HomeMy WebLinkAbout08-13-07
REV-1500 EX (06-05) 15056041147 OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes
PO 60X.280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 07 0126
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
183148518 05082006 09271922
Decedent's Last Name Suffix Decedent's First Name MI
WEHLER DANIEL R
(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
X❑ 1. Original Return 2. Supplemental Return I J 3. Remainder Return (date of death
prior to 12-13-82)
C 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
^ g Decedent Died Testate 7 Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received FL 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. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
DIANE G RADCLIFF 717730100
Firm Name (If Applicable)
REGISTERIO LLS USE ONLY
DIANE G. RADCLIFF, ESQUIRE -r
First line of address
3448 TRINDLE ROAD
Second line of address ? fti~
City or Post Office State ZIP Code DATE FILED CX)
CAMP HILL PA 17011
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.
SI TURE OF PERSON SIBLE R FILIN RETURN DATE
Faye Wehler Romberger
ADDR S
ell
11 Kenwood Avenue, Carlisle, PA 17013
SIGNATURE OF PREPARER OTHER THAN EPRES NTATIVE Lq D
iane G Radcliff ADDRESS
3448 Trind Road, Camp Hill, PA 17011
Side 1
15056041147 15056041147
15056042148
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Daniel R W e h l e r 183148518
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. 1,027.10
6. Jointly Owned Property (Schedule F) ❑ Separate Billing Requested 6. 1,539.52
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested 7.
8. Total Gross Assets (total Lines 1-7) 8. 2,566. 62
9. Funeral Expenses & Administrative Costs (Schedule H) 9. 1,142.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) 10. 20,264.36
11. Total Deductions (total Lines 9& 10) ......................................................................11. 21,406.36
12. Net Value of Estate (Line 8 minus Line 11) .............................................................12. -18,839.74
13. Charitable and Governmental Bequests/Sec 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. -18,839.74
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.00 15 0.00
16. Amount of Line 14 taxable
at lineal rate X .045 0.00 16 0.00
17. Amount of Line 14 taxable
at sibling rate X .12 0.00 17. 0.00
18. Amount of Line 14 taxable
at collateral rate X .15 0.00 18. 0.00
19. Tax Due ...................................................................................................................1.9 0.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑
Side 2
15056042148 15056042148
REV-1500 EX Page 3 File Number 21 -07-01 26
Decedent's Complete Address:
DECEDENT'S NAME
Daniel R Wehler
STREET ADDRESS
442 Walnut Bottom Road
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1) 0.00
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount 0.00
3. Interest/Penalty if applicable Total Credits (A + B + C) (2) 0.00
-
D. Interest
E. Penalty
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 refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (513) 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 transferred; .................................................................................0 ❑x
b. retain the right to designate who shall use the property transferred or its income; ❑ [x
c. retain a reversionary interest; or ...............................................................................................................Q x❑
d. receive the promise for life of either payments, benefits or care? .............................................................El lxl
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .....................................................................................................................F-1 n
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ❑ I-XI
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................................................Q
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 exempla 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 FILE NUMBER
Wehler, Daniel R 21-07-0126
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Railroad Retirement 1,027.10
TOTAL (Also enter on Line 5, Recapitulation) 1,027.10
(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-1509 EX+•(6-98)
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wehler, Daniel R 21-07-0126
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. Faye L Romberger 11 Kenwood Avenue Daughter
Carlisle, PA 17013
B. Linda K Conrad 7105 Red Fox Court Daughter
Hummelstown, PA 17036
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY o DATE OF DEATH
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH /o D' VALUE OF
NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET DECS DECEDENT'S INTEREST
TENANT JOINT JOINTLY-HELD REAL ESTATE. INTEREST
1 A B 8/1/2001 M& T Bank 4,618.56 33.333% 1,539.52
TOTAL (Also enter on Line 6, Recapitulation) 1,539.52
(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 F (Rev. 6-98)
REV-11151 EX+(12_99) SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANE TAX
EDENTRN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Wehler, Daniel R 21-07-0126
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Faye Wehler Romberger
Social Security Number(s) / EIN Number of Personal Representative(s):
191-42-7610
Street Address 11 Kenwood Avenue
city Carlisle State PA zip 17013
Year(s) Commission paid 2007 300.00
2. Attorney's Fees Diane G. Radcliff, Esquire 740.00
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 72.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs Filing Fee - Inventory and Inheritance Tax Return 30.00
TOTAL (Also enter on line 9, Recapitulation) 1,142.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
Rev-1512 EX+ (6-98)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wehler, Daniel R 21-07-0126
Include unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Pennsylvania Department of Public Welfare 15.714.26
2 United Church of Christ Home - Thornwald Home 4.550.10
TOTAL (Also enter on Line 10, Recapitulation) 20,264.36
(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+,(9-00)
SCHEDULE J
COM NHERITANCEOTAXRETURNANIA BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wehler, Daniel R 21-07-0126
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words)
Do Not List Trustee(s)
ITAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
1 Linda Wehler Conrad Daughter 25% of
7105 Red Fox Court residuary
Hummelstown, PA 17036 estate
2 Brian Romberger Grandson 12.50% of
11 Kenwood Avenue residuary
Carlisle, PA 17013 estate
3 Faye Wehler Romberger Daughter 25% of residary
11 Kenwood Avenue estate
Carlisle, PA 17013
4 Scott Romberger Grandson 12.50% of
33 Spring Garden Estates residuary
Carlisle, PA 17013 estate
5 Earl E Wehler Son 25% of residary
4902 Carlsle Pike estate
PMB 191
Mechanicsburq, PA 17050
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 II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE 0.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98)
i
dust 011 anA Testament
of
DANIEL R. WEHLER
BE IT REMEMBERED, that I, DANIEL R. WEHLER, of 59 Pine
Street, Dillsburg, Pennsylvania, being of sound mind,
memory and understanding, do make, publish and declare this
as and for my Last Will and Testament, hereby revoking and
making null and void any and all Wills and Testaments and
writings in the nature thereof by me, at anytime heretofore
made.
