HomeMy WebLinkAbout08-10-07
--.J
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
15056041147
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN 2 1
RESIDENT DECEDENT
File Number
07
0494
Date of Birth
189187475
05122007
07251924
Decedent's Last Name
Suffix
Decedent's First Name
MARY
MI
K
THRUSH
(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
IX
1. Original Return
D
D
2. Supplemental Retum
D
D
o
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)
x
6. Decedent Died Testate
(Attach Copy of Will)
7 Decedent Maintained a Living Trust
. (Attach Copy of Trust)
8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received
D
10 Spousal Povertl' Credit (date of death
. between 12-31-91 and 1-1-95)
"
, I
'----'
11. Election to tax under Sec. 9113(A)
(Attach Sch. 0)
~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
CHRISTOPHER E. RICE 7172433341
Firm Name (If Applicable)
MARTSON LAW OFFICES
State
PA
ZIP Code
17013
C;C")
';2-"1,
DAT~ILED
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REGISTE~~F WILLS UgONL Y
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First line of address
10 EAST HIGH STREET
Second line of address
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City or Post Office
CARLISLE
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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.
~ SIG~~RE OF PERSON RESPONSIBLE FqR FILING RETURN DATE
~h~9r-,;h~~ ShirleyM.KILLIAN 4ft/07
ADDRESS ~
4 Pine Road, Walnut Bottom, PA 17226
F PREPARER OTHER THA EPRESENTATIVE
1.
Christopher E. Rice
DATE
P-19/~
10 East High Street, Carlisle, PA 17013
Side 1
L
15056041147
15056041147
--.J
J
---I
1505b042148
REV-1500 EX
Decedent's Name: Mary K. T H R U S H
RECAPITULATION
1. Real Estate (Schedule A}..........................................................m........................ 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 i4"tai<able
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
o .00
15.
124,856.90
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.
Side 2
L
1505b042148
Decedent's Social Security Number
189187475
137,494.28
137,494.28
------r~ 4 07. "(fEr
230.32
12,637.38
124,856.90
124,856.90
o . 0 0
5,618.56
o .00
o .00
5,618.56
o
1505b042148
---I
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Mary K. THRUSH
STREET ADDRESS
770 South Hanover Street
File Number 21-07-0494
--.~__u __
CITY
Carlisle
FTE PArfP-~7~~
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
280.93
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT.
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 theTAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is theBALANCE DUE
(3)
(4)
(5)
(5A)
(5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
5,618.56
280.93
5,337.63
5,337.63
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;..........................................................m................
b. retain the right to designate who shall use the property transferred or its income;................................
c. retain 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 within one year of death without
receiving adequate consideration?................................................................................................................
Yes
[J
D
D
n
No
x.
~
~
[!J
~
[i
3. Did decedent own an "in trust 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? ......... .......................... ................................................ ...... __ ..... ....... ........ JC
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 statutedoes not exemota 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.1508 EX+ (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
THRUSH, Mary K.
FILE NUMBER
21-07 -0494
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Cash found in house
VALUE AT DATE
OF DEATH
163.12
2 Chapel Pointe at Carlisle, refund
11.946.00
3 Citizens Bank checking account 610073-431-5
8.432.40
4 Citizens Bank Money Market Account 621423-071-8
116.952.76
TOTAL (Also enter on Line 5, Recapitulation)
137.494.28
(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 E (Rev. 6-98)
REV.1151 EX+ (12.99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
THRUSH, Mary K.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-07-0494
ITEM DESCRIPTION
NUMBER AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 4,884.85
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 Martson Law Offices (estimated) 7,200.00
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 302.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 20.21
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 12,407.06
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
THRUSH, Mary K.
FILE NUMBER
21-07 -0494
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Dickinson Presbyterian Church, funeral luncheon
100.00
2
Hoffman Roth Funeral Home, Carlisle, PA
4.784.85
Subtotal
4.884.85
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-B7
OTHER
ADMINISlRA liVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
THRUSH, Mary K.
FILE NUMBER
21-07 -0494
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Postage, certified mailing, Department of Public Welfare
5.21
2
Register of Wills, filing fee, Inheritance Tax return
15.00
Subtotal
20.21
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES. & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
THRUSH, Mary K.
FILE NUMBER
21-07 -0494
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Citizens Bank checking account 610073-431-5 - Outstanding checks on date of
death
VALUE AT DATE
OF DEATH
90.14
2 Community Care RX, account payable
13.40
3 Millennium Pharmacy Systems, Inc., account payable
92.17
4 Millennium Pharmacy Systems, Inc., account payable
1.38
5 Mobile X-Ray Imaging, account payable
33.23
TOTAL (Also enter on Line 10, Recapitulation)
230.32
(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 I (Rev. 6-98)
REV.1513 EX+ (9-110)
ESTATE OF
NUMBER
I.
1
2
3
4
5
*'
SCHEDULE J
BEN EFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
THRUSH, Mary K.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributionsA and transfers
under Sec. l:1116(a)(1.2)]
Shirley Killian
4 Pine Road
Walnut Bottom, PA 17226
FILE NUMBER
21-07 -0494
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
RELATIONSHIP TO
DECEDENT
Do Not List Trusteelsl
Daughter
51,455.19
Logan Molestatore
clo Patricia Molestatore
195 Logan Drive
Indiana, PA 15701
Patricia Molestatore
195 Logan Drive
Indiana, PA 15701
Great-grandson
166.68
Granddaughter
1,000.00
Gabriel Swauger
clo Kristen Swauger
3930 Mt. View Road
Mechanicsburg, PA 17055
Kristen Swauger
3930 Mt. View Road
Mechanicsburg, PA 17055
Great-Grandaug
hter
166.68
Granddaughter
1,000.00
See continuation schedule attached Continuation 71,068.35
Total 124,856.90
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Mary K. THRUSH 189-18-7475 05/12/2007
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
6 Alishia Thrush Great-granddaughter 166.66
c/o Scott Thrush
972 West Old York Road
Carlisle, PA 17015
7 David Thrush Jr. Great-grandson 166.66
c/o David Thrush, Sr.
