HomeMy WebLinkAbout11-05-07
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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
07
0163
174 20 0786
02/01/2007
Suffix
Date of Birth
I
Decedent's Last Name
111~4/1 ~24
Decedent's First Name
MI
Lehman
Grace
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
First Name
MI
Lehman
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
_ 1. Original Retum
c::::l
4. Limited Estate
c:::>
3. Remainder Retum (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c:::>
2. Supplemental Retum
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 Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. ,Total Number of Safe Deposit Boxes
-
Edgar R. Luhn, III
Firm Name (If Applicable)
(717) 448(..}204 ..'
.: "'-(e'} . ...c.......
REGISTER OF WII:;I{S USE ONLY:.
Law Office of Edgar R. Luhn, III
First line of address
,
1
(; ,
480 Doubling Ga~ Road
Second line of address
City ()r Post Office
State
ZIP Code
DATE FILED
.' i
,...-1
-11
Newville
'PA
17241
Correspondent's e-mail address:
edluhn@aol.com
allies of pe~ury, I declare that I have examined this retum. including accompanying schedules and statements, and to the best of my knowledge and belief,
rrect and complete. Declaration of preparer other than the personal representative is ba formation of which pre parer has any knowledge.
INGRETURN 606 Center Rd. DATE
Newville, PA 17241 D-~~~
20 S~oneledge Rd.
Newville, PA 17241 /O-Z?-e:J
SIGNATURE OF ~R:;r ~ ~SENTATIVE
ADDRESS ~ ~
480 Doubling Gap Rd., Newville, PA 17241
PLEASE USE ORIGINAL FORM ONLY
DATE
10-2-(;1.. -0 'I
Side 1
L
15056051058
15056051058
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15056052059
REV-1500 EX
Decedent's Social Security Number
<........""'.,."".,.,..........___mmmmmn...........'...""".""".,..".......................n.m.....'.
Decedent's Name:
RECAPITULATION
174 20 0786
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
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.
6. Jointly Owned Property (Schedule F) c::::l Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c::::l Separate Billing Requested.. . . . . .. 7.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 11.
1 105.00
11,497.00
0.00
497.00
49,608.00
-0-
49,608.00
8. Total Gross Assets
................................... 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . .. . . . . .. . . . . . . . .. . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to lax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax
. . . . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14laxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0--.0.0
16. Amount of Line 14laxable
atUneal rate X.O 4..5
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
.00
2,500.00
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . .. . . . . . . . 19.
113.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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15056052059
Side 2
15056052059
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L
REV 1500 EX P 3
- age I~umb~
Decedent's Complete Address: [iDE] 0163--1
DECEDENrs NAME DECEDENrS SOCIAL SECURITY NUMBER
Grace E. Lehman 174-20-0786
STREET ADDRESS
4 Green Street
CITY I STATE TZIP
Newville PA 17241
Tax Payments and Credits:
1. Tax Due (Page 2 line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
113.00
Total Credits (A + 8 + C ) (2)
-0-
3. InteresVPenalty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty ( 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)
-0-
8. Enter the total of line 5 + SA. This is the BALANCE DUE.
(SA)
(58)
113.00
-0-
113.00
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
'~~~Jf~~~fllI__!.1J I
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;.......................................................................................... D IKJ
b. retain the right to designate who shall use the property transferred or its income; ............................................ D IKJ
c. retain a reversionary interest; or.......................................................................................................................... D IKJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... D IKJ
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. D IiJ
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D IiJ
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................,................................... D 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.
i_____
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of trahsfers 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 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. ~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) .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Grace E. Lehman
FILE NUMBER
21-07-0163
ESTATE OF
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
1.
Checking Account #220302
Adams County National Bank
Big spring Ave., Newville PA 17241
25,719
2.
CD (IRA) 90001000 003
Adams County National Bank
19,136
3.
CD 3991008 007
Adams County National Bank
10,000
4.
Christmas Club 5528917
Adams County National Bank
250
5.
Certificate of Deposit
PNC Bank
C~rlisle, PA 17013
6,000
TOTAL (Also enter on line 5. Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
61,105
REV-1511 EX+ (10-06>.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Grace E. Lehman
FILE NUMBER
21-07-0163
ESTATE OF
Debts of decedent must be reported on Schedule L
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Egger Funeral
15 Big spring
Newville, PA
Home
Ave
17241
7,877
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Randy L. Lehman
Name of Personal Representative(s) Steven M. Lehman
Street Address 606 Center Rd.
Newville
1,800
City
Year(s) Commission Paid: 2007
PA
State _Zip
17241
2.
Attorney Fees
Edgar R. Luhn III, Esq.
1,250
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.
ProbateFees Cumberland County Register of Wills
173
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Legal Advertisement Cumb Co. Bar
Legal Advertisement Carlisle Sentinel
Graham Medical Center
75
191
131
TOTAL (Also enter on line 9, Recapitulation) $ 11, 497 . 00
(If more space is needed. insert additional sheets of the same size)
REV-1513 EX+ (9-00) *'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
Grace E. Lehman
FILE NUMBER
21-07-0163
ESTATE OF
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
Diana K. Stouffer
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
AMOUNT OR SHARE
OF ESTATE
daughter
$ 2,500
Newville, PA 17241
Lester H. Lehman
4 Green st.
Newville, PA 17241
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 more space is needed, insert additional sheets of the same size)
LAST WILL AND TEST AMENT
OF
GRACE E. LEHMAN
I, GRACE E. LEHMAN, of Newville Borough, Cumberland County, Pennsylvania,
being of sound mind, memory and disposition, go hereJJy make, publish and declare this my Last
Will and Testament, hereby revoking and making void any and all Wills, Codicils, or writings in
the nature thereof, by me at any time heretofore made:
FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and funeral expenses,
including my gravemarker and all expenses of my last illness, shall be paid from my residuary
estate as soon as practicable after my decease as a part of the administration of my estate.