ITEM 1: I direct that all my just debts and funeral
expenses be paid as soon after my demise as may be
convenient.
ITEM 2: I give all tangible personal property owned by
me at my death and all insurance policies on such property
as follows:
a. To those individuals who survive me by
thirty (30) days who are designated on a list or
memorandum signed by me which refers to this Will
or is found with a copy thereof, I give and
bequeath the items listed beside their names.
b. The balance (including any items under
subparagraph (a) above the bequest of which has
lapsed) shall be included in my residuary estate
set forth in Item 3 and in the evert of a lapse,
item 4 herein, diHtribucai-le, tc the benefic2arU. ul
beneficiaries therein provided. My Executrix shall
WITNESS
DANIEL R. WEHLER
have the right to dispose of said remaining items
of personalty to become part of my residuary
estate, either in kind or in cash as a result of
liquidation thereof as she in her sole discretion,
deems appropriate under the circumstances. It
being my intent, however, that should any
beneficiary of my residuary estate desire to
receive a particular item in kind which was not
specifically bequeathed to such beneficiary, to the
extent reasonably possible, my said Executrix shall
attempt to follow said beneficiary's request.
ITEM 3: All the rest, residue and remainder of my
Estate of whatsoever nature and wheresoever situate,
whether it be real, personal or mixed, including any
insurance policies therefor, property over which I have
power of appointment, and proceeds from any insurance
policies payable to my estate, I give, devise and bequeath
to my wife ANNA MAE WEHLER, provided she survives me by
thirty (30) days.
ITEM 4: In the event my wife, ANNA MAE WEHLER, fails to
survive me by thirty (30) days, I then give, devise and
bequeath my residuary estate as follows:
(a) Seventy-Five (75%) percent of my
residuary estate shall be divided amongst my three
children, LINDA WEHLER CONRAD, FAYE WEHLER
ROMBERGER, and EARL E. WEHLER, in equal shares per
WITNESS
(SEAL)
DANIEL R. WEHLER
r 2
capita or in the event of complete lapse amongst
the issue of my children in equal shares per
stirpes.
(b) Twenty-Five (250) percent of my residuary
estate shall be divided equally amongst my two
grandchildren, SCOTT ROMBERGER and BRIAN ROMBERGER,
in equal shares, per capita. If and in the event
this class of beneficiaries has lapsed, then that
portion of my residuary estate which was to be
bequeathed to this class shall be added to the
residuary bequest set forth in subparagraph (a)
above and divided amongst the class of
beneficiaries set forth therein in the proportions
therein provided.
ITEM 5: I appoint ANNA MAE WEHLER as Executrix of this
my Last Wi1.1 and Testament, Should ANNA MAE WEHLER
predecease me, fail to qualify, cease to act or renounce
probate, I then appoint LINDA WEHLER CONRAD, FAYE WEHLER
ROMBERGER and EARL E. WEHLER, or the survivor of them, as
Alternate Co-Executors of this my Last Will and Testament.
ITEM 6: I direct my Executrix to pay all inheritance,
estate, succession and legacy taxes of whatsoever nature
and kind, to which my Estate or the transfer of any
property passing hereunder or otherwise passing by reason
of my demise, may be subject and to charge such taxes
against my residuary estate, it being my intention that
ITNESS
(SEAL)
DANIEL R. WEHLER
3
~1
none of the aforesaid taxes, either federal or state, or
any property required to be included in my gross estate,
under the provisions of any state or federal law now in
force or hereafter enacted, shall be prorated among the
persons interest in my Estate to whom such property is or
may be transferred to whom any benefit accrues.
