HomeMy WebLinkAbout09-04-07 (2)
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE:
ESTATE OF FANNIE PAULINE LEHR, Deceased
No. 2007-00102
FAMILY SETTLEMENT AGREEMENT
AGREEMENT executed this \\: day of August, 2007, by and between
SHIRLEY A. SMITH, Individually and as, Executrix of the Estate of FANNIE
PAULINE LEHR, and DONNA M. DURHAM, n!kla DONNA M. SASSANI.
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WITNESSETH:
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WHEREAS, Fannie Pauline Lehr died on December 3, 2006, Jeavihg a\~
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Will dated December 15, 1983; and
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WHEREAS, the only beneficiaries under the Will were Shirley A. Smith
and Donna M. Durham, n!kla! Donna M. Sassani; and
WHEREAS, on February 1, 2007, the Register of Wills of Cumberland
County granted letters testamentary to Shirley A. Smith;
WHEREAS, the Executrix has proceeded with the administration of said
estate and has prepared an informal accounting of her administration;
WHEREAS, the Executrix has prepared and filed an original Inheritance
Tax Return as evidenced by the Return attached hereto as Exhibit "A".
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NOW THEREFORE, the parties intending to be legally bound hereby,
mutually agree as follows:
1. The parties hereto, and each of them, agree and acknowledge that
they have fully and carefully examined the informal accounting prepared by
Shirley A. Smith as Executrix of the Estate of Fannie Pauline Lehr, Deceased,
and find it to be true and correct and acceptable to the parties hereto and each of
them, and further that each of them has received a copy of this Agreement and
informal accounting.
2. The parties hereto do hereby release, remise and forever discharge
the Estate of and from all manner and acts, suits, claims, accounts, accountings,
debts, dues and demand whatsoever which they or any of them or their legal
representative or assigns may at any time hereafter have, against the Executrix
of said estate or the assets thereof, from, for, touching or concerning any of the
assets and property of the said estate and/or any claim or interest thereto or
therein and the administration, management, collection, sale or distribution of any
of said assets and for on account of any money, interest, income assets or
proceeds of the same, from the time of said decedent's death to and including
the date of this Agreement and the distribution authorized herein.
3. This instrument is a full and final Family Settlement Agreement by
and between the parties hereto, both fiduciary and individual, all of the same
having been arrived at, included and executed after a full and complete
disclosure of the assets of said estate and the right of the parties therein and
thereto and all the parties hereto, and each of them agrees to abide by the terms
hereof.
4. The parties hereto, and each of them agree, that they will at all
times in the future and whenever necessary appropriate or conveniently make,
execute and deliver to said Executrix and/or to the other party or persons, any
and all instruments, documents, conveyances, deeds, releases or other
instruments of any kind necessary or convenient to carry out the intention of this
agreement and/or to permit, assist and enable the Executrix to fulfill her duties
with references to the said estate and all the assets thereof.
5. This Agreement constitutes the entire understanding among the
parties hereto and each of them acknowledges that no representations or
statement of any kind, written or oral have been made to them by any of them
prior hereto except as provided for in this agreement, by the Executrix or by any
other person or party upon her behalf.
6. This Agreement shall inure to the benefit of and shall be binding
upon, the parties hereto, and each of them, their heirs, executors, administrators,
successors and assigns.
7. The signatories to this Family Settlement Agreement agree to
refund to the estate pro rata any amount which may be necessary in the future to
discharge any liabilities of the estate which may hereafter arise.
8. This Family Settlement Agreement is signed and executed by the
Executrix and the other beneficiaries as witnessed by the individual signatures
attached to the body of this Agreement.
9. This Agreement shall be governed by laws of the Commonwealth of
Pennsylvania.
IN WITNESS WHEREOF, the parties hereto have hereunto set their
respective hands and seals.
Date ~ \\~ \\:)\
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SHIRLEY A. S H, Individually and as
Executrix of the Estate of Fannie
Pauline Lehr
Date ~ \ \"'\~,
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DONNA M. DURHAM, n/k/a
DONNA M_ SASSANI
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15056051058
REV-1500 EX (06-05)
PA Department of Revenue .
Bureau of Individual Taxes .
