n____ "_'m.~__
,00
---___".-"0__' "~o_"._'oo'o_~
II- TQTAL DUE IS I.ESS TH~N n, NO I'AVMENT IS REQUIRED,
IF TDlAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE DVE
A REFUND, SEE REVERSE SIDE OF THIS ,ORM FOR INSTRUCTIONS,)