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HomeMy WebLinkAbout07-23-07 (2) ..J 15056051058 REV-1500 EX (06-05) PA Department of Revenue '*' Bureau of Individual Taxes .'il1I1. . PO BOX 280601 Harrisburg, PA 17128-060 1 ~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 21 07 0425 Date of Birth 207-22-1536 01/19/2007 05/17/1930 Decedent's Last Name Suffix Decedent's First Name MI Rowe Virginia N (If Applicable) Enter Surviving Spouse's 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 .. 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate <- 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy oITrust) 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 SECTION 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. Litigation Proceeds Received o 8. Total Number of Safe Deposit Boxes Robert C. Saidis, Esq. (717) 243-6222 Said is Flower & Lindsay ~: ) REGISTER OF.\/y~ USE ONt"t'J -. (...- 1""'.,') " Firm Name (If Applicable) First line of address -) 26 West High Street r,,) c.) ,.-...... Second line of address .--~) '1'1 ZIP Code t -.i DAi:E~ILED G) City or Post Office State G') ) J'; Carlisle PA 17013 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 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. SIGNAT~.OF..PP.~ERRSS~ . R REEf{ ONS. ISLE FOR~.IINNGG R R~ETTUUFRN DATE ADDRES{/~ T /~'7 //tjD7 1267 Goodyear SIGNATURE OF. EPA DATE ADD RES'&-- 26 West High Street, Carlisle, PA 17013 PLEASE USE ORIGINAL FORM ONLY L 15056051058 Side 1 15056051058 .....J ~ L.V. I IL..L....'I . II... "'.r-....... 1__ _.,... .,...-._..._. ..._,...,. .,.... _."'_ __ r-o... _ '" _."'..--... ..._... L 15056052059 Side 2 15056052059 .....J -1 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: Virginia N Rowe 207 -22-1536 RECAPITULATION 1. Real estate (Schedule A). 1. 0.00 2. Stocks and Bonds (Schedule B) . . . . . . . . 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . 3. 0.00 4. Mortgages & Notes Receivable (Schedule D) . 4. 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . 5. 126,971.89 0.00 6. Jointly Owned Property (Schedule F) Separate Billing Requested. . 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested. . . 6. 7. 0.00 8. Total Gross Assets (total Lines 1-7). . . . 8. 126,971.89 10,512.55 185.56 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. 13. 10,698.11 116,273.78 0.00 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . 12. 14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . 14. 116,273.78 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_ 0.00 15. 0.00 16. Amount of Line 14 taxable at lineal rate X.O 45 116,273.78 16. 5,232.32 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17. 0.00 18. Amount of Line 14 taxable 0.00 0.00 at collateral rate X .15 18. 19. TAX DUE . ..................... . .............. . ..19. 5,232.32 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 15056052059 -.J REV-1500 EX Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Virginia N Rowe STREET ADDRESS Forest Park Health Center 21 07 0425 DECEDENT'S SOCIAL SECURITY NUMBER 207-22-1536 700 Walnut Bottom Road CITY Carlisle ! STATE PA I ZIP , 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 5,232.32 0.00 0.00 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) 0.00 0.00 0.00 Total Interest/Penalty ( 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) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) 0.00 0.00 5,232.32 0.00 5,232.32 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. 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 [iJ 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. 99116 (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. 99116 (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 retum 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 PS. 99116(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. 99116(1.2) [72 PS. 99116(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. 99116(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-1508 EX+ (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISe. PERSONAL PROPERTY ESTATE OF Virginia N. Rowe FILE NUMBER 21-07-0425 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Checking Account #31081373, M & T Bank. See attached letter. 85.53 2. Savings Account #015004214278895, M & T Bank. See attached letter. I nterest accrued to date of death 38,813.32 6.32 3. Certificate of Deposit #031 003915940330, M & T Bank. See attached letter. I nterest accrued to date of death 50,000.00 1,309.58 31,971.96 96.50 4. IRA Account #035004202201147. See attached letter. Interest accrued to date of death 5. Forest Park Health Center, refund 4,688.68 TOTAL (Also enter on line 5, Recapitulation) $ 126,971.89 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99)* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Virginia N. Rowe FILE NUMBER 21-07-0425 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Dugan Funeral Home, Funeral Uriah United Methodist Church, donation for funeral service and luncheon reception afterwards 7,131.00 1,000.00 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 2,000.00 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 140.00 5. Accountant's Fees 6. Tax Retum Preparer's Fees 7. Cumberland Law Journal, Advertising estate notice 75.00 8. The Sentinel, Advertising estate notice 151.55 9. Register of Wills, Fee to file Inheritance Tax Return 15.