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05-14-07
'~ '~~• ~ REV-1500 OFFICIAL USE ONLV coMMONUUeAtTNOFPO•ISVwAN1A INHERITANCE TAX RETURN FlLENtaIaER ~r.~o+ ~~A°~p~"E RESIDENT DECEDENT 21 06 00$97 I1ARfi188URG, PA 17128.0801 COUNTY E YEAR N R DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECl1RnY NUMBER Killian, Darren W. 187-60-7966 DATE OF DEATH (MM-DD•YEAR) DATE OF BIRTH (MM-DD-YEAR) T}gS ~~~ M~ pE ~p ~ ~p~~~ ~N TME 08/15/2006 05/08/1974 REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Kerr, Stephanie 1. Original Retum 2. Supplemental Retum 3, Remainder Retum (date of death prior to 12-1382) ~ ~ 4. Limited Estate ~ 4a, Fut12~IMerest Compromise (date of death aner ^ 5. Federal Estate Tax Retum Required ^ 6. Decedent Died Testate (Attach copy ~ 7. Decedent Maintained a Living Trust (Attach 9. Total Number o} Safe Deposit Boxes of wllq copy WTrust) - 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death between ^ 11.Electlon to tax under Sec 9113(A) (Attach Sch O) . .. ~ .. . f NCE:AND E Sean M. Shultz, Esquire COMPLETE MAILING ADDRESS RM NAME (It appNCable) K i h 11 R d D i n g t & Associates, P.C. oa way r ve, Suite B LEPHONE NUMBER Cazlisle, PA 17015 717/249-5373 1. Real Estate (Schedule A) (1) 166,900.00 OFFICIAL USE {iINbY .. , ~ ~.: 2. Stocks and Bonds (Schedule B) (2) None ~ ~~ ._ ~? _ 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None ' '~ -- _ 4. Mortgages 8 Notes Receivable (Schedule D) (4) None -c" 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) Z 1 762 85 ~' . (Schedule E) ' ' ___ 6. Jointly Owned Properly (Schedule ~ (8) 2 628 19 - : r-i , . ^ Separate Billing Requested 7. Inter-Vvos Transfers 5 Miscellaneous Non-Probate Properly (7) None c~ (Schedule G or Ll ._..~ 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10,125.92 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) (10) 97,966.94 11. Total Deductions (total Lines 9 & 10) 12. Net Valus of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/SeC 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (line 12 minus Line 13) (B) 191,291.04 (11) 108,092.86 (12) 83,198.18 (13) (14) 83,198.18 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15, Amount of Line 14 taxable at the spousal tax rate, x ,~ (15) or transfers under Sec. 9116(a)(1.2) 16.Amount of Line 14 taxable at lineal rate 83,198.18 x .045 (16) 17.Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate x .12 (17) x .15 (18) 3,743.92 19• Tax Due (19) 3,743.92 20. ® • • e • • - h ~+ - ~~ ' , ~lWE5710 OH -3E AHL~ RECHECK MATH « Copyright 2000 form software ony The Lackner Group, Inc. Form REV-1500 EX (Rsv. 6-00) rpm pscedent's Complete Address: STREET ADDRESS 1446 Mountain Road CT1rY Newburg STATE PA ~ 17240 Tax Payments and Crodits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InteresUPenalty if applicable D. Interest E. Penalty (1) 3,743.92 4,245.53 187.20 Total Credits (A + B + C) (2) Total Interest/Penalty (D + 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 retund 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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) 4,432.73 0.00 ti88.81 ~.~~ 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 :.................................................................................. b. retain the right to designate who shall use the property transferred or its income :.................................... c. retairi a reversionary Interest; or .................................................................................................................. d. receive the promise for life of either payments, benefits or care? .............