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HomeMy WebLinkAbout03-29-07 --.J 15056051058 REV-1500 EX (06-05) PA Department of Revenue . Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATlO'N BELOW SocIal Security Number Date of Death OFFICIAL USE ONLY Co/unty Code Year6 ft File N~/ INHERITANCE TAX RETURN I) ~ ~ RESIDENT DECEDENT Date of Birth 302-07-1623 06/26/2006 11/03/1916 Williamitis Victor MI A Decedent's Last Name Suffix Decedent's First Name (If Applicable) Enter Surviving Spou.... 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 Ce) 1. OrIginal Return 2.SupplemenmlReturn 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Esmte Tax Return Required .:.; 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Malnmlned a Uvlng Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SEcnoN MUST BE COMPlETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Utlgatlon Proceeds Received 8. Total Number of Safe Deposit Boxes 4. Umited Estate Gregory IA. Williamitis Firm Name (If Applicable) --_J "zg (~ ---.1 (-..._ 0 ...",-: REGISTER:8F~\LLS USE ~~ Y ,--c. f'J U) P.O. Box 620154 -c -- ~> First line of address Second line of address - ..!~ . . o Q) City or Post Office Ft. Rucker State ZIP Code DATE FILED AL 36362 Correspondent's e-mail address: Under penalties of perjury. I declare that I have examined 1his return, including ~ng schedUles and statements. and to the best of my knowtedge and belief, it is true, correct and complete. DecIar8tion of preparer other than the personal representa1Ive Is based on a1llnformatlon of which preparei' has any knowledge. SIGNATU~ PERSo~PO. )~I9}~ r:aCJ.R ~ILlN~ ~RN DATE ~Q~~ 3//9/07 ADORE"to "gO; G:,~..ot 5~ 'FT RlA.cl<.~R.. J 10 L 3tD3~~ I SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051058 15056051058 .-J ..-J 15056052059 REV-1500 EX Decedenfs Name: RECAPITULATION Victor A Williamitis 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) . . . . . . .. 5. 6. Jointly OWned Property (Schedule F) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . .. . . . . . ... . . . . . .. . . . . . . . . . . . . . . .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10. 11. Total Deduction. (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 COMPUTAnON - SEE INSTRUCnONS FOR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate. or transfers under Sec. 9116 (a)(1.2) X .0_ 4.50 16. Amount of Line 14 taxable at lineal rate X.O_ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 L 302-07-1623 Decedenfs Social Security Number 16. 17. 18. 988,077.77 59,383.80 1,047,461.50 12,580.99 4,848.58 17,'29.57 1,030,032.00 1,030,032.00 46,351.44 46,351.44 15056052059 .-J REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENrS NAME DECEDENrS SOCIAL SECURITY NUMBER Victor A Williamitis 302-07-1623 STREET ADDRESS 119 Stonehedge Drive CITY I STATE I ZIP Carlisle PA 17015 Tax Payments and Credits: 1. Tax Due (Page 2 Une 19) 2. CreditsJPayments A. Spousal Poverty Credit B. Prior payments C. Discount (1) 46,351.44 Total Credits ( A + B + C ) (2) 3. InterestIPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty ( D + E ) (3) 4. If Line 2 is greater than Une 1 + Une 3. enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Une 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. 46,351.44 B. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (5) (SA) (58) A. Enter the interest on the tax due. 46,351.44 Make Check Payable to: REGISTER OF WILLS. AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN RXR IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~ c. retain a reversionary interest, or.......................................................................................................................... 0 ~ d. receive the promise for life of either payments. benefits or care? ...................................................................... 0 15(1 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................... ........................... 0 ~ 3. Did decedent own an -in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent [72 P.S. ~9116 (a) (1.1) (i)l. 