HomeMy WebLinkAbout06-27-07
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15056041147
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
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1 0 7
File Number
445
Decedent's Last Name
Suffix
Date of Birth
01031919
Decedent's First Name MI
HAROLD A
Spouse's First Name MI
ALICE H
117033564
05202005
WOOSTER
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
WOOSTER
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
[!j 1. Original Return
4. limited Estate
o
o
o
o
4a. Future Interest Compromise
(date of death after 12-12-82)
2. Supplemental Return
o
o
3. Remainder Return (date of death
priorto 12-13-82)
5. Federal Estate Tax Return Required
o
00
o
6. Decedent Died Testate
(Attach Copy of WiN)
7 Decedent Maintained a Living Trust
.. (Attach Copy of Trust)
8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received
10 Spousal Poverty Credit (date of death
. between 12-31-91 and 1-1-95)
o
11. Election to tax under Sec. 9113(A)
(Attach Sch. 0)
Firm Name (If Applicable)
CORRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name -'. .' , Daytime TelePrntne Number~' .
JAM E S D. HUG H ESE SQ. 7 1 7 2 4 ~~3 3 =:3' d~
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SALZMANN
HUGHES
PC
. First line of address
354
ALEXANDER
SPRING
ROAD,
Second line of address
City or Post Office
CARLISLE
DATE FILED
State
PA
ZIP Code
17015
Correspondent's e-mail address:
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. and to the 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.
SIGN TU O~ PER ES N BlE FOR IlING RETURN DATE
Alice H. Wooster
James D. Hughes Esq.
L
anderSpring Road, SUite 1, Carlisle, PA 17015
Side 1
15056041147
15056041147
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15056042148
REV-1500 EX
Decedent's Name: Harold A. Wooster
117033564
Decedent's Social Security Number
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) 0 Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 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 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 COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X ~
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
37,764 27
15.
o 00
16.
o 00
17.
o 00
18.
19. Tax Due................. .... ... .... .... :..... .... .... ........................ ................ .... .,. ...... .................. 19.
20. FilL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
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Side 2
L
15056042148
38 766 27
38 766 27
1,002 00
1,002 00
37 764 27
37,764.27
15056042148
o 00
o 00
o 00
o 00
o 00
D
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Harold A. Wooster
STREET ADDRESS
6 Moore Circle
File Number 21-07 -445
Carlisle
1 STATE
PA
lZ'P
17013
CITY
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
0.00
3. InteresVPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
0.00
Total.lnteresVPenalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4)
(5) 0.00
(5A)
(58) 0.00
.'
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 trans.ferred;.................................................................................. 0 [!J
b. retain the right to designate who shall use the property transferred or its income;.................................... 0 [!J
c. retain a reversionary interest; or.................................................................................................................. n [!J
d. receive the promise for life of either payments, benefits or care?.............................................................. 0 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .......... ................ .... ... ....... ................. ..................... ... .......... .... ........................ 0 [!J
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 [!J
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?.............. ........................ ...................................... .... ..................................... [!J 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)].
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)]. 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.
Rev-1510 EX+ (5-981
.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wooster, Harold A.
FILE NUMBER
21-07-445
ESTATE OF
This schedule must be completed and filed W the answer to any of quesUons 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM IIUN ur . "~. ~,: I Y DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NuMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE.
1 Phoenix - annuity contract #050609DE0245 38.766.27 38.766.27
- .
TOTAL (Also enter on Line 7, Recapitulation) 38.766.27
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wooster, Harold A.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-07-445
ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number{s) I EIN Number of Personal Representative{s):
Street Address . .
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees SALZMANN HtJGHES PC 750.00
3. Family Exemption: (If 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 252.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
TOTAL (Also enter on line 9, Recapitulation) 1,002.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
REV-1513 EX+ (9-001
.
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
Wooster, Harold A.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
C1istributions..l. and transfers
under Sec. ~116(a)(1.2)1
RELATIONSHIP TO
DECEDENT
Do Not Ust Trustee'sl
FILE NUMBER
21-07-445
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
ESTATE OF
I.
Alice H. Wooster
6 Moore Circle
Carlisle, PA 17013
Spouse
Total
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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
LAST WILL AND TESTAMENT
I, HAROLD A. WOOSTER JR. a/k/a HAROLD ABBOTT WOOSTER a/k/a H.
ABBOTT WOOSTER, of South Middleton Township, Cumberland County, Pennsylvania,
being of sound mind, disposing memory and full legal age, do hereby make, publish and declare
this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made
by me.
ONE.
I direct my Executor or Executrix, as the case may be, to 'pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that al1.state, inheritance, succession and other death taxes imp~sed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my gross
estate for death tax pUrposes, whether or not such property passes under this. Will, shall be paid
by the Executor or Executrix of my estate.
TWO.
