HomeMy WebLinkAbout10-16-07
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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 Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
File Number
21 06
1007
Date of Birth
184-38-1345
10/31/2006
01/03/1947
Decedent's Last Name Suffix
Decedent's First Name
MI
Wilson Sr.
Charles
D
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Wilson
Glenda
M
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
. 1. Original Return
2. Supplemental Return
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)
7. Decedent Maintained a living Trust
(Attach Copy of Trust)
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. 0)
CORRESPONDENT - THIS SECT/ON 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
o
8. Total Number of Safe Deposit Boxes
William L. Grubb, Esq.
(717) 763-5580
Firm Name (If Applicable)
REGIS!~R OF WILLS iJ$E ONLY
First line of address
3803 Gettysburg Road
Second line of address
c",
Camp Hill
PA
17011
.".J N
-PAtE FILED ..
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GO
1
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City or Post Office
State
ZIP Code
ies perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
rr t nd com e. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
DATE
/tJ"l j ~c)7
ADDRESS
3803 Gettysburg Road, Camp Hill, PA 17011
PLEASE USE ORIGINAL FORM ONLY
DATE
/0-/5:- ()~
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15056051058
Side 1
15056051058
--1
-1
15056052059
REV-1500 EX
Decedent's Name:
Charles
D Wilson
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.
6. Jointly Owned Property (Schedule F) Separate Billing Requested. . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 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. or
transfers under Sec. 9116
(a)(1.2) X .OL '.
16. Amount of Line 14 taxable
at lineal rate X.O_
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
92,633.00
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. Fill IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
184-38-1345
Decedent's Social Security Number
15056052059
0.00
0.00
0.00
0.00
7,535.00
0.00
101,772.00
109,307.00
16,674.00
0.00
16,674.00
92,633.00
0.00
92,633.00
0.00
0.00
0.00
0.00
0.00
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REV-1500 EX Page 3
File Number
Decedent's Complete Address:
DECEDENT'S NAME
Charles 0 Wilson
STREET ADDRESS
100 Stone House Road
21
06 1007
DECEDENT'S SOCIAL SECURITY NUMBER
184-38-1345
CITY
Carlisle
STATE
PA
ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
O.OC
Total Credits ( A + B + C ) (2)
O.OC
3. I nterest/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)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(56)
O.OC
O.DC
O.OC
O.OC
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.
D.oe
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 ~
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or.......................................................................................................................... 0 ~
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 ~
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 !~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ ~ 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 spou~
is three (3) percent [72 P.S. 39116 (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) percel
[72 PS. 99116 (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 ar
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, G
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
72 P.S. 99116(1.2) [72 P.S. 39116(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. 39116(a)(1.3)]. A sibling is defined, undl
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
'REV-15GS EX+ (6-9S:.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Wilson, Charles D., Sr.
FILE NUMBER
21-06-1007
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 VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1985 trailer 600.00
2 1970 boat trailer 200.00
3 1980 Honda motorcycle 835.00
4 1976 Topline camper 600.00
5 2000 Kawasaki A TV 1,300.00
6 Certificate if Deposit, Harris Savings Bank 2,000.00
7 Misc. tools 2,000.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
7,535.00
REV-1510 EX+ (6-9
9'!a.l':~...~
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISe. NON-PROBATE PROPERTY
ESTATE OF
Wilson, Charles D., Sr.
FILE NUMBER
21-06-1007
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 lis yes.
ITEM DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEOENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. Lear Retirement Savings Plan 101,772.00 100 101,772.00
TOTAL (Also enter on line 7 Recapitulation) $ 101,772.00
,
..
(If more SDace IS needed. Insert additional sheets of the same size)
~EV-1511 EX+ (12-99) q,~Q
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Wilson, Charles D, Sr.
FILE NUMBER
21-06-1007
Debts of decedent must be reported on Schedule 1.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Rolling Green Cemetery
Sullivan Funeral Home
1,195.00
6,675.00
2
B. ADMINISTRATIVE COSTS:
1 . Personal Representative's Commissions
Name of Personal Representative(s) Glenda M. Wilson
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 100 Stone House Road
City Carlisle
State P A
Zip 17013
Year(s) Commission Paid: none
2.
