HomeMy WebLinkAbout04-04-07
i~~V-1500 EX + (6-00)
'* COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-00)1
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DECEDENrs NAME (LAST, FIRST, AND MIDDlE INITIAL)
Jud Sandra V
DATE OF DEATH (MM-DD-Year)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICiAl USE ONLY
FILE NUMBER
2 1 -0 6 1 0 2 8
"To'iiNTYCOOE ---vEAR- - - NUiiiER- -
SOCIAL SECURlrv NUMBER
DATE OF BIRTH (MM-DD-Yearl
233-64-2109
THIS RETURN MUST BE FILED IN DUPlICATE WITH THE
REGISTER OF WILLS
11/6/2006 1/23/1942
(IF APPUCABlE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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[Xl 1. Original Retum
o 4. Limited Estate
IX] 6. Decedent Died Testate (AbchcopyolWill)
o 9. Litigation Proceeds Received
SOCIAL SECURlrv NUMBER
o 2. Supplemental Retum
o 4a. Future Interest Compromise (dale of death allBr 12-12-62)
o 7. Decedent Maintained a Living Trust (Attach copy 01 Trus1)
o 10. Spousal Poverty Credit (dalII oIdealh between 12-31-91 and 1.1.95)
o 3. Remainder Retum (daIIloldealh prIorlD 12.13-82)
o 5. Federal Estate Tax Retum Required
_ 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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NAME
Forest N M ers
FIRM NAME (If Applicable)
Law Office Forest N M ers
TELEPHONE NUMBER
717.532.9046
COMPLETE MAILING ADDRESS
137 Park Place W
PA 17257
(1) OFFI~ USE ONLY
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(7)
(8)
4.517.00
(11)
(12)
(13)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
131.120.86
4.517.00
126.603.86
0.00
0.00
126.603.86 X ~(15) 0.00
0.00 X _(16) 0.00
0.00 X .12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 0.00
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proplietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Allets (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)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
(14)
CHE "K HEPE IF {,~cJ ",RE hCCUES -",C. A RE> :J~II1:-J MJ \lvt RPL\Yr.1Et,~
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STREET ADDRESS
616 Brad St
Clrv I STATE . I ZIP
Shippensburg PA 17257-
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
. Total Interest/Penally ( D + E ) (3)
4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable 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 IX!
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00
c. retain a reversionary interest; or ...................................................................................................... 0 IX!
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 IX!
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?............................................................................................... 0 IX!
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 IX!
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 IX!
0.00
0.00
0.00
0.00
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 01 perjUl"f,1 declare thall have examined this return, includi~ accompanying schedules and statements, and to the best 01 my knowledge and belief, ij is true, correct and complete.
Declaration 01 preparer other than the pen;onal representative is based on all mformation 01 which preparer has any knowledge.
SIGNATURE OF P ON RESPONSIBLE FOR FILING RETUR DATE
r .2 ZUtJ 7
616 Brad
ShippensburQ
SIGNATURE ~RFP;~ O~AN REPRESENTATIVE
ADDRESS 137 Park Place W
ShippensburQ
PA 17257
DATE
'4 - "2. - ZGo,
PA 17257
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. ~9116 (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. ~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 0% [72 P.S. ~9116(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. ~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 decedent's siblings is 12% [72 P.S. ~9116(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.
..1last _ill anb ~~tamtnt..
I, SA~DRA V JUDY, of Shippensburg, Cumberland County, Pennsylvania, revoke my
prior wills and declare this to be my Last Will:
FIRST: PAYMENT OF EXPENSES' -I direct that the expense' of my last illness and funeral be
paid from my estate as soon as may conveniently be done.
SECOND: BEQUEST -I give, devise and bequeath my estate, real or personal, tangible or
intangible, together with all insurance policies thereon unto my husband, JERRY N JUDY,
provided he shall survive me by thirty (30) days. In the event my husband fails to survive me
by thirty (30) days, I then give, devise and bequeath all my estate whether real or personal
property, tangible or intangible, together with all insurance policies thereon to my children, in
as nearly equal shares as possible, per stirpes.
THIRD: RESIDUE OF ESTATE -I give, devise and bequeath all the rest, residue and remainder
of my estate unto my husband, JERRY N JUDY, provided he shall survive me by thirty (30)
days. In the event my husband fails to survive me by thirty (30) days, I then give, devise and
bequeath all the rest, residue and remainder of my estate to my children provided they shall
survive me by thirty (30) days, in as nearly equal shares as possible, per stirpes.