ITEM 7: In addition to the powers conferred by law, I
authorize my Executrix in her absolute discretion:
(a) To retain in the form receive, and to sell
either at public or private sale any real or personal
property;
(b) To manage real estate;
(c) To invest and reinvest in all forms of property
without being confined to legal investments, and
without regard to the principle of diversification;
(d) To exercise any option or rights arising from
ownership of investments;
(e) To compromise claims without court approval and
without the consent of any beneficiary;
(f) To disclaim any interest in property;
(g) To claim an elective share of the estate of any
deceased spouse;
(h) To join with any spouse I may have upon my
death in the filing of any federal income tax return
for any year for which I have not filed such return
prior to my death, and to consent to the treatment of
any gifts made by my spouse as being made one-half by
ITNESS
DANIEL R. WEHLER
4
me for gift tax purposes notwithstanding the fact that
such action may result in additional liabilities for
my estate. Any income or gift taxes due on such
returns and any deficiencies, interest, penalties, or
refunds thereon, shall be allocated between my estate
and my spouse and my spouse's estate, or all to any of
them, in such manner as my Executrix and my said
spouse may agree.
(i) To disburse my estate in kind or by way of
liquidation thereof in whole or in part as my
Executrix in her sole discretion may deem appropriate
under the circumstances.
ITEM 8: I direct that my Executrix, or her successors
shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ~7M day of 1997.
TNESS:
• (SEAL)
DANIEL R. WEHLER
5
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
We, DANIEL R. WEHLER, Diane G. Radcliff and Diane
Jackson, the Testator and the witnesses respectively, whose
names are signed to the attached or 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 (or willingly directed another to sign for him),
and that he executed it as his free and voluntary act for
the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testator,
signed the Will as witnesses and that to the best of their
knowledge the Testator was at that time eighteen years of
age or older, of sound mind and under no constraint or
undue influence.
DANIEL R. ,
WI NE
WITNES4
Sworn to and subscribed to
before me this & day
of / 1997.
NOTARY PUBLIC
Notarial Seal
!eborah L Donley. Notary PubHc
imp Hill Boro, Cumberland County
r;fi; Cormniss!on Expires Sept. 23, 1999
s 4ssociation of Notaries
6
iDOI P 096,672,876 Check No.
r
1~ 03 28 07 33 PHILADELPHIA, PA 2049 35619464
2049 35619464 60009301 R2 0 1P
g Pay to
v
the order of FAYE W ROMBERGER 64 RR REG ANN
FOR EST 1
DANIEL R WEHLER $***1027*10
11 KENWOOD AVE
CARLISLE PA 17013 VOID AFTER ONE YEAR
S I Ir~l~-~I 1198i,_~_I~~I=~ ~11 11i 711]
I_I~ II 1~I- II l 17=I--Irr l Jn lii!-~-
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Mir
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.
ACCOUNT NO. ACCOUNT TYPE STATEMENT PERIOD PAGE
523316396 CLASSIC CHECKING APR.17-MAY.16,2007 1 OF1
00 0 04309M NM 017
21212
DANIEL R WEHLER
FAYE L ROMBERGER
LINDA K CONRAD
442 WALNUT BOTTOM RD
CARLISLE PA 17013
DILLSBURG
ACCOUNT SUMMARY
BEGINNING DEPOSITS 8 OTHER CURRENT ENDING
BALANCE OTHER ADDITIONS CHECKS PAID SUBTRACTIONS INTEREST PD BALANCE
N0. AMOUNT N0. AMOUNT NO. AMOUNT
4,618.56 0 0.00 0 0.00 0 0.00 0.00 4,618.56
ACCOUNT ACTIVITY
POSTING DEPOSITS,IMTEREST CHECKS 8 OTHER DAILY
DATE TRANSACTION DESCRIPTION S OTHER ADDITIONS SUBTRACTIONS BALANCE
04-17-07 BEGINNING BALANCE $4,618.56
ENDING BALANCE $4,618.56
IMPRESSED BY THE SERVICE YOU RECEIVED AT MST? IF YOU'D LIKE TO NOMINATE AN MST
BANK EMPLOYEE FOR EXCEPTIONAL CUSTOMER SERVICE, PLEASE COMPLETE OUR MST SERVICE
EXCELLENCE FORM AT WWW.MTB.COM/EXCELLENCE. WE APPRECIATE YOUR FEEDBACK!
DIANE G. RADCLIFF, ESQUIRE
3448 Trindle Road, Camp Hilt, PA 17011
Phone: 717-737-0100
Fax: 717-975-0697
E-mail: dianeradcliffCcomcast.net
August 10, 2007
Register of Wills
Cumberland County Courthouse
One Courthouse Square xm U
Carlisle, PA 17013 _ - w
RE: Estate of Daniel R. WehlerJj n
No. 21-07-0126 c:>
co
Enclosed please find:
DESCRIPTION OF ORIGINAL DOCUMENT NOS.
Inheritance Tax Return Original + 2 copies
Inventory Original + 2 copies
Filing Fee Check
Return Envelope
I would appreciate it if you would file and docket the originat(s) of the above referenced
document(s), and time stamp and return the copies to this office in the envelope
provided.
Very truly yours,
l
DI IFF, ESQUIRE
DGR/dr
Enclosure(s)
cc: Faye Romberger, Executrix
File
Transmitted by Mail
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