HomeMy WebLinkAbout09-28-07 (2)
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15056041114
REV -1500 EX (06-05)
OFFICIAL USE ONLY
County Code Year
File Number
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
INHERITANCE TAX RETURN
RESIDENT DECEDENT
2.\ 0 (
o to lo d--
Date of Birth
204-04-9429
07012007
05031914
Decedent's Last Name
Suffix
Decedent's First Name
MI
SMITH
LOWRIE
F
(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
W 1. Original Return D
2. Supplemental Return
D
D
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
D 4. Limited Estate D
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
8. Total Number of Safe Deposit Boxes
W 6. Decedent Died Testate D
(Attach Copy of Will)
D 9. Litigation Proceeds Received D
D
11. Election to tax under Sec. 9113(A)
(Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
ROBERT M FREY
Firm Name (If Applicable)
717-243-5838
REGISTER OF WILLS USE ON,L Y
FREY AND TILEY
First line of address
5 SOUTH HANOVER STREET
Second line of address
City or Post Office
State
ZIP Code
DATE FILED
CARLISLE
PA
17013
c,)
tP'7
ROCK ROAD, CARLISLE PENNSYLVANIA 17015
SIGNATURE OF Pf~PA_RER ~THER THAN REPRESENTATIVE
~H> 0-
ADDRESS . ~
5 SOUTH HANOVER STREET, CARLISLE, PENNSYLVANIA 17013
PLEASE USE ORIGINAL FORM ONLY
DATE /
7/~8' G 7
/ I
Side 1
L
15056041114
15056041114
~
)
--.J
15056042115
REV-1500 EX
Decedent's Social Security Number
Decedent's Name LOWRIE F SMITH
RECAPITULATION
204-04-9429
1. Real estate (Schedule A) .
1. NONE
2. NONE
3. NONE
4. NONE
5.
6. NONE
7.
8.
9.
3744.00
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) [:::JSeparate Billing Requested. . . . . . .
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) [:::JSeparate Billing Requested. .
7118.00
10862.00
8. Total Gross Assets (total Lines 1-7) .
9. Funeral Expenses & Administrative Costs (Schedule H) .
4876.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). .. ........... 10. NONE
11. Total Deductions (total Lines 9 & 10) .
. 11.
4876.00
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.
5986.00
13.
0.00
5986.00
14. Net Value Subject to Tax (Line 12 minus Line 13) .
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.O L
16. Amount of Line 14 taxable
at lineal rate X .0 ~
17. Amount of Line 14
taxable at sibling rate X . 12
18. Amount of Line 14 taxable
at collateral rate X . 15
14.
19. TAXDUE.......
15. 0.00
5986.00 16. 269.00
17. 0.00
18. 0.00
. . . . . . . . . 19. 269.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
[:::J
Side 2
L
15056042115
15056042115
--.J
REV-1500 EX Page 3 204-04-9429
Decedent's Complete Address:
File Number
21-07 -0662
DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER
LOWRIE F SMITH 204-04-9429
STREET ADDRESS
889 MOUNT ROCK ROAD
CITY II STATE I ZIP
CARLISLE PA 17015
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
269.00
256.00
13.00
Total Credits (A + B + C) (2)
269.00
3. Interest/Penalty 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)
0.00
0.00
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)
0.00
B. Enter the total of Line 5 + 5A. 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:
a. retain the use or income of the property transferred; . . .
Yes
.0
o
o
o
o
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .. 0
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
o
o
o
o
o
o
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0
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. S9116 (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. S9116 (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 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. s9116(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. S9116(1.2) [72 P.S. s9116(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. s9116(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.
217
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Lowrie F Smith
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21-07-0662
Include the proceeds of litigation and the date the proceeds were received by the estate.
