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HomeMy WebLinkAbout07-11-07 -.J 15056051058 REV-1500 EX (06-05) PA Department of Revenue . Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 21 06 : 1101 Date of Birth 086-20-0896 07/17/2006 07/25/1929 Decedent's Last Name Suffix Decedent's First Name MI Peterson Richard N (If Applicable) Enter Surviving Spouse's Information Below Last Name Suffix First Name MI J Ethel Spouse's Social THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW c::::.> 1. Original Return c::::.> 2. Supplemental Return c::::.> 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required c::::.> c::::.> 4a. Future Interest Compromise (date of death after 12-12-82) c::::.> 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c::::.> 10. Spousal Poverty Credit (date of death c::::.> 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name ()aytimEl!ElIElP~()~eI'JYmbElrmm 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes 4. Limited Estate c::::.> ~ c.::;::) Jeffrey N. Yoffe, Esq. (717) 975-1912 Firm Name Yoffe & Yoffe, P.C. r'---~--- I REGISTER OF WILLS USE ONLY '" c::::;, <:;;;) --J L c:: r- ("") So ~<::J:J D-o r;J:r: (") ~~) :5; Fn :2: CA ~ '~.'(JO ':) 0 -[1 .......~~~~~.~ ~i-i ;bo 3C la-i~ : I..) (::.:) 1(;) ::0 i9~8 i~::) C) . l-rl m':~~ ~ ::= n, V:i C) -rl First line of address 214 Senate Avenue Second line of address or Post Office State ZIP Code .............._....~ - : 17011 .c- C7'\ Correspondent's e-mail address:jyoffe@verizon.net Under penalties of pe~ury, I declare that I have examined this retum, 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RET RN DATE By Karen J. March, TransfereeX ADDRESS 1520 Seltzer Court, Mechanicsburg, PA 17050 SIGNATURE OF PREPARER OTHER THAN REPRESEN"[ IVE Yoffe & Y B ADDRESS 214 Senate Avenue, Suite 404, Camp Hill, PA 17011 PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051058 15056051058 ---I d-'OJ --.J 15056052059 REV-1500 EX Decedent's Name: Richard N Peterson 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) . . . . . . .. 5. 6. Jointly Owned Property (Schedule F) c:J Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c:J 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 Deductions {total Lines 9 & 10).... ............ ................... 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Govemmental 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, or transfers under Sec. 9116 (a){1.2) X .0_ 4,548.04 15. 16. Amount of Line 14 taxable at lineal rate X .045 4,5 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE....... . ......... .................................... .... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 . [)fJ~ed.fJllt:~ .S~.i~.I.. ~fJ~.L1~_ty~~.L1rT1~er. . ; 086-20-0896 9,096.08 9,096.08 9,096.08 9,096.08 20 c:::> 15056052059 --.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Richard N Peterson STREET ADDRESS 1520 Seltzer Court r~~21~l I ' 1101 DECEDENT'S SOCIAL SECURITY NUMBER 086-20-0896 CITY Mechanicsburg STATE PA ZIP 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 204.66 Total Credits (A + B + C ) (2) 3. InteresVPenalty if applicable D. Interest E. Penalty 3.89 TotallnteresVPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill In oval on Page 2, Line 20 to request a refund. (4) 3.89 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5) (SA) (5B) 208.55 A. Enter the interest on the tax due. 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;.......................................................................................... D [i] b. retain the right to designate who shall use the property transferred or its income; ............................................ D [i] c. retain a reversionary interest; or.......................................................................................................................... D [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... D [iJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. D [i] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D [i] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ D [i] 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)]. 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 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 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 decedent's 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 decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)].Asibling 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-1509 EX+ (6-98. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Richard N. Peterson FILE NUMBER 21-06-1101 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 ADDRESS RELATIONSHIP TO DECEDENT A. Karen J. March 1520 Seltzer Court, Mechanicsburg, PA 17050 . Daughter B. Ethel J. Peterson 1520 Seltzer Court, Mechanicsburg, PA 17050 Wife C. JOINTLY.OWNED PROPERTY: lETTER ITEM FOR JOINT NUMBER TENANT 1. A. DATE MADE JOINT DESCRIPTION OF PROPERTY INClUOE 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 DECO'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST A&B 08104/04 United Services Automobile Association CD 5335159 TOTAL (Also enter on line 6, Recapitulation) $ (If more space is needed, insert addilional sheets of the same size) 9,096.08 LAST WILL AND TESTAMENT OF RICHARD N. PETERSON I, Richard N. Peterson, of Cumberland County, Pennsylvania, being of sound mind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: I direct that my funeral be conducted in a manner corresponding with my estate and situation in life, and that all my just debts and funeral expenses be paid and satisfied by my Executrix hereinafter named, as soon as conveniently may be after my decease. SECOND: I give, devise and bequeath all of my estate, both