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property wfthin one year of death without ^ receiving adequate consideration? ....................................................................................................................... 3. Did decedent own an "intrust 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? ...................................................................................................................... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTION3 IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT A8 PART OF THE RETURN. Under penattlss of psrlury, I deGere that I have examined tlas return, including accompanying schedules end sietementa, and to the best of preparer other>hen the personal representable is based on aN irrformefion of which preparer has any Ivwwled9e. ~' ~O~e and belief, it is true, correct and amplete. Declaration of SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE a, Jr~ 15 Swartz Road ~.C~k~~ Newburg, PA 17240 J`~/~~f d RETURN SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS DATE Sean Ati SLnliz Esanire _ ~-~ 11 Roadway Drive Suite B Carlisle, P.4 1701 ~ For dates of death on or after Juy 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% p2 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% p2 P.S. §9116 (a) (1.1) (iq]. 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 'tf the surviving spouse is the ony 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°k [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. SCHEDULE A REAL ESTATE COMMONWEALTH of PaaNSnvnNln INHERRANCE TA% RETURN RESIDENT DECEDEM ESTATE OF I FlLE NUMBER Killian, Darren W. 21 - 06 - 00897 All roal property owned soldy or as a tenant In common must be ropo~~ at felr market value. Fair market value is defined as the price at which pr rty would be exchanged between a willing buyer and a wil mf g seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with rlSht of survivorship must ibs disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Real Estate situate at 1446 Mountain Road, Newburg, Pennsylvania -appraisal attached 166,900.00 TOTAL (Also enter on Line 1, Recapitulation) I l~~pp,pp SCHEDULE E CASH, BANK DEPOSITS, & MISC. ~T~~v~~ PERSONAL PROPERTY M@1ERRANCETAX RETURN RESIDENT DECEDENT E8TATE OF I FlLE NUMBER Killian, Darren W. 21 - 06 - 00897 Include the pproceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of sunrlvorshlp must t» dlsdossd on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 IRCO Community Federal Credit Union Savings Account #28507003 294.85 2 1RC0 Community Federal Credit Union Christmas Club 1,578.02 3 Junked 1993 Honda Accord 50.00 4 1990 Ford Mustang 1,225.00 5 4 wheelers 5,000 ~ 6 2000 Dodge Dakota truck 7,200 00 7 1982 Honda V45 Magna motorcycle 200 ~ 8 Sovereign Bank Checking Account No. 3531060295 6,214.98 TOTAL (Also enter on Line 5, Recapitulation) I 21762.85 s SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-0WNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Killian, Darren W. I FILE NUMBER 21 - 06 - 00897 ff an asset was made lolnt within one year of the decedent's date of death, it must be roported on schedule G. SURVIVING JOINT TENANT(S) NAME 75 Quarry Hill Road Newville, PA 17241 RELATIONSHIP TO DECEDENT ADDRESS A Stephanie Kerr JOINTLY OWNED PROPERTY: wife ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 2 A 01/03/2004 Cornerstone Federal Credit Union Savings Account 79.90 50°/ 39.95 No. 9405-01 3 A 01/03/2004 Cornerstone Federal Credit Union Checking Account 