HomeMy WebLinkAbout08-03-07
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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 Number Date of Death
OFFICIAL USE ONLY
County Code Year
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
21 07
0229
Date of Birth
207 -09-0456
02/02/2007
08/06/1913
Decedent's Last Name
Suffix
Decedent's First Name
MI
RIDER
EUGENE
p
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
First Name
MI
NONE
~Pous.~'s~o~ial.~ecurityNurllber...
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
ca:> 1. Original Return
<=;l
2. Supplemental Return
<=;l
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
<=;l
<=;l 4a. Future Interest Compromise (date of
death after 12-12-82)
<=;l 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
<=;l 10. Spousal Poverty Credit (date of death <=;l 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
mQm
8. Total Number of Safe Deposit Boxes
4. Limited Estate
<=;l
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Firm Name
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i----REGisTER.oFw'~ uSE ON~-..
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WILLIAM C. DISSINGER
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DISSINGER & DISSINGER
First line of address
400 SOUTH STATE ROAD
Second line of address
or Post Office
State
ZIP Code
DATE FILED ~
MARYSVILLE
17053
Correspondent's e-mail address:
Under penalties of pe~ury, 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.
DATE
C7J4- I 'r () S-O
DATE
5fC{ fe }!J /J(~~L// fO ~4 /7Q8:
PLEASE USE ORIGINAL FORM ONLY .
Side 1
L
15056051058
15056051058
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15056052059
REV-1500 EX
Decedent's Name:
EUGENE
P RIDER
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 & Noles Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) c::) Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c::) 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_
16. Amount of Line 14 taxable
at lineal rate X.O 45
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
0.00
90,151.18
0.00
0.00
19. TAX DUE....... ............ ..................................... . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
L
15.
4,056.80
16.
17.
18.
15056052059
4,056.80
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REV.1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
EUGENE P RIDER
STREET ADDRESS
940 WALNUT BOTTOM ROAD
F!leNUl1)qe~ .
0229
DECEDENT'S SOCIAL SECURITY NUMBER
207 -09-0456
CITY
CARLISLE
I STATE
I PA
, ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
4,056.80
0.00
0.00
0.00
Total Credits ( A + 8 + C ) (2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
0.00
Total Interest/Penalty ( D + 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)
0.00
8. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(58)
4,056.80
0.00
4,056.80
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;.......................................................................................... 0 IKl
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 IKl
c. retain a reversionary interest; or.......................................................................................................................... 0 [iJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 IKl
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 IKl
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 IKl
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 IKl
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 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. 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 P.S. 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-1503 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Eugene P. Rider
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
694 shares of Sovereign Bancorps Inc. @ $25.65/share
VALUE AT DATE
OF DEATH
17,801.10
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
17,801.10
REV-1508 EX+ (6-98) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Eugene P. Rider
FILE NUMBER
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
Account #0924029063 with Sovereign Bank
83,757.74
2 Refund from HCR Manor Care
1,606.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
85,363.74
REV-15D9 EX+ (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Eugene P. Rider
FILE NUMBER
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. Gladys R. Myers
11 Valley View Drive
Mechanicsburg PA 17050
daughter
B.
C.
JOINTLY.OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 11/28/00 Account #0921700148 3,242.93 50% 1,621.47
TOTAL (Also enter on line 6, Recapitulation) $ 1,621.47
(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
Eugene P. Rider
FILE NUMBER
Debts of decedent must be reported on Schedule 1.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Gingrich Memorials
Gingrich Memorials
1,377.00
270.00
2
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) Gladys R. Myers
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 11 Valley View Drive
6,287.18
City Mechanicsburg
Year(s) Commission Paid: 2007
. State PA
Zip 17050
2.
Attomey Fees
6,287.18
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant None
Street Address
City State .Zip
Relationship of Claimant to Decedent
4. Probate Fees 177.00
5. Accountant's Fees 0.00
6. Tax Retum Preparer's Fees 0.00
7. Cumberland Law Journal 75.00
8 Sentinel 98.77
TOTAL (Also enter on line 9, Recapitulation) S
14,572.13
(If more space is needed, insert additional sheets of the same size)
REV.1512 EX- (12-03)
'*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Eugene P. Rider
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medk:al expenses.