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 zero (0) percent [72 P.S. ~9116 (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 zero (0) percent [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is twelve (12) percent (72 P.S. S9116(a)(1.3)].Asibfing is defined. under Section 9102, as an individual who has at least one parent in common with the decedent. whether by blood or adoption. REV-l503 EX+ (6-9.. COMMON\NEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHIDULI B STOCKS & BONDS ESTATE OF Victor A. Williamitis FILE NUMBER All property JoIntly.owned with right of survivorship must be dlsclOHd on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2 992 AT &T INC 17 AGERE SYS INC 40 BNS HLDG INC 400 BELLSOUTH CORP 313 COMCAST CORP NEW 14,186.00 9,879.85 27, 141 .12 236.64 3 217.20 4 5 6 7 477 DPL INC 12,683.43 2955 DELPHI CORP 518 DIRECTVGROUP INC 9423.184 DREYFUS INVT GRADE BD FDS INC 840 ELECTRONIC DATA SYS NEW 400 EXXON MOBIL CORP 2219 FIFTH THIRD BANCORP 8 4,920.08 8,412.32 9 114,528.14 20,378.40 23,386.00 81,236.35 114,986.25 44,387.42 82,315.28 79,902.60 1,584.00 2250 FLOWSERVE CORP 1628 GENERAL MTRS CORP 2005 JP MORGAN CHASE & CO 2280 KEYCORP NEW 660 LUCENT TECHNOLOGIES INC 400 MEADWESTVACO CORP 116 NEWS CORP 10,910.00 2,157.02 1,342.88 17,105.40 164,353.60 176 awesT COMMUNICATIONS INTL INC 387 RAYTHEON CO 5560 REYNOLDS & REYNOLDS CO 6329.822 VANGUARD SPECIALIZED PORTFOLIO REIT INDEX 352VERIZON COMMUNICATIONS 250 VODAFONE GROUP PLC NEW 135,015.10 11,561.44 5,251.25 988,077.77 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-'''''' EX- (6-98) .. COMMONVVEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULI E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Victor A. Williamitis FILE NUMBER Include the proceeds of Ntigation and the date the proceeds were received by the estate. An property Jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 56,991.07 116.33 Cash in Schwab Account 2 Interest in Schwab Account 3 Dividend Accrual in Schwab Account 176.63 4 Commerce Bank Account 2,099.77 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 59,383.80 REV-'511 EX+ ('2-89). COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Victor A. Williamitis FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Funeral: Westbrock Funeral Home 1712 Wayne Avenue, Dayton, Ohio 45410 Meal for guests following funeral: Marriott Hotel, 1414 S. Patterson Blvd, Dayton, OH 45409 8,682.00 398.99 2 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City . State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as c1aimanfs, attach explanation) Claimant Gwen M. Matheny Street Address 119 Stonehedge Drive City Carlisle 3,500.00 Stale PA .Zip 17015 Relationship of Claimant to Decedent Daughter 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 8 9 10 11 12 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 12,580.99 REV-1512 EX+ (12-03) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABIUnES, & UENS COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Victor A. Williamitis Report debts incurnd by the dec:ecIent prior to death which remained unpaid. of the date of deIth, including unreimbursed medical expensu. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH FILE NUMBER 1. Pension Payback to General Motors 2,358.49 2 Payback to Social Security 1,952.99 66.00 3 PA Estate Filling Fees 4 Postage Moffitt Heart & Vascular Group, 1000 N. Front St., 1000 Wromleysburg, PA 17043 Holy Spirit Hospital: 503 N. 21st St., Camp Hill, PA 17011 Quantum Imaging: 2527 Cranberry Hwy, Wareham, MA 02571-5010 Nephrenology Assoc: P) Box 517, Hazelton, PA 18201 Nephrenology Assoc: P) Box 517, Hazelton, PA 18201 Spirit Physcian Services: 205 Grandview Ave STE 210, Camp Hill, PA 17011 PA Gastronenterology Consultant, 899 Popular Church Rd., Camp Hill PA 17011 Quantum Imaging: 2527 Cranberry Hwy, Wareham, MA 02571-5010 19.11 5 20.88 6 109.66 7 8 2.51 57.55 9 5.40 10 64.95 11 25.76 12 9.51 13 Susquehanna Surgeons 6.77 14 Associated Cardiologists: 856 Century Drive, Mechanicsburg, PA 17055 47.07 15 Carlisle Regional Medical Center 6.24 16 West Shore EMS: 205 Grandview Ave STE 211, Camp Hill, PA 17011 LANC HMA PHYS MGMT CENT PEN: PO Box 619, East Petersburg, PA 17520 West Shore EMS: 205 Grandview Ave STE 211, Camp Hill, PA 17011 46.21 17 14.76 18 34.72 4,848.58 TOTAL (Also enter on line 10, Recapitulation) $ Of more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Victor A. Williamitis FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON{S) RECEIVING PROPERTY Do Not LIat Truatee(I) OF ESTATE I TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under See. 9116 (8) (1.2)] 1 GregorynlWilliamitis P.O. Box 620154, Ft. Rucker, AL 36362 Son 2 Gwen M. Matheny 119 Stonehedge Dr., Cartisle, PA 17015 Daughter 3 Ronald Williamitis 1253 Patterson Rd., Dayton, OH 45420 Son 4 Anthony J. Williamitis 2850 Wildwood Lane, Ft. Myers, FL 33905 Son ENTER DOlLAR AMOUNTS FOR DISTRIBUTIONS SHOWN N30VE ON LINES 15 THROUGH 18, 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) ~ ,~ RE~ISTER OF WILLS CUMBERLAND County, Pennsylvania CERTIFICATE OF GRANT OF LETTERS No. 2006-00888 PA No. 21-06-0888 Es ta te Of: VICTOR A WILLIAMITIS (First, Middle, Last) Late Of: SOUTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY Deceased Social Securi ty No: 302-07-1623 WHEREAS, on the 10th day of October 2006 an instrument dated February 21st 2002 was admitted to probate as the last will of VICTOR A WILLIAMITIS (First, Middle, Last) late of SOUTH MIDDLETON TOWNSHIP, CUMBERLAND County, who died on the 26th day of June 2006 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: GREGORY M WILLIAMITIS 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, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 10th day of October 2006. .i:j1u1 it( f!!J/!JfMI/?