134.30 50°/ 67.15 No. 9405-07 4 A 01/16/2004 Cornerstone Federal Credit Union Christmas Account 299.55 50°/ 149.78 No. 9405-08 5 A 02/14/2004 Sovereign Bank Checking Account No. 3531002163 4,742.62 50°/ 2,371.31 TOTAL (Also enter on line 6, Recapitulation) ~ 2,628.19 COMMONWEALTH OF PENNSrivnNln INHEfiRANCE TAX RETURN RESIDENT DECEDENT St~U.E H FI~LD~ESB~ ~~~~T~ ESTATE OF Killian, Darren W. I FILE NUMBER 21 - 06 - 00897 Debts of decedent must bs reported on Schedule I. ITEM DESCRIPTION NUMBER AMOUNT A. FUNERAL EXPENSES: 1 Cumberland Valley Memorial Gazdens 2,929.00 2 Fogelsanger-Bricker Funeral Home 5,019.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees to Knight & Associates, P.C. 3, Family Exemption: (tf 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 Prothonotary 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Hippensteel Auto Service -towing wrecked caz 2 The Sentinel -advertise letters 1,500.00 278.00 158.85 166.07 Total of Corrtinuation Schedule(s) 75.00 TOTAL (Also enter on line 8, Recapitulation) 10125.92 Sd~edWeH COMMONWEALTH OF PENNSYLVANIA ~ ~~ INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Killian, Darren W. I FlLE NUMBER 21 - 06 - 00897 3 Cumberland Law Journal -advertise letters 75 DD Page 2 of Schedule H SCHEDULEI DEBTS OF DECEDENT, MORTGAGE oaaMONwExTHOFPaw~sv~vnNU INHER LIABILITIES & LIENS ~ R/WCE TA7( RETURN RESIDENT DECEDENT ESTATE OF I Killian, Darren W. FlLE NUMBER 21 - 06 - 00897 Include unrelmbureed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 Mortgage on real estate situate at 1446 Mountain Road, Newburg, Pennsylvania with Sovereign Bank 84,674.90 2 Chase 2,898.58 3 Bankcazd Services 1,033.47 4 Home Depot 776 77 5 Black Excavating 3,200 00 6 Personal loan 3,000 ~ 7 Real Estate Taxes 1,348.93 8 Personal Taxes 10.00 9 Timmons Oil, Inc. 510.90 10 Embazq 52.18 11 Penn National Insurance 322 00 12 GE Money bank 139.21 TOTAL (Also enter on Line 10, Recapituiatlon) I y^~~,yq . REV-161 EX+~y-0p) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF ( Killian, Darren W. FILE NUMBER 21 - 06 - 00897 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE OF ESTATE I~ TAXABLE DISTRIBUTIONS (include outright spousal distribwtions) 1 Tyler Scott Killian son 1/2 residue 75 Quarry Hill Road Newville, PA 17241 2 Kaitlyn Renee Killian daughter 1/2 residue 75 Quarry Hil Road Newville, PA 17241 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriat e, 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 II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Date: 5/25/4006 Time: 14e19 PN Tot ®1-401-434-9900 FNIS - ltazkat Iatel. Page: 001-004 LSI Market Intelligence 700 Cherrington Pkwy, Coreopols,PA 15108 800-577-8802 Second Mortgage Property Evaluation Loan No: 451920 - Lender: strvereipn cvi Subject PropartyAddrssa; 1448 MOUNTAIN RD MspecUon Date D5121/2006 City: NEW BURG Stets: ~A Zip: 17240 Owner/Borrowar. DARREN KILLIAN Property Type: Q Single Family ~ Condo ~ Mukl 2-4 Units ® Other mobile Dad Sourco ®Tex ~ MLS ~ Silsx O Experien Loeatlon: Urban Q Suburban QX Rural Predominant Occupancy: ©Owner Q Tenant Simgar Property Prlea Ranger. From S 150000 To S 1950r1A Predominant: S 175000 oparly Vakus: ^X Stable % Annual Appreciation % Annual Depreciel'an Comments on NarkutMalghborhoodlSubjed: Subject properly s oceted in a predomtnaMry rt-a ttntlal area among prop s of Simi ar style en market appear. dome Is owntw bll customer, aubj is a mobile, appears on psrmenen n a on~~ acT e~aTue rewse o o m e teat on raga mg varying sizes Nod: Race or racial tom ru/don of a na boyhood should not ba conaltlared