FILE NUMBER
ITEM
NUMBER DESCRIPTION
1. West Shore EMS
VALUE AT DATE
OF DEATH
63.00
TOTAL (Also enter on line 10, Recapitulation) S
63.00
(If more space is needed, insert additional sheets of the same size)
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REV-1513 EX+ (9-00) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Eugene P. Rider
FILE NUMBER
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 Gladys R. Myers, 11 Valley View Drive, Mechanicsburg PA 17050 daughter 50%
2 Paul C. Rider, 100 Margaret Drive, Mechanicsburg PA 17050 son 50%
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)
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Eugene P. Rider
207-09-0456
February 2, 2007
Account #: 0921700148 Type: Checking
In the name of: Eugene P. Rider or Gladys R. Myers
Date of Death Balance: $3,242.93
Int.(YTD) from 1/1/2007 to 2/212007
Accrued interest to date of death: $0.00
Other Info:
Open date: 11/28/2000
$0.00
Account #: 0924029036 Type: Savings
In the name of: Eugene P. Rider or Marie S. Rider
Date of Death Balance: $83,669.74
Int.(YTD) from 1/112007 to 2/2/2007
Accrued interest to date of death: $88.22
Other Info:
Open date: 3/7/1996
~
$0.00
Account #: 0921707428 Type: Checking
In the name of: Eugene P. Rider or Marie S. Rider
Date of Death Balance: Closed prior
Int.(YTD) from to
Accrued interest to date of death: nla
Other Info: Closed 10/13/06 $7,683.88
Open date: 10/27/1993
nla
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Page 1 of 1
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LAST WILL AND TESTAMENT
OF
EUGENE PAUL RIDER
I, Eugene Paul Rider of 19 South Enola Drive, Enola,
Cumberland County , Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare this
to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ITEM I. I direct that all my debts and funeral expenses,
including my cemetery lot and grave marker and all expenses of my
last illness, shall be paid from my residuary estate as soon as
practicable after my death as part of the expense of the
administration of my estate.
ITEM II. I devise and bequeath all of my estate of every
nature and wherever situate in equal shares to my son, Paul C.
Rider and my daughter, Gladys R. Myers. In the event my son, Paul
C. Rider predeceases me or dies on or before the thirtieth (30th)
day following my death, then to Gladys R. Myers and her issue per
stirpes. In the event my daughter, Gladys R. Myers predeceases me
or dies on or before the thirtieth (30th) day following my death,
then the share that would have gone to Gladys R. Myers shall go to
her issue per stirpes.
ITEM III. I direct that any and all Inheritance, Estate and
Transfer taxes imposed upon my estate passing under my Will or
otherwise, shall be paid out of the principal of my residual
estate.
\. 1...
ITEM IV. I appoint my daughter, Gladys R. Myers, Executrix
of this my Last Will and Testament. In the event. of her
renunciation, death, resignation or inability to act for any
reason whatsoever, I appoint John W. Myers, Executor of this my
Last Will and Testament. I relieve my Executrix or Executor from
the necessity of posting security in connection with her or his
duties as such in any jurisdiction in which she or he may be
called upon to act.
IN WITNESS WHEREOF, I have hereunto set my hand to this my
Last Will and Testament, which consists of ~ pages, to each of
which I have affixed my signature this 1;( day of December, two
thousand (2000).
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COMMONWEALTH OF PENNSYLVANIA
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We, Eugene Paul Rider, and I n {lrt,j A-, (;/;,tc/ f); S5il1?Y:?r; and
a-Ic,clu 5' /l. rn 1,1-e..r:5 , the testa~or and the ;itnesses
respectively, who~ 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, 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 witness 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.
ss
COUNTY OF
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Subscribed and sworn to and acknowledged
before me by EUGENE PAUL RIDER, Testator and
subscribed and sworn to and acknowledged
b~fore me by. fY] (lru .4. f/:'fe/ !),Ss", (;jP;-'", and
-ICic!t)5 1<. //)t.!-f'r<5J , witnesse'g this
i~ f1.. '-" day of EJecember, 2000.
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DISSINGER~ .
:DI~SINGER
Camp Hill Offices: 717.975.2840jvoice . 717.975.3924jfax
Marysville Offices: 717.957.3474jvoice. 717.957.2316jfax
August 2, 2007
Cumberland County Register of Wills
1 Court House Square
Carlisle PA 17013
Re: Estate of Eugene P. Rider # 21-07-0229
Dear Sir or Madam,
Enclosed please find (a) two (2) original signed inheritance
tax returns and a copy of that return, (b) a check made out to
Register of Wills-Agent in the amount of $4056.88, (c) a check
made out to Register of Wills in the amount of $15.00, and (d) a
stamped, self-addressed envelope.
Please file the two (2) inheritance tax returns of record,
"clock-in" the copy and return to me in the stamped self-
addressed enveloped. The $4056.88 check is tax payment. The
$15.00 check is the fee for filing the return.
Thank
questions,
you for your attention to this
please call me at my office.
~
matter. If you have any
Very truly yours,
~~
William C. Dissinger
WCD: aal
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CC: Gladys R. Myers
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Attorneys at Law
28 North Thirty-Second Street. Camp Hill, PA 17011
400 South State Road. Marysville, PA 17053