My Executor or Executrix may, at his or her discretion, compromise
claims, borrow money, retain property for such length of time as' he or she may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as he or she may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell
any realty and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale
therefor, in fee simple, as I could do if living. My Executor or Executrix is authorized and
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empowered to engage in any business in which I may be engaged at my death, for such period of
time after my death as seems expedient to said Executor or Executrix.
I give, devise and bequeath all of my estate of whatever nature and
THREE.
wherever situate to my spouse, ALICE H. WOOSTER.
FOUR.
If my spouse, ALICE H. WOOSTER, does not survive me by a period of
at least sixty (60) days, I then give, devise and bequeath the rest, residue and remainder of my
estate equally.to my children, ANN S. WOOSTER, PAMELA M. WOOSTER, MARTIN M.
WOOSTER, per stirpes, which provides that the child or children of any deceased beneficiary
shall take the share their parent would have taken if living and KATHARINE V. REYNOLDS,
whose share shall be held IN TRUST in accordance with the provisions of Paragraph Five below.
FIVE.
If my spouse, ALICE H. WOOSTER,' has predeceased me or failed to
survive me by sixty (60) days, and if my daughter, KATHARINE V. REYNOLDS, is under the
age of sixty- five (65) years at the time of my decease, I then hereby give, devise and bequeath her
share to be held IN TRUST by the hereinafter named Trustee according to the following terms
and conditions:
The Trustee, as well as my Executor or Executrix, as the case may be, is hereby
authorized to retain, unconverted, any property, real or personal, that I may own at my
death and shall be under no duty to convert it into legal investments. The Trustee shall
have the power and authority to sell, transfer, convey, invest and reinvest and to pay over
the net income of the trust property, to or for the use of my said daughter, or to
accumulate it in the sole discretion of the Trustee. The Trustee is also authorized and
empowered to pay over to, or for the use and benefit of my said daughter such portion of
or all of the principal of the trust estate as in the Trustee's sole discretion seems proper for
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her continued support, maintenance, education, medical care or general welfare. My
primary objective is to insure the continued support, maintenance, education and medical
care of my said daughter until she reaches the age of sixty-five (65) years. When my
daughter reaches the age of sixty-five (65) years, then whatever remains of principal and
income under this Trust shall be distributed to my said daughter. In the event that my
daughter, KATHARINE V. REYNOLDS, becomes deceased prior to her distribution
hereunder, I then give, devise and bequeath whatever remains of principal and income,
. subject to the same provisions herein, unto my son-in-law, JAMES G. REYNOLDS. If
my daughter, KATHARINE V. REYNOLDS and my son-in-law, JAMES G.
REYNOLDS, both become deceased prior to distribution of this Trust, I then hereby
direct whatever remains of principal and income in this Trust shall be divided equally
between the remaining heirs and beneficiaries who are referred to in Paragraph Four
herein.- If, for whatever reason there are no heirs or beneficiaries remaining, then in that
event, the rest, residue and remainder hereof shall be distributed in equal shares to the
. beneficiaries set forth in Paragraph Six below.
SIX. In the event of a common disaster causing the death of myself, my spouse
and all of my children, without leaving surviving' issue, all within a period of sixty (60) days,
then I give, devise and bequeath the rest, residue and remainder of my estate as follows:
A. Fifty percent (50%) to the NATURE CONSERVANCY in Arlginton,
Virginia, for its general charitable purposes; and
B. Fifty percent (50%) to the UNIVERSITY OF MISSISSIPPI SCHOOL OF
PHARMACY for a scholarship in the name of Elmer Lionel Hammond.
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SEVEN. I nominate and appoint my spouse, ALICE H. WOOSTER, to be the
Executrix of this my Last Will and Testament. In the event she has predeceased me, failed to
qualify or is not able or does not serve for whatever reason, I then appoint MARTIN M.
WOOSTER to be the substitute Executor of this my Last Will and Testament. In the event he
has predeceased me, failed to qualify, or is not able or does not serve for whatever reason, I then
appoint ANN S. WOOSTER to serve as substitute Executrix of this my Last Will and Testament,
whereby the said substitute personal representatives shall have the same powers as are given to
the original Executrix hereunder.
EIGHT. I hereby nominate and appoin~ MARTIN M. WOOSTER, or if he is not
able or does not serve for whatever reason, I hereby nominate and appoint JAMES D. HUGHES,
to serve as Trustee of the trust created in Paragraph Five hereof.
- NINE. No person(s) shall benefit hereunder" unless such beneficiary shall survive
me by sixty (60) days.
TEN. No Exe"cutrix, Executor or Trustee acting hereunder shall be required to
post bond or enter security in this or any other jurisdiction.
ELEVEN. No beneficiary may assign, anticipate or pledge his or her interest in any
income or principal held or distributable hereunder, and no beneficiary's creditors may levy,
attach or otherwise reach any such interest.
TWELVE. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
9(9K
4
be declared void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue pursuant to Paragraph Four hereof except that if such person or
institution is entitled to share in the said residue, that interest shall be distributed proportionately
to the other residuary distributees.