a factor. SubjactPropartyLocatlon: ~ Excellent ®Good ~ FaF Q poor SubjectPropartyCondklon: Q Excellent ®Good 0 FeF Q Poor FoaWnttlCondklons afftrcting market value: Maintance free exterior. Mt view. Ara than ^ environmental roblams whh the sub ct ro s nY P 1• P P S 0 Yes ®No 0 Possible If "Yea' w "Poas6ls" please explain: Describe Hproblems areflood relebd: Sub act Garage! Lot Interbr Msrket Style Aga Rooms Beds Baths Carport Size Sq. Ft. Vales Condition Mobile 13 8 3 2 2A/0 2.03ac 1344 5188,9D0 Good Sold Com s: Gangs) Lot Interior SeN gold Proxknky Style A e Roams Bads Baths Carport Size Sq. Ft. Deb N Price to subject Condition Addross Timer Hi hwa Ranch 24 6 3 1 2A/D 1.3ac 1300 0412006 16 $165,0 6 miles Gotxi Overet Comparison to Subject Property: 0 Superior ®Interor Q Equal NatratNe: Covered trout and rear porches, freshy palrtted Interior Address odular 9 6 3 2 2D 1.78ac 1458 0412008 14 186 9 9 miles Good Overet Comparison to Subject Property: Q Superbr Q Interior ©Equal NartatHe: fireplace, full baserrlertt, 2 car detached Address 22 G nand Ddve Ranch 48 8 3 2 2A/0 D.42ac 1472 D1/21106 3 5179 9 8 mies Good Overet Comparison to Subject Property: ®Superior ~ Inferior a Equal NarretNe: Fireplace in family room hardwood Moors fenced yard Type of InspetAion: X Intedw Subject Estimated Exterbr ~ $ 168 900 , YerketVdw: This malysis and evalnatinn of an interest in real pmpeny for mmership or eMlatenl purposes is preparod by and for the fiillmring Mmetal institution, idmtlned u Imder aMve, ro be used for internal ptrposes rnlly. Thix doctmumt Is not m appraisal and Is Intended for use mty for loan tranxaclitms waled at S?SD,ODD or less. as required by Title XT otFIRREA. The agent wbmiaing this 2ptrct represents the hc'she drove by the subject pmperty and the heishe haz nn intuest in the propetty. Broker/Agent: Client Services Market Intelligence Quality Control BrOkar Agency: aA~rMat Inrullieanrtw Approved by: le 108157968 r . Date: 5/35/1006 Time: 1419 PN Toy ® 1-401-439-4900 FNIS - t9arkst Iatel. Page: 004-003 ~J~ Y Loan No: 451920 Address: 1446 MUUNTAIN RD N1rWBURG, PA 17240 ~. KNZGx~r ~.AssoclA~s P.C. Attorneys at Law May 11, 2007 Register of Wills 1 Courthouse Squaze Cazlisle, Pennsylvania 17013 RE: Estate of Darren W. Killian Estate No. 21-06-00897 My File No. 4003.1 Deaz Register of Wills: ~'~'~~1 ~°i~ ~` ~ ~ f~r ~ I • ~ 7 nl ,i ~`, ... Enclosed for filing please find an original and two copies of an Inheritance Tax Return in the above-referenced estate. Please return atime-stamped copy to my office in the enclosed self- addressed, stamped envelope. I have also enclosed a check in the amount of $15.00 representing the filing fee. Should you have any questions or wish to discuss this matter further, please do not hesitate to contact me. Very truly yours, T & ASSOCI .C. ean M. Shultz SMS/dmh Enclosures F:\U~er Folder\Fum Doce\ErtstaN003-lreg.wills.2.wpd 11 Roadway Dtive Suite B Carlisle, PA 17015 ^ 717-249-5373 717-Z49-0457 fax Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: SEAN M. SHLJLTZ, ESQ Invoice Date: Estate of 11 ROADWAY DRIVE SUITE B Estate No: CARLISLE, PA 17013 Qty Fee Description Fee Total 1 Additional Probate 50.00 $50.00 Total: $50.00 1415 5/15/2007 Darren W. Killian 21-06-00897 dm Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. ~p nc~ lt~no ~~~~ ~~~~ t~S-d ~~~a N ~~ -`- O m ~ LL o C7 ._ aNiJ Q O ~ .~ ^~ ~, 1 -) M ~--i O n .-~ cd .~, t^- c~ ~._ ~ __ ~_ :~ -`-; r w~~- ~ c~ 0 r,:= ~ •~ ,--. ~ ~ _ ~ ~ ~ N o o a i ~ ai -~ ..~ c .~ _ ~ U U ~~ ,, U ~-' ~~; Q -~; a Q '~ ,~ ? ~C1 ~, J ~. a ~~ rr r ~ r ,G Q _, l {'s i., ~