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10,512.55 REV-1512 EX+ (12-03) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Virginia N. Rowe FILE NUMBER 21-07 -0425 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Continuing Care Rx, Account, Prescription Drugs VALUE AT DATE OF DEATH 118.10 2. Pinker & Associates, Account, Medical Services 36.78 3. Graham Medical Clinic, Account, Medical Services 30.68 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 185.56 REV-1513 EX+ (9-00) '* SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Virginia N. Rowe FILE NUMBER 21-07 -0425 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Michael T. Rowe Son 58,136.89 1267 Goodyear Road, Gardners, PA 17324 2. Lisa Gayle (Starner) Wickard Daughter 58,136.89 410 South Spring Garden Street, Carlisle, PA 17013 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 $ (If more space is needed, insert additional sheets of the same size) 'J (?-J SAIDIS, GUIDO, SHUFF & MASLAND 26 w. High Street Carlisle, PA LAST WILL AND TESTAMENT OF VIRGINIA N. ROWE I, VIRGINIA N. ROWE, of Gardners, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and Codicils herefoforemade by me. FIRST I direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate in such amount as he shall consider necessary and desirable, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. Further, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SECOND I devise and bequeath my real estate known as 410 Spring Garden Street, Carlisle, Pennsylvania to my daughter, LISA GAYLE .....:;,. ... STARNER, per stirpes. THIRD In the event that my husband, PAUL R. ROWE, shall survive me, I devise and bequeath our residence known and numbered as 1265 Goodyear Road, Gardners, Cumberland County, Pennsylvania, together with all household goods and furnishings therein, and all policies of insurance on said real and personal property to my husband, PAUL R. ROWE, without liability for waste, for his 1 life, so long as he desires to use such premises as a home and pays all costs of maintenance thereof, including taxes, assessments, insurance and ordinary repairs, said property to be insured in a reasonable amount insuring the interest of the remaindermen as well as himself. Upon the death of IUY husband or at such prior time as he shall no longer use said premises as a home for himself, I devise and bequeath said real estate to my . ~ ~ ~ children, MICHAEL T. ROWE and LISA GAYLE STARNER, per stirpes. FOURTH I give, devise and bequeath all the rest, residue and remainder of my estate to my beloved husband, PAUL R. ROWE, absolutely and in fee simple, if he survives me by thirty (30) days. FIFTH SAIDIS, GUIDO, SHUFF & MASLAND 26 w. High Street Carlisle, PA In the event that my husband, PAUL R. ROWE, fails to survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate in equal shares unto my children, MICHAEL T. ROWE and LISA GAYLE STARNER, per stirpes. Provided, however, that should any such share of my estate pass to the issue of a deceased child, who shall not then have attained the age of twenty-one (21) years, each such issue's share shall be retained by FARMERS TRUST COMPANY, IN TRUST, upon the terms and conditions set forth in the trust created by my husband, PAUL R. ROWE. SIXTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this will or otherwise be paid out of the principal of my residuary estate. SEVENTH In addition to the powers conferred by law, I authorize any representative acting under this instrument, in his/her absolute discretion: (a) To retain any investments I may have at my death so long as my Executor or Trustee may deem it advisable to my estate or trust so to do. (b) To vary investments, when deemed desirable by my Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other real or personal property as my Executor or Trustee shall deem wise, without being restricted to so called "legal investments." SAIDIS, GUIDO, SHUFF & MASLAND 26 w. High Street Carlisle. PA (c) In order to effect a division of the principal of my estate or trust or for any other purpose, including any final distribution of my estate or trust, my Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty partly or.wholly ) ~ .