SECOND: LEGACY - I hereby make the following legacy:
A. TWO THOUSAND FIVE HUNDRED (2,500.00) DOLLARS to DIANNA K.
STOUFFER.
THIRD: RESIDUE OF EST ATE - I give, devise and bequeath all the rest, residue and
remainder of my estate, be it real, personal, or mixed, of whatsoever kind and wheresoever
situate, unto my husband, LESTER H. LEHMAN, provided that he survives me by 30 days.
FOURTH: CONTINGENCY IF SPOUSE DOES NOT SURVIVE - If my husband, LESTER
H. LEHMAN, does not survive me by 30 days, my real estate shall be sold and the proceeds
divided equally among my sons, STEVEN M. LEHMAN, RANDY L. LEHMAN, JOSEPH H.
LEHMAN and TI-JOMAS G. LEHMAN. However, if a child does not survive me and leaves
children who so survive me, such children shall receive, per stirpes (by representation), the share
my child would have received had he or she so survived me. All of the remainder of my estate
shall be distributed to the same four sons, on a per stirpes distribution basis.
P AGE ONE OF FOUR
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FIFTH: TRUSTEE OF MINOR'S ESTATE - Any share or shares of my estate which passes
to a minor shall be placed IN TRUST with STEVEN M. LEHMAN and RANDY L. LEHMAN,
as TRUSTEES, to serve without posting bond, on the following terms and conditions
A. So long as the child is a minor, the net income of the Trust shall be paid to or
, '
applied for the child's maintenance, education or support, at such time and in such
proportions as my Trustees shall in their sole discretion determine, and without regard to
his or her parent's ability to provide for such needs. In the event that the income would
be insufficient to provide the child with adequate maintenance, education and support,
the Trustees shall invade the principal for this purpose and such invasions shall be
according to the needs of the child.
B. Upon his attaining the age of eighteen (18) years, the said Trustee shall
distribute the Trust assets, including accrued income, to the child.
C. If said child shall die prior to attaining the age of eighteen (18) years, the
separate trust for his or her benefit shall terminate and thy principal and any undistributed
income shall be paid to the estate of such child.
SIXTH: TAXES RESULTING FROM MY DEATH - All federal, estate and other death
taxes that may be assessed as a consequence of my death, whether or not the assets pass under
this Will, shall be paid from the residuary estate of my probate estate just as if they were my
debts, and none of those taxes shall be charged against any ben.eficiary or joint owner.
SEVENTH: EXECUTOR - I appoint my husband, LESTER H. LEHMAN, as Executor of my
Will. If he is unable or unwilling to serve, I then appoint RANDY L. LEHMAN and STEVEN
M. LEHMAN, Co-Executors of my Will. Neither my Executor nor any successor shall be
required to give bond.
P AGE TWO OF FOUR
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I grant to my Executor and successors the power to compromise claims without court
approval and without the consent of any beneficiary.
EIGHTH: PROTECTIVE PROVISION - To the greatest extent permitted by law, before
actual payment to a beneficiary or to his or her' account, no interest in income or principal shall
, .
be assignable by a beneficiary or available. to anyone having ,a claim 'against a beneficiary.
IN WITNESS WHEREOF, I hereunto have signed my name to this, my Last Will and
\ fL.
Testament, consisting, of a total of FOUR (4) typewritten pages, this ~ day of /-1 ~ 7'
1999.
I~ ~\ ~~~
GRACE E, LEHMAN, Testatrix
In our presence, the above-named Testatrix signed this and declared it to be her Will, and
now, at her request and in her presence and in the presence of each other, we sign as witnesses:
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P AGE THREE OF FOUR
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STATE OF PENNSYL VANIA
: SS
,COUNTY OF CUMBERLAND
I, GRACE E. LEHMAN, having been duly qualified according to law, acknowledge that I
signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for
the purposes therein expressed:
~ t: ~~.
GRACE E. LEHMAN, Testatrix
We, having been duly qualified according to law, depose and say that we were present
and saw GRACE E. LEHMAN sign the foregoing instrument as her Will; that she signed it as
her free and voluntary act for the purposes therein expressed; that each of us in her sight and
hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she
was at the time 18 or more years of age, of sound mind and under. no constraint or undue
influence.
9u~O.uJ~
C-~,~, tJu~
Subscribed, sworn to or affirmed,
and acknowledged before me by the
above-named' Testator and by the
witnesses whose names appear
opposite on this' d-S f-" day of
,Me,? ,1999.
/)/\ j "L<",J~
N'Otary Public
P AGE FOUR OF FOUR
.
ATTORNEY AT LAW
EDGAR R. LUHN III
480 DOUBLING GAP ROAD NEWVILLE, PENNSYLVANIA 17241 (717) 448-1204
October 29,2007
Glenda Farner-Strasbaugh, Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RE: Estate of Grace E. Lehman
File No. 21-07-0163
Dear Ms. Farner-Strasbaugh:
Enclosed for filing please find the original and one copy of the Inheritance Tax Return (with
Last Will attached) for the above-referenced decedent. A check in the amount of $113.00,
made payable to "Register of Will, Agent", is also enclosed. Accompanying these
documents is an original Inventory.
Thank you for your kind assistance.
cc:
Steven M. Lehman, Co-executor
Randy L. Lehman, Co-executor
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