/nt rbtu;L f!f4 ~ eputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) LAST WILL AND TESTAMENT OF VICTOR ANTHONY WILLIAMITIS C""") ~-:.; C) "--:0 . -,~:z (j : ~;.:~ ~ ':':",)~ 1-....> t:::) c:.:::> cr" o n -i I ~:.l:J t~~~ :~:,::l CJ 1':~BE3 c:> I~=~ ?: -""- ....0 ."-"' c..n - - r, VICTOR ANTHONY WILLIAMITIS of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, revoking all other wills and codicils heretofore made by me. FIRST I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. SECOND I acknowledge that I have previously designated my children Ronald V. Williamitis, Gregory M. Williamitis and Gwen M. Matheny as the beneficiaries of my Charles Schwab Account No. 7003-5135, which designation shall in no way be affected by this my Last Will and Testament. I give, devise and bequeath all of the rest, residue and remainder of my estate, of whatever nature and wherever situate in as nearly equal shares as possible to my children ,Ronald V. Williamitis, Gregory M. Williamitis, Anthony J!- Williamitis and Gwen M. Matheny, per stirpes. THIRD I direct that no personal representative or other fiduciary named, nominated, or appointed by this my Last Will and Testament shall be required to post any bond or give any security of any type for my purpose whatsoever, any law or rule of court notwithstanding. ~ ~ FOURTH I appoint my son Gregory M. Williamitis as Executor of this my Last Will and Testament. In the event my said Executor shall for any reason fail to so serve I appoint my daughter Gwen M. Matheny as Executrix hereunder. FIFTH My personal representative shall have the following powers in addition to those vested in them by law and by other provisions of this will, applicable to all property, real, personal or mixed and wheresoever situate, exercisable without court approval, and effective, with respect to each item of said property until actual distribution thereof. A) To retain, as investments of my estate or trust, any or all assets of my estate, real, personal, or mixed, without regard to any principal of diversification or risk. B) To pay all taxes, charges and expenses of maintenance, upkeep, improvements, development, protection, preservation and investment of any retained or acquired real or personal property. C) To invest any and all funds, whether principal or income, in any real or personal property without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification; and to lease, give options upon or sell at public or private sale and without approval of any court; any real or personal property, or portion or portions thereof, irrespective of the manner or the means by which the same was acquired by my said personal representative. D) To make payment or distribution herein provided for in cash, kind or partly in cash and partly in kind, at valuations fixed by my personal representative at the time of distribution. . - . SIXTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable hereunder shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three (3) typewritten pages, the first two (2) of which bears my signature in the margin for the purpose of identification, this May of February, 2002. Signed, sealed, published and declared by the above named testator, VICTOR ANTHONY WILLlAMITIS as and for his Last Will and Testament, in the presence of us, who, at his request, in his-sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. R~SS 95 Alexander Sprinq Rd.Carlisle.PA ADDRESS 95 Alexander Sprinq Rd,Carlisle,PA . ' COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND We, VICTOR ANTHONY WllLlAMITIS, ~. Bn/Q.V") ~a.IUYlo.nr') and Wi \ \iQm W. ~O""-Pso'" the testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument of his Last Will and Testament, and that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed, and~hat each of the witnesses, in the presence and hearing of the testator, signed the Will as witnesses, and that to the best of their knowledge, the testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me thisll[ay of February, 2002. -~. r'" .,~""""....-"" t.iCT AYQJ.l S~At ~ T((lC;J, L Sf~~'t', ~~ry MUc A ~ T "" Cufi,ibG.-iond Q)., P \' w!.\'ihompt~n WiI" . ' . "'" '0) 2JO'J ; My CoMmt.n bpir.s kJ....., _