All prooertv iointlv-owned with riaht of survivorshio must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1. M& T Bank, Account #1292072
VALUE AT DATE
OF DEATH
3,114
2. Cumberland Valley Cooperative Association(63sh@$10)
630
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
3,744
r:! M&rBank
ACCOUNT NO. ACCOUNT TYPE
1292072 11&T SELECT WITH INTEREST
STATEI1ENT PERIOD
PAGE
JUN.22-JUL.20,2007
1 OF 1
00 1 0434511 11 021
1156
LOWRIE F SMITH
PHEBE C SMITH POA
ERNEST L SMITH POA
889 MOUNT ROCK RD
CARLISLE PA 17015
INTEREST FAID YEAR TO DATE
1.20
STONE HEDGE
BEGINNING DEPOSITS & OTHER CURRENT ENDING
BALANCE OTHER ADDITIONS tHECKSPAID .. SUBTRACTIONS INTERESTPD BALANCE
NO. I AI10UNT NO. I AI10UNT NO. I AI10UNT
2,620.97 21 899.00 11 7.22 1 I 161.50 0.12 3,351.37
ACCOUNT SUMMARY
POSTING DEPOSITS, INTEREST CHECKS I OTHER DAILY
DATE TRANSACTION.DESCRIPTION & OTHER ADDITIONS SUBTRACTIONS BALANCE
06-22-07 BEGINNING BALANCE $2,620.97
06-27-07 CHECK NUI1BER 0941 7.22 2,613.75
06-29-07 DEPOSIT 500.00 3,113.75
07-03-07 US TREASURY 303 SOC SEC 399.00 3,512.75
~U -r ~c \.-
07-05-07 AARP HEALTH CARE PREI1IUI1 161.50 3,351. 25
07-20-07 INTEREST PAYI1ENT 0.12 /t~c it-,.....,.....- 3,351. 37
ENDING BALANCE $3,351. 37
ACCOUNT ACTIVITY
CHECKS.PAID.SUI1I1ARY
941 06-27-07
7.22
ANNUAL PERCENTAGE YIELD EARNED
0.04 %
A $1,000 FOR YOUR THOUGHTS?
VISIT AN I1&T BANK BRANCH BETWEEN JULY 9 & AUGUST 17 TO RECEIVE AN INVITATION TO
PARTICIPATE IN OUR CUSTOI1ER SERVICE SATISFACTION SURVEY. COI1PLETE THE SURVEY
FOR A CHANCE TO WIN A GRAND PRIZE OF $1,000.
NO PURCHASE OR TRANSACTION NECESSARY. FOR COI1PLETE SWEEPSTAKES RULES VISIT:
WWW.I1ANDTBANKSURVEY.COI1.
L008A (1/03)
217
REV-1510 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
FILE NUMBER
Lowrie F Smith
21-07-0662
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF DATE OF DEATH % OF DE CD'S EXCLUSION TAXABLE
NUMBER TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. Lincoln Financial Group 35,591 20% 7,118
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL (Also enter on line 7 Recapitulation) $ 7118
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
(If more space is needed, insert additional sheets of the same size)
W elcom~ to M&T Web Banking for Business
Page 2 of2
@2007 Manufacturers and Traders Trust Company. Users of this web site agree to be bound by the provisions of the M&T Web Banking for Business Terms and Condit
View the Terms and Conditions, Privacv Poiicy or Security Information.
lttpS:/ /webbankingforbusiness.mandtbank. COm! enrollment/SbbEnrollmentManual. aspx
7/18/2007
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.7326A .
IC80040091
POLICY NO: JP5234218
CLAIM NO: 0543425
DEATH CLAIM
DEATH BENEFIT
AUG 08, 2007 0000014644
INSURED: LOWRIE F SMITH -
7,118.16
IF YOU HAVE ANY QUESTIONS CONCERNING THIS CLAIM, PLEASE CALL
US TOLL FREE 1-800-487-1485, EXTENSION 8520
ERNEST L. SMITH
889 MT ROCK ROAD
CARLISLE, PA 17015-8900
-INCOLN NATIONAL LIFE INSURANCE CO.
DETACH CHECK HERE
********$7,118.16
AMOUNT OF CHECK
0201
217
REV-1511 EX + (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
Lowrie F Smith
21-07-0662
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
5.
6.
7.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
Ewing Brothers Funeral Home, Funeral Services
538
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City
Year(s) Commission Paid
State
Zip
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Ernest L. Smith
Street Address 889 Mt. Rock Road
City Carlisle State PA Zip 17015
750
Relationship of Claimant to Decedent
Son
3,500
Probate Fees
73
Accountant's Fees
Tax Return Preparer's Fees
Register of Wills, Filing Fee
15
TOTAL (Also enter on line 9. Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4876
217
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
Lowrie F Smith
21-07 -0662
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 Catherine I. Camp Daughter 25% residue of the estate
29 Lightner Road, Landisburg PA 17040
2 Ervin B, Smith Son 25% residue of the estate
406 Heisers Lane, Carlisle PA 17015
3, Ernest L. Smith Son 25% residue of the estate
889 Mt. Rock Road, Carlisle PA 17015
4, Carl L. Smith Son 25% residue of the estate
2317 Walnut Bottom Road, Carlisle PA 17015
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
(If more space is needed, insert additional sheets of the same size)
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LAST WILL AND TESTAMENT
OF
LOWRIE F. SMITH
I, LOWRIE F. SMITH, widower, of Penn Township (mailing address: 889 Mt. Rock
Road, Carlisle, Pennsylvania 17013), 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 and making void any and all Wills by me at any time
heretofore made.