THIRTEEN. The Trustee, as well as my Executor or Executrix, shall have the following
powers, in addition to those vested in it by law, for my property held for the benefit of my
beneficiaries, whether income or principal, exercisable without court approval and effective until
the distribution of all property under the terms of the trusts set forth in Paragraph Five above:
The Trustee, at its discretion, may compromise claims, borrow money or retain
property for such length of time as it may deem proper, sell lease, pledge, mortgage,
transfer, exchange, convert or otherwise dispose of or grant option of all or any porti~n of
trust property for such prices and on such terms in public or private transactions as it may
deem proper; and invest trust property and income without restrictions to legal
investments. ~he determination of the Trustee with respect to the advisability of making
payments out of the income or principal to any heir or beneficiary inheriting hereunder
shall be conclusive and bjnding on all persons howsoever interested in the re~pective
trust. Further, the Trustee shall be authorized to receive additions to the respective trust
of any kind or any property whatsoever from sources other than my estate and at any time
in the sole discretion of the Trustee.
[THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK.]
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this t day of July,
2003.
~.4 q.~~#"
i\'OLD AL WOOSTER JR.
~~ ~(st1Y~
. . a HAR LD ABBOTT WOOSTER
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's p~esence and in the
presence of each other have hereunt~ set our names as subscribing witnesses.
6
ACKNOWLEDGMENT AND AFFIDAVIT
WE, HAROLD A. WOOSTER, JR., a/kla HAROLD ABBOTT WOOSTER, a.k.a H.
ABBOTT WOOSTER, JAL'\1ES D. HUGHES and CHERYL L. CLELAND, the testator and
witnesses respectively, whose names are signed to the foregoing instrument, being fIrst duly sworn, do
hereby declare to the undersigned authority that the testator signed and executed the instrument as his
Last Will, and that he had signed willingly, and that he executed it as his free and voluntary act for the
purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator,
signed the Will as a witness and that to the best of their knowledge the testator was, at that time, eighteen
years of ago or older, of sound mind and under no cOL~enco. ./' I
ttW~1h
. OLD A. OOSTER, JR ~
OSTER, . .
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COMMONWEALTH OF PENNSYLVANIA:
: SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by HAROLD A. WOOSTER, JR., a/kla
HAROLD ABBOTT WOOSTER, a.k.a H. ABBOTT WOOSTER, the testator herein, and subscrib~c!.
and sworn to before me by JAMES D. HUGHES and CHERYL L. CLELAND, witnesses, this iAr-
day of July, 2003.
I Notarial Se I
M~a L. Noel, Nnw.r." !':lbiIC
, Carhsle .Boro, Cumberif;ri,j C>;,unty
- _. My CommIssion Expire; Scp, 18, 2003
-..----
"?:~;nh,~r D~':r""~:\IIV(HI; "'~:'07;;;on of Notaries
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PHOENIX
June 8, 2007
Estate of Harold Wooster
Alice H Wooster Exec
354 Alexander Spring Road Ste 1
Carlisle P A 170 IS
Dear Mrs. Wooster:
At Phoenix, we understand that you may need time to think through major financial decisions. Ifwe can
assist you in any way, please contact us at 1-800-814-3692.
Enclosed is your Statement of Benefits showing a detailed breakdown of the proceeds paid.
The Phoenix Concierge Account provides immediate access to the proceeds. Checks can be written for expenses,
for deposit into a regular checking account, or the account can be closed by writing a check for the entire balance.
Funds held in the account earn a competitive rate of interest and are guaranteed by Phoe~ix. The current
interest rate is 3.00% and is subject to change.
For more detail regarding the account, please refer to the brochure that is enclosed with the Account.
Sin;cerclY, .{
+\1~
D~h ~ustache' '-.../
Life Claim Examiner
Benefits
P.O. Box 22012
Albany, NY 12201-2012
5184798000 Phone
www.phoenixwm.com
, .
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PHOEN IX
Statement of Benefits
June 8, 2007
Estate of Harold Wooster
Alice H Wooster Exec
354 Alexander Spring Road Ste 1
Carlisle PA 17015
Re: Deceased Harold Wooster
Claim No: 050609DE0245
Cont;ractNIIIll~r " .~,l)\)q;'%/Si '.
Contract Value $51 932.25
Withholdim! Amount
Miscellaneous Refund
Taxable Contract Interest $0.00
Taxable Settlement Interest $28.96
Gross Distribution $51,961.21
Net Proceeds $51.961.21
Total Proceeds . 151,96L21
.. Date of Death Value $38,766.27
Payee(s): Estate of Harold Wooster Pay.able Amount $51,961.21
Prepared By: Deboarh Eustache Extension: 8100
Benefits 1-800-814-3692
P.O. Box 22012 518479 8000 Photle
Albany. NY 12201-2012 www.phoenixwm.com