FOURTH: PROTECTIVE PROVISION - To the greatest extent permitted by law, before actual
payment to a beneficiary, no interest in income or principal shall be (i) assignable to a
beneficiary or (ii) available to anyone having a claim against a beneficiary.
FIFTH: DEATH TAXES - All federal, estate and other death taxes payable on the property
forming my gross estate, whether or not it passes under this will, shall be paid out of the
principal of my probate estate just as if they were my debts, and none of those taxes shall be
charged against any beneficiary. This provision shall not apply to any property over which I
have a general power of appointment of federal estate tax purposes.
SIXTH: TRUST FOR DAVID N JUDY - Any share of my estate to which DAVID N JUDY may
be entitled shall be held IN TRUST for a period of fifteen (15) years following my death under
the following terms:
(a) The income and so much of the principal as my Trustees, in their sole discretion
deem necessary for the support, maintenance, and education of my son shall be
paid to or for the benefit of DAVID N JUDY. \tY ~y(~U.' n that the Trustees
be given absolute discretion in making these d~g~ . II not be
subject to direction by any third party. No part of ~~~ shall be
available, except at the sole discretion of the Trustees.
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(b) Upon the expiration of fifteen (15) years following my death, the principal and
accumulated income, if any, shall be, at the option of my Trustees, paid to
DAVID N JUDY, or continued IN TRUST under the terms of Paragraph (a)
above.
(c) In the event DAVID N JUDY shall fail to survive me by sixty (60) days, or die
prior to the expiration of fifteen (15) years following my death, I direct that his
share be given according to his Last Will and Testament, and in the absence of a
Will, to my daughter, LISA M JUDY. I
SEVENTH: APPOINTMENT OF TRUSTEES -I appoint my daughter, -LISA M JUDY, JULlE VAN
METRE TATE and DOROTHY KAY VAN METRE, or the survivor(s) of them Trustees of the Trust
created under this, my last Will and Testament.
EIGHTH: MANAGEMENT PROVISIONS - I authorize my Executor, as follows:
A. Retain/Invest: To retain and to invest in all forms of real estate and personal
property, including common trust funds, mutual funds and money market deposit
accounts and certificates of deposit, regardless of any limitations imposed by law on
investments by executors or any principle of law concerning investment diversification;
B. Compromise: To compromise claims and to abandon any property which, in my
Executor's opinion, is of little or no value;
C. Borrow: To borrow from and to sell property to my husband or others, and to
pledge property as security for repayment of any funds borrowed;
D. Sell/Lease: To sell at public or private sale, to exchange or to lease for any period of
time, any real or personal property and to give options for sales of leases;
E. Capital Changes: To join in any merger, reorganization, voting-trust plan or other
concerted action of security holders, and to delegate discretionary duties with respect
thereto;
F. Distribute: To distribute in kind and to allocate specific assets among the
beneficiaries (including any custodian hereunder) in such proportions as my Trustee
may think best, so long as the total market value of any beneficiary's share is not
affected by such allocation.
These authorities shall extend to all property at any time held by my Executor or my
Trustee and shall continue in full force until the actual distribution of all such property.
All powers, authorities and discretion granted by this Will shall be in addition to those
granted by law and shall be exercisable without court authorization.
2
NINTH: It is my desire that my estate pass to my children upon the death of my spouse.
Accordingly, should my spouse remarry following my death, it is my desire that our joint estate
be maintained and that no part of our joint estate pass by gift or devise to my spouse's new
spouse.
TENTH: EXECUTOR -I appoint my husband, JERRY N JUDY, Executor of my Will. In the
event of the death, resignation, renunciation or inability of my husband to act as Executor, I
appoint LISA MARIE JUDY, jUlIE VAN METRE TATE and QOROTHY KAY VAN METRE, or the
survivor of them, Executors of this, my Will. Neither my Executor, nor any successor shall be
req u i red to give bond.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 17th day of MARCH, 2005.
q~~~~~~~~~festatrix(SEAL)
In our presence, the above-named Testatrix signed this and declared it to be her will, and now,
at h r re est and in h r presence and in the presence of each other, we sign as witnesses:
3
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STATE OF PENNSYLVANIA
SS
COUNTY OF FRANKLIN
I, SANDRA V JUDY, having been duly qualified according to. law, acknowledge that I
signed the foregoing instrument as my Will, and that I signed it as my free and voluntary act for
the purposes therein expressed.