Attorney Fees
5,000.00
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
3,500.00
Claimant Glenda M. Wilson
Street Address 100 Stone House Road
City Carlisle
State PA .Zip 17013
Relationship of Claimant to Decedent Spouse
4.
Probate Fees
304.00
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)
16,674.00
~EV-1513 EX+ (9-00)
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SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wilson, Charles D., Sr.
FILE NUMBER
21-06-1007
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
J TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1 Glenda M. Wilson, 100 Stone House Road, Carlisle, PA 17013 Spouse 100%
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 mom snrlr.p. is needed. insert additional sheets of the same size)
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LAST WILL AND TESTA}IENT
OF
CHARLES D. WILSON, SR
I, CHARLES D. WILSON, SR., a resident of 301 Second Street, Summerdal~,
Pennsylvania being of sound mind and memory do make, publish and declare this
to be my Last Will and Testament, hereby revoking all Wills and Codicils here-
tofore made by me.
ITEM I.
I direct that all of my just debts, my funeral expense in-
eluding a suitable monument at my grave and the cost of administration oE my
estate to be paid as soon as practicable after my death. I direct that my
Personal Representative payout of my estate ;:IS a general charge thereon, 3Ll
inheritance, estate, succession and other taxes together with any interest of
penalty thereon assessed and reason of my death with regard to all properties
and assets subject to such taxes, whether or not such property and assets
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ITEM II. I give, devise and bequeath all the rest, residue and remainde.~
of my property, real, personal or mixed, tangible and intangible, of whatsoeve~
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under this ~Jill.
nature and wheresoever located and all property to which I may be entitled or
ov~r which I may have any power of disposition or appointment and whether ac-
quired during or after my lifetime, unto my wife GLENDA M. WILSON, absolut,"ly
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and in fee simple provided that she survives me by ninety (90) ci.ays; if GLE;>1Dt-\
M. WILSON, shall not survive me or should die within ninety (90) days of my
death, then I give, devise and bequeath the said rest, residue and remainder
of my property to go to Charles D. Wilson, Jr., and Valerie Elizabeth Wilson,
my two children share and share alike.
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ITEN Ill.
I direct that my antiques are not to be sold but to go in
kind to Charles D. Wilson, Jr., and Valerie Elizabeth Wilson, my chil~ren.
ITEH IV.
I direct that the 17 1/2 acres in Hifflin County, Pennsyl-
vania are not to be sold until both children attain the age of 21 years and
at that time Charles D. Wilson, Jr., shall have the right to purchase the said
17 ili acres for d1ree or months.uaf- an inventoried value.
ITEM V.
I direct that the legacy or share of the real est~te or
personal estate going to any person under 21 years of age under the provisions
of this Hill shall go to Dauphin Deposit Bank anc! Trust Company in Trust, unt i
such person attains the age of 21 year, with said Trustee in its discr~tion,
after consideration of other income of the child to use the income and corpus
of the estate for education and occupational training and the welfare, care
maintenance of said child during said age period. My said Trustee shall give
the highest regard and credibility to the adult person with whom said person
resides and upon request or demand of such adult person for payment or reim-
bursement for present or future expenses that involve the said items for the
good and welfare of the said child, said Trustee or its successors i,; Buthor-
ized to pay such requests or demands for present or future expenses without
any further investigation or order of Court and without any further liability
or -responsibility for the-application- of such monies paid.
ITEN VI,
In the event spouse in not living, I hereby nomiqate, con-
stitute and appoint Stanley Wilson, Sr. and Fern Wilson to be the guardian of
the persons of all my minor children.
ITEH VII.