I . I direct my hereinafter named Executors to pay alJ of my just debts and funeral expenses
as SOOI1 after my death as may be found convenient to do so. I direct thu,t my funeral services be
conducted by Ewing Brorhers' Funeral Hbme,630 Somh Hanover Street, Carlisle; Pennsylvania,
in a munner substantially similar to the arrangements made by me.. for the services lor my wife,
Cora M. Smith, and that my body be interred beside hers on my burial lot located in Cumberland
ValJey Memorial Gardens, along Governor Ritner Highway near the borough of Carlisle,
Pennsylvania.
2. I bring to the attention of my Executors that all of the farm machinery and tools and
equipment and household goods located on the premises where I reside with my son, Ernest L.
Smith, are the property of Ernest L. Smith and his wife, Phebe C. Smith. All of such property
. which 1 previously owned was disposed of by me after the death of my wife, Cora M. Smith.
3. If at the time of my death I am still the owner of any truck or passenger automobile, I
give and bequeath the same to my son, Ernest L. Smith.
4. All of the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath in equal shares to my four (4)
children and their Spouses, their heirs and assigns, as follows:
a). One share to my daughter, Catherine I. Comp and her husband, Harry F. Comp, as
tenants by the entirety, provided at least one of them shall survive me by a period of ninety (90)
days, but should both of them fail to so survive me then to such of their legitimate issue as shall
,<'oi....ive me by a period of r;inety (90)ciay;:;, theirht:irsarrdassignsIPcr'stirpe-s;
b). One share to my son, Ervin B. Smith and his wife, Catherine Smith, as tenants by
the entirety, provided at least one of them shall survive me by a period of ninety (90) days, but
should both of them fail to so survive me then to such of their legitimate issue as shall survive me
by a period of ninety (90) days, their heirs and assigns. per stirpes,
c). One shure to my son, Ernest L. Smith and his wife, Phebe C. Smith, as tenants by
the entirety, provided at least one of them shall survive me by a period of ninety (90) days, but
should both of them fail to so survive me then to such of their legitimate issue as shall survive me
by a period of ninety (90) days, their heirs and assigns, per stirpes.
d). One shure to my son, Carl E. Smith and his wife, Betsy L. Smith, as tenants by the
entirety, provided at least one of them shalJ survive me by a period of ninety (90) days, but should
both of them fail to so survive me, then to such of their legitimate issue as shall survive me by a
period of ninety (90) days, their heirs and assigns, per stirpes,
e). The meaning of "legitimate issue" as used in this Last Will and Testament shall be I-
limited to a child or children born to a female descendent of Testator regardless of whether the
mother is married to the t~'lther .of such child or children, and shall be limited to a child or children
born to a male descendent of Testator where the father of slIch child or children is married to the
J:J<.'~!~"T (:;[:j~r i:!;~f...;'::- nr ;.:n~r rhe L,rrri I.'f lh~ child "I' c;'dldu,'jj. III "n)' C;1;';,; the iJ.,:;lrl;ng 01' '\:hiJd"
or "children" or "legitimate iSSUE" as lIsed above shalJ NOT include any adopted child or children.
5, I hereby nominate, constitute and appoint my son, Ernest L. Smith, and my son, Ervin
B. Smith, as Executors of this my Last Will and Testament, and I further direct that neither of them
shall be required to post any bond to secure the faithful performance of his duties in the
Commonwealth of Pennsylvania or in any other jurisdiction.
I wish to note further that it is my expectation and desire that my Executors be
compensated at the usual commission rate of 5% of the assets which comprise my probate estate.
Page I of 2 Pages
~V'~ 1 ~~"
f '0, I
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will
and Testament written on two (2) pages, this 20th day of April, 1999.
4~ 7:~4SEAL)
Signed, sealed, published, and declared by Lowrie F. Smith, the Testatrix above named, as
and [or his Last Will and Testamellt, in our presence, who, in his presence, at his request, and in
the presence of each other, have hereunto subscribed our names as attesting witnesses.
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