972 West Old York Road
Carlisle, PA 17015
8 David Thrush Sr. Grandson 1,000.00
972 West Old York Road
Carlisle, PA 17015
9 Donald L. Thrush Son 42,252.66
962 West Old York Road
Carlisle, PA 17015
10 Emily Thrush Great-granddaughter 166.66
c/o David Thrush, Sr.
972 West Old York Road
Carlisle, PA 17015
11 Hannah Thrush Great-granddaughter 166.66
c/o David Thrush, Sr.
972 West Old York Road
Carlisle, PA 17015
12 Paul D. Thrush Son 26,149.05
972 West Old York Road
Carlisle, PA 17015
13 Scott Thrush Grandson 1,000.00
972 West Old York Road
Carlisle, PA 17015
Total 71,068.35
1
ORiGIN.Al ~El:A.iNED Bi,
F\FILES\DAT AFILEIEstate Planningl80 18IWILl2006 tAW Ol'f!CES
r.::Ma'ttJ.on !bea>r.do'tff rwil.'fiarra .& Otto
A PROF~SSIONAl CORPORATION
rEN EAST HIGH STREET
('.ARllStE. PA 170 I :r
LAST WILL AND TESTAMENT '7)7)243-33../.1
I, MARY K. THRUSH, of 2376 Walnut Bottom Road, Carlisle, Dickinson Township,
Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby
make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former
Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My Executrix( or) shall have no duty or obligation to obtain
reimbursement for any such tax so paid, even though on proceeds of insurance or other property not
passing under this Will.
2.
I give to my daughter, SHIRLEY M. KILLIAN, of Walnut Bottom, Pennsylvania, all of my
rings and jewelry.
3.
I give the sum of One Thousand Dollars ($1,000.00) to each of my grandchildren who are
living at the time of my death.
I give the sum of One Thousand Dollars ($1,000.0~) to be distributed equally among my
great-grandchildren who are living at the time of my death.
4.
I give, devise and bequeath all the rest, residue and remainder of my estate, both real and
personal property, in the following manner:
42.93052% unto my daughter, SHIRLEY M. KILLIAN;
35.25259% unto my son, DONALD L. THRUSH, of Carlisle, Pennsylvania; and
21.81689% unto my son, PAUL D. THRUSH, of Carlisle, Pennsylvania,
5.
I nominate, constitute and appoint my said daughter, SHIRLEY M. KILLIAN, as Executrix
of my estate. In the event she shall be unable or unwilling to serve in such capacity, then I appoint
my said son, DONALD L. THRUSH, to act in such capacity.
6.
I direct that my Executrix( or) shall not be required to tile a bond to secure the faithful
perfonnance ofher(his) duties in any jurisdiction.
Page I of 3 Pages
~
7.
I authorize and empower my Executrix(or), in her(his) sole and absolute discretion, to
purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected with the
protection and preservation of my estate; to mortgage or pledge any real or personal property forming
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my Executrix(or) considers desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver
such instruments as may be necessary to carry out any of these powers. In addition, I direct that my
Executrix, or her successor, shall have the power to conduct an inventory of any safe deposit box
necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 17~ day of
t ...err ,2006.
~Sh
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our namrwitnesses t~ereto, in the presence of the sai~ Testatrix and of e~:h other.
jk~c/!J;zt ~UllL 11 At.tJl!c
Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
~
We,MaryK.Thrush, 'V;tf()r(~ l. O-ff(l ,and fLLD.I-L t< - .-\(\ (IJ'*-, ,
the Testatrix and the witnesses, respectively, whose names are signed to the foregoing 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 that the Testatrix has signed willingly, and that the
Testatrix executed it 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 a witness and that
to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
,-,-:r'
Mary ~Sh. Testa~,'
j/CkL.~~ ~
Witness
'i ,1/
/~~ ;!LLLr<r- !~ ./~tf i';C~'-/C
Witness
Subscribed, sworn to and acknowledged before rt: 'Mary K. Thrush, the Testatrix, and
subscribed and sworn to before me by VI C fI) (-, tL b-- D +fo and
r.iU q {l k. :St^' ^tt L~_ . the witnesses, this 17 trfay of (,} ''''"If ' ;1< , C..
/, '~y\.l L
~/itL 1ie..^, I j, <-ir't4-
N Public J
NOTARIAL SEAL
CORRINE L. MYERS, NOTARY PUBLIC
CARLISLE BORa, C0l'!JTV OF CUMBERLAND
MY COMMISSiON C,P'PES MAY 27,2007
Page 3 of 3 Pages
~~ Citizens Bank
Account Number 6100734315
Account Title MARY K THRUSH
Date Opened 2/23/1981
Account Type Checking
Principal Balance as of DOD $8432.40
Interest from Last Posting to DOD $.00
Account Balance as of DOD $8432.40
YTD Interest to DOD $.00
~~c.L.3
~:E Citizens Bank'
AccolUlt Number 6215430718
AccolUlt Title MARY K THRUSH
Date Opened 12/29/2006
AccolUlt Type Checking
Principal Balance as ofDOD $116952.76
Interest from Last Posting to DOD $.00
Account Balance as of DOD $116952.76
YTD Interest to DOD $1914.61
r:/~..~ #JJ