real, personal and mixed, of whatsoever kind and wheresoever situate, to my wife, Ethel J. Peterson, providing however, that she survives me for a period of at least 60 days. If Ethel 1. Peterson does not survive me for a period of at least 60 days then I give, devise and bequeath all of my estate, both real, personal and mixed, of whatsoever kind and wheresoever situate, in equal shares to my children, Karen 1. March, Raymond S. Peterson and Linda L. Rehm and their issue per stirpes. THIRD: Anything herein to the contrary notwithstanding, if any issue of mine has not at the date of distribution of my estate, attained 18 years of age, I direct that the share( s) allocable to such issue be paid in Trust upon the following terms and conditions and for the following uses and purposes: a) The Trustee shall invest and reinvest the Trust assets. Page 1 of 4 ~ R.N.P. FOURTH: FIFTH: b) A separate Trust shall be maintained for each issue of mine whose share is paid to said Trustee. c) The Trustee may in its sole and uncontrolled discretion pay any amounts of income and/or principal for the health, support, education, welfare and maintenance of said Beneficiary(s). d) All payments by the Trustee relating to a particular Beneficiary(s), or expenses charged or paid allocable to a particular Trust, shall be paid out of and from that Trust. e) The Trusts shall be managed and the Trust funds invested in accordance with the provisions of the Pennsylvania "Probate, Estates and Fiduciaries Code", its supplements and amendments, except as otherwise provided herein. f) Upon a Trust Beneficiary attaining age 18, that Trust shall terminate and the Trustee shall pay to such Beneficiary, free and clear of the Trust, all remaining assets of that Trust. I hereby nominate, constitute and appoint my daughter, Karen 1. March, to be the Executrix of this my Last Will and Testament. I nominate, constitute and appoint Karen 1. March to be the Trustee of any Trust established pursuant to this Last Will and Testament. Page 2 of 4 ~ R.N.P. SIXTH: I direct that such Trustee may compensate herself out of any Trust over which she is Trustee but that such compensation shall not exceed 1 % of the net asset value of the Trust per year. SEVENTH: I direct that any fiduciary of mine herein named, be permitted to serve without bond in any jurisdiction where a bond would be required for the faithful performance of her duties, in the absence of this provision. I, Richard N. Peterson, the 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 that I signed it willingly and as my free and voluntary act for the purposes therein expressed. L1d~ # e~(seal) Richard N. Peterson Testator, this Sworn to or affirmed and acknowledged before me by Richard N. Peterson, the 1-1 ~ day of JlI1 {;t/{}, ,2006. COMMONWEAI;nl OF PENNSYLVANIA Notarial Seal Jeffrey N YotTe. Notary Public East Pennsboro Twp.. Cumberland County My Commission ExpirCll Oct. 23, 2008 Member. Pennsylvania Association of Notaries ~ 1/7 'Ii- (JO ~ PUBLIC My Commission Expires: We, MW155/.( 5f<ef7<</ and ,1/1 d /" ~ frI. Yo f~ the witnesses, whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and Page 3 of4 ~ R.N.P. say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue ~n7~ Witness( ~/1~ Witness Sworn to or affirmed and subscribed to before me by A111/, tit( S'ft')6''--' and /11 d r fYllll} fitL Y Ci fbL, witnesses this q th day of j}I) tl /i, ~ > 2006. ~' " t? AR p~( My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Bas Jeffrey N. Yaffe, Notary Public t Penns~ro Twp" Cumberland County My CommIssion Expires Oct 23, 2008 Member, Pennsylvania A'lsociation of Notaries Page 4 of 4 ~ R.N.P. LAW OFFICES YOFFE & YOFFE, P.C. 214 Senate Avenue, Suite 404 Camp Hill, P A 17011 NORMAN M. YaFFE JEFFREYN. YaFFE Telephone (717) 975-1838 Fax (717) 975-1912 July 9, 2007 P A Department of Revenue Re: Estate of Richard N. Peterson: 21-06-1101 Dear Interested Person: I represent Karen J. March, Executrix of the Estate of Ethel J. Peterson (21-07-0371). Ethel was the wife of Richard. Richard died on July 17, 2006. Ethel died on April 14, 2007. Karen is the daughter of Ethel and Richard. It was only after the death of Ethel that Karen learned that on August 4, 2004 her name was placed on a Certificate of Deposit from USAA Federal Savings Barne The other two names on the Certificate of Deposit were Richard N. Peterson and Ethel J. Peterson, Karen's father and mother. As a result of Karen's name being on the aforesaid certificate of deposit, she is filing the attached return in her capacity as a transferee of an asset of her father's. Thank: you. Sincerely, YOFFE & YOFFE, P.C. By k/JJ-'l'i Jeffrey N. Yoffe jyoffe@verizon.net 'f- :rkj)1JAtj,~ Kar n J. arch, Transferee ~ ~~~ -~-~~-~-~~-------~--~ I ne VVorleJ Un I ime@ ~edEx I Ship Manager I Label 7923 75979185 From: Origin 10: GTYA (717}975-1838 Jeffrey YoIfe Alpha Land Security, Inc. 214 Senate Avenue, SuRe 404 ~. m1 Camp Hili, PA 11011 CUU_71211:l3 SHIP TO: (117)240-6345 BILL SENDER Cumberland County Courthouse Cumberland County Register Of Wills 1 Courthouse Square Carlisle, PA 17013 '\ ";;" ~(, ~t. \ I 1\ 1 ( A I~ ___ ._. _ _~ _ r .. ... .. e. Page 1 of 1 Ship Date: lOJUL07 ActNgt: 2 LB System#: 1979039fINET2600 Accounl#: S ......... Delivery Address Bar Code 111111/111111111 ~11111~11111111111111111111111111111l11111111111111 = = ~~~ lD-o Pl '":" (j .} :";~:.: I ',-.- ''->r..-) 4: .~t1 j'; ,,-< -~ :~3 Sf~ : -~~s :0 " ,"") '.J o .J .n ~~:J C:) ''T1 -t" ;':-) ;',.-, J . ;, ...-.; L.. .-. ... i= Ref # Invoice # PO# Dept# ::~" .~:.;. TRK# 102011 792375979185 WED . 11JUL ~ STANDARD OVERNIGHT 16-GTY A MDT PA-US 17013 FedEx Express~ Shipments Onlv Align bottom of Peel and Stick Airbm or Pouch here. )