PO BOX 280601
Harrisburg, PA 17128.{)601
ENTER DECEDENT INFORMATION BELOW
Social Number Date of Death
OFFICIAL USE ONLY
gCl!:'n,tr~~odeY~ar
INHERITANCE TAX. RETURN
RESIDENT DECEDENT 21 07
File Number
:0102
Date of Birth
12/03/2007
03/12/1915
Lehr
Decedent's First Name
MI
Decedent's Last Name
Fannie
P
(If Applicable) Enter Surviving Spouse's Information Below
Last Name Suffix
Spouse's First Name
MI
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THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WillS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Retum
4. Limited Estate
c:;:)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c:;:)
2. Supplemental Return
c:;:)
c:;:)
c:;:) 4a. Future Interest Compromise (date of
death after 12-12-82)
c:;:) 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c:;:) 10. Spousal Poverty Credit (date of death c:::; 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 [:)l:l~':l~.T~I.~p.~()~~.~.~.rTl.~~r.......
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
._.9....
8. Total Number of Safe Deposit Boxes
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James G. Nealon, III
, (717) 232-9900
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Firm Name
REGISTER OF WILLS USE ONLY I
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Nealon, Gover & Perry
First line of address
2411 North Front Street
Second line of address
or Post Office
17110
ZIP Code
DATE FILED
Correspondent's e-mail address:jnealon@ngplawfirm.com
Under penalties of perjury, I declare that I have examined this retum, 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.
SIGNATU OF P,ERS RESPONSIBLE FO FILING RETURN DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058
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L
15056051058
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15056052059
REV-1500 EX
Decedent's Name:
RECAPITULATION
Fannie
P Lehr
1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. . . .
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . . .
6. Jointly Owned Property (Schedule F) <=> Separate Billing Requested . . . . . . .
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) <=> Separate Billing Requested. . . . . . . .
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . . .
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, or
transfers under Sec. 9116
(a)(1.2) X .0_
16. Amount of Line 14 taxable
at lineal rate X.O 45 14,733.41
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
L
_1?=~,:denf~__~ocial._S,:~~~i~__~_~.I"I1.t:er
.207-07-9275
1.
2.
3.
4.
5. 25,033.92
6. 1,196.27
7.
8.
9.
14,733.41
15.
16.
17.
18.
663.00
<=>
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
Fannie P Lehr
STREET ADDRESS
1213 Mitchell Drive
F!I.eNMmPeL~_._...._.....
10102
DECEDENTS SOCIAL SECURITY NUMBER
207-07-9275
CITY
Mechanicsburg
STATE
PA
ZIP
17050
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C ) (2)
3. InterestlPenalty if applicable
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.
Fill in oval on Page 2, Line 20 to request a refund. (4)
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. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B)
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 [iI
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [iI
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
wtthout 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 [iI
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 [iI
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 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 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. ~9116(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-15GB EX+ (6-9a)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Fannie Pauline Lehr
FILE NUMBER
21-07-0102
Include the proceeds of Ittigation 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
1 Highmark Premium Refund
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
25,033.92
REV-1509 8(+ (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Fannie Pauline Lehr
FILE NUMBER
21-07-0102
If an asset was made joint within one year of the decedenfs date of death, It must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Shirley A. Smith
ADDRESS
RELATIONSHIP TO DECEDENT
1213 Mitchell Drive
Mechanicsburg, PA 17055
Daughter
B.
C.
JOINTLY.OWNED PROPERTY:
LETTER
ITEM FOR JOINT
NUMBER TENANT
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
1.
A.
Belco Checking Account #XXXX90
TOTAL (Also enter on line 6, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1,196.27
REV-1511 EX+ (12-99)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
Debts of decedent must be reported on Schedule L
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES;
Cocklin Funeral Home
B.
1.
ADMINISTRATIVE COSTS;
Personal Representative's Commissions
Name of Personal Representative(s) Shirley A. Smith
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 1213 Mitchell Drive
1,000.00
StatePA Zip 17050
City. Mechanicsburg .
Year(s) Commission Paid; 2007
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
2. Attorney Fees
Claimant Shirley A. Smith
Street Address 1213 Mitchell Drive
City Mechanicsburg
,...... '...............-.........'...,
State PA .Zip 17050
Relationship of Claimant to Decedent [)C3u~hter
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
11,496.78