SA~~jU~J>r~~
We, SANDRA V JUDY, the Testatrix in and the undersigned witnesses to the Will, the
attached or foregoing instrument, who have signed the instrument, having been qualified
according to law do depose and say:
(a) that I, the Testatrix, do hereby acknowledge that I signed the instrument as my Will,
that I signed it willingly and as my free and voluntary act for the purposes therein
expressed; and
(b) that we, the witnesses, were present and saw the Testatrix sign and execute the
instrument as her Will, that she signed it willingly and executed it as her free and
voluntary act for the purposes therein expressed; that each of us in the hearing and sight
of the Testatrix signed the Will as witnesses and that to the best of our knowledge, the
Testatrix was at that time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
Witness
Subscribed, sworn to or affi rmed,
and acknowledged b~fore me by the
above-named Testatrix and by the
witnesses whose names appear on
this 17th day of MARCH, 2005.
I,-~ ~
Notary P IC
NOTARIAl SEAL.
FOREST N..MYERS. NOTARY PUBLIC
SHIPPENSBURG BOROUGH, COUNlY OF FRANKLIN
Mi COMMISSION EXPIRES DECEMBER 17. 2005
4
REV-1503 EX + (6-98)
.
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Judy Sandra V
FILE NUMBER
21 06
An property jolntly-owned with right of survivorship must be disclosed on Schedule F.
1028
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
5607.93
Dominion #4412
2
Dominion #2066
5607.93
3
Loomis Sayles Bond CL-1
5,125.00
4
PIMOC Low Duration Fund
79,550.00
5
PIMOC Total Return Fund
35,188.00
6
Cash Reserve
42.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space Is needed, insert additional sheets of the same size)
131 120.86
REV-1511 EX + (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Judy Sandra. V
ITEM
NUMBER
A.
1.
B.
2.
3.
4.
5.
6.
7.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21
06
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Jerry N Judy
Social Security Number(s)/EIN Number of Personal Representalive(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
Attorney Fees Forest N Myers, Esq.
Family Exemption: (If decedenfs address is not the same as ctaimanfs, attach explanation)
Claimant Jerry N Judy
Street Address 616 Brad Street
City ShippensburQ State PA
Relationship of Claimant to Decedent husband
Zip 17257
ProbateFees Letters Testamentary $45.00; file Will $15.00; Short Certs $12.00; JCP
fee $10.00; Auto fee $5.00; Additional Probate $215.00; filing 'nh Tax Return $15.00
Accountanfs Fees
Tax Retum Prepare~s Fees
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1028
AMOUNT
700.00
3,500.00
317.00
4 517.00
,.,,-"', "'. ".
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
.I11r1V - V ?1 OR 10?R
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List TNStee(S) OF ESTATE
1. TAXABLE DISTRIBUTIONS [include outright ~I distributions, and transfers under
See. 9116 (a) (1. )]
1 Judy, Jerry N Spousal
616 Brad St Rest, residue and
Shippensburg PA 17257- remainder
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE 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
1 Judy, Jerry N 131,120.86
616 Brad St
Shippensburg PA 17257-
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART n - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 131 120.86
(If more space is needed, insert additional sheets of the same size)
LAW OFFICE
I FOREST N. MYERS
137 Park Place West,
Shlppensburg, Pennsylvania 17257
717.532.9046
Fax 717.532.8879
fn myers@earthlinlenet
April 2, 2007
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Register of Wills
Cumberland County
One Court House Square
Carlisle PA 17013
Re: JUDY, Sandra V
21-06-1028
Dear Sir or Madam:
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Enclosed please find for filing, a completed REV-1500, Inheritance Tax Return
Resident Decedent, in the above-captioned matter along with my check number 21959 for
$230.00 which represents probate costs and filing fees.
Please forward the receipt to me in the enclosed self-addressed, stamped envelope I
have provided for you.
Thank you for your assistance.
Sincerely,
~6-
Forest N. Myers
ash / enclosures
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S:\Share\SharedDrlcs\Word Pro(e~;sing\Cients'.Judy, jerry N\O('-41-0054\-lnh l<lx Ref tr<ll1S Itf-JUD, SA; [qale of Sandia V Judy,
deceased 1513,doc
Look for us on the web at www.lawofliceforestmyers.com
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