I hereby nominate, constitute and appoint GLENDA H. WILSON
as sole Executri;{ of this my Last Will and Testament; in the e-,"cnt the Said
GLENDA H. HILSON refuses or i3 unable to act for any reason, I then nominate,
constitute and appoint Charlls D. Wilson, Jr., and Valerie Elizabeth Wilson,
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my two children, to be sole executors and in the event they refuse or are
unable; I then nominate, constitute anit appoint Stanley \.Jilson, Sr., nd
Fern Wilson to be executors of this my Last Will and Testament and I direct
that no bond be required of my Executor.
ITEM VI II .
I authorize and empower my personal representative and/or
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said Tru s tee to com.promise~--a-dlust~---ierease-andd ischargeTri suc 1:1 manner as
my personal representative may deem proper, all debts and claims owed by or to
me or my Estate; to sell, lease or exchange at public or private sale or in
such manner, at such prices, and upon such terms of credit or otherwise, as my
personal representative or said Trustee may deem proper, all or part of payin6
property, real or personal; to execute, acknowledge and deliver insturments or
conveyance, including deeds in fee simple; to borrow money for the purpose of
paying estate, inheritance or other taxes which are required to be paid and to
secure any such loan by pledge or mortgage of all or part of my property and t
execute the necessary instruments to carry out such powers; to distribute my
estate in kind or partly ~1 money or partly in kind shall be received by the
distributees; to conduct any business in whLch I have an interest at the time
of my decease, for such period as my personal representative may deem proper
II
II power to~ anT partner;-mana>rer-or employee wit >out HaoiHty for any loss ounc-
I ring therein and to organize a corporation to carryon said business as capitaj
II to such corporation and accept stock in the corporation in lieu thereof and I
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to do all other acts that I, in my lifetime could have done to delegate such
hold such stock for the uses of this my Will, and to vote said stock or to
sell the same as to my personal representative may seem best; to retain all
stocks, assets, bonds
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investments, to purchase or otherwise acqpire real
estate and to execute the same power thereover as hereinbefore provided; to
r eta in
indefinitely allY part of my assets, real or personal which is or may
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become unproductive or to make sale thereof; to pay carrying charges and
expenses of the property out of other principal or income of my estate. The
powers he:c.eln conferred shall be to my named personal representative and said
Trustee and all successors therto and shall be in addition and not in limit-
ation of other powers conferred on said fiduciaries.
IN WITNESS WHEREOF, I, 'ClfAlfi:ES--ti :-w-ILs61T,--sR-~--:-' hav-e~tc;t5lis--my-ia-st----'---
Will and Testament, typewritten on four (4) sheets of paper, numbered consec-
utively signed my name at the bottom of all pages hereto for the purpose of
identification and at the end hereof on page four have set my hands and seal
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tr,is / f71fda~7 of J)() U eM lx.n!J- 983.
dA ih~
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CHARLES D. WILSON, SR.
Signed sealed, published and declared by CHARLES D. WILSON, SR., the
a.bove named Testator, on the /g-dday of I't-b-ve ,J4.,h.e-v-:. ,1983, as and for
his presence for his Last Will and Testament in the presence of us, who in
his presence and the presence of each other, have, at his request, subscribed
n es as witness hereto. .
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Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 10/16/2007
BROSCIUS ANN M
301 SOMERSET DR
SHIREMANSTOWN, PA 17011
RE: Estate of GOUGH ANTOINETTE S
File Number: 2005-00965
Dear Sir/Madam:
This notice is to serve as a reminder that the Certificate of
Notice under Rule 5.6(a) is due on the below listed date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES,
NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on
or after July 1, 1992, the personal representative or his
councel, within ten (10) days after giving proper notice to the
beneficiaries and intestate heirs as required by subdivision
(a) of Rule 5.7, shall file with the Register of Wills or Clerk
of the Orphans' Court his/her Certification of Notice.
This filing lS due by:
10/21./2007
Please feel free to contact this office with any questions you
may have. If you have already filed your certificate, please
disregard this notice.
Sincerely,
~. . C. .tf"'~' ~
I.... ..i....,( I
,..~/L;Of.. t7?l~~Ui, laJ~/(.
Glenda Farner Strasbaugh~'l
Clerk of the Orphans' Court
cc: File
Counsel