~ t SAIDIS, GUIDO, SHUFF & MASLAND 26 w. High Street Carlisle, PA in kind. If such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor or Trustee shall divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation among the beneficiaries. (d) To sell either at public or private sale and upon such terms and conditions as my Executor or Trustee may deem advantageous to my estate or trust, any or all real or personal estate or interest therein owned by my estate or trust severally or in conjunction with other persons or acquired after my death by my Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor or Trustee in this paragraph or elsewhere in this will. (e) To mortgage real estate; and to make leases of real estate for any term. (f) To borrow money from any party, including my Executor or Trustee, to pay indebtedness of mine or of my estate or trust, expenses of administration, Death Taxes or other taxes. (g) To pay all costs, Death Taxes or other taxes, expenses and charges in connection with the administration of my estate or trust, and my executor shall pay the expenses of my last illness and funeral expenses. (h) To vote any shares of stock which form a part of my estate or trust and to otherwise exercise all the powers incident to the ownership of such stock and to actively manage and operate any incorporated or unincorporated business, including any joint ventures and partnerships, and to incorporate any such unincorporated business, with all the rights and powers of any owner thereof. (i) In the discretion of my Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of my estate or trust. (j) To assign to and hold in my estate or trust an undivided portion of any asset. (k) To hold investments in the name of a nominee. (1) To compromise controversies. SAIDIS, GUIDO, SHUFF & EIGHTH MASLAND 26 W. High Street Carlisle, PA I hereby appoint my husband, PAUL R. ROWE as Executor of this will. If for any reason he should fail or cease to act, I appoint MICHAEL T. ROWE. If both should fail or cease to act, I appoint my daughter, LISA GAYLE STARNER. SAlDIS, GUIDO, SHUFF & MASLAND 26 w. High Street Carlisle, PA NINTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, VIRGINIA N. ROWE, have hereunto set my hand and seal to this my Last Will and Testament, consisting of seven (7) typewritten pages, the first six (6) of which bear my signature in the margin for identification, this /~1i1day ofM 1994. ?}~ '7/{.'E~~ VIRGI. AN. ROWE Signed, sealed, published and declared by the above-named Testatrix, VIRGINIA N. ROWE, as and for her Last will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, In the presence of said each other. ADDRESS (;Ja &v I h', .1- v C~~1 tG c2 G W. {r-.;t. ~ )~..J 7013 / / / ADDRESS .----.---_. ~ SAlDIS, GUIDO, SHUFF & MASLAND 26 w. High Street Carlisle. PA COMMONWEALTH OF PENNSYLVANIA: SS COUNTY OF CUMBERLAND WE, VIRGINIA N. ROWE, ROBERT C. SAIDIS, and Edward Guido , the Testatrix and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the Will as witness and that to the best of their knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Witness , Witness Subscribed, sworn to and acknowledged before me by VIRGINIA N. ROWE, the Testatrix, and subscribed to and sworn or affirmed to before me by ROBERT C. SAIDIS, and witnesses, this ISM. day of Edward E. Guido ,J~~.~ , 1994.) ,/ //// / . /.-,,/ .->" ..-' /' t / 0.1\ ~44/Lc.-/ Notary Public . '.L Sr:t-.L ','''1 ,,{\\.... no" >,:.- nv r........~.,r\. ~ 0.l!.\\~".... CI"'~ '\0 t'J....;,...r.\ r 'P" c(l\ ~ \1: ,':\""" , ":-'''int\!.' c' C<tT;\~';']:~'~i;~~;~~;~f~"'~~;.ii: ,i~ ~,f;'~ v!),l~~,"~'- MAY 1 6 2001 ~M&fBank 499 Mitchell Road, Millsboro, DE 19%6 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 May 14,2007 Law Offices Saidis Flower & Lindsay 26 West High Street Carlisle, Pennsylvania 17013 Re: Estate of" Virginia N Rowe Social Securitv: 207-22-1536 Date of Death: January 19.2007 Dear Sir or Madam: Per your inquiry dated May 8, 2007, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 1081373 Ownership (Names oj) Paul R Rowe * cu "- Virginia N Rowe * Opening Date 08/23/90 Balance on Date of Death $ 85.53 Accrued Interest $ 0.00 Total $ 85.53 2. Type of Account Savings Account Account Number 015004214278895 Ownership (Names oj) Virginia N Rowe * Opening Date 07/18/06 Balance on Date of Death $38,813.32 Accrued Interest $ 6.32 Total $38,319.64 3. Type of Account Certificate of Deposit Account Number 031003915940330 Ownership (Names oj) Virigina N Rowe * Opening Date 07/18/06 Balance on Date of Death $50,000.00 Accrued Interest $ 1,309.58 Total $51,309.58 4. Type of Account IRA Account Number 035004202201147 Ownership (Names oj) Viriginia N Rowe * Michael T Rowe, Beneficiary * Lisa G Wickard, Beneficiary * Opening Date 10/05/06 Balance on Date of Death $31,971.96 Accrued Interest $ 96.50 Total $32,068.46 5. Type of Account IRA Account Number 035004110112121 Ownership (Names oj) Viriginia N Rowe * Michael T Rowe, Beneficiary .. Lisa G Wickard, Beneficiary .. Opening Date OS/27/05 Closed 10/05/06 Balance on Date of Death $ 0.00 Closed prior to the date of death Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or the name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call the Spring Garden Office # 717-240-45252. Sincerely, ~ {c~- /z/t7f " ;} ).( {/ Nancy clagett Records Management