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Home My WebLink About12-05-07 15056051047 REV-1500 EX (06-05) INHERITANCE TAX RETURN RESIDENT DECEDENT PA Department of Revenue Bureau of Individual Taxes PO Box 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Date of Death Date of Birth ~~ Suffix Decedenfs First Name [II] Suffix [II] THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return 2. Supplemental Retum c:::> c:::> c:::> c:::> MI B MI D c:::> c:::> 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach a Copy of Trust) 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 SHALL BE DIRECTED TO: Daytime Telephone Number ITEJ ~ c:::> ~ c:::> 4. Limited Estate 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received o 8. Total Number of SOB's GJT] ,...." C) ,-- rn :::n ;='-':: ,-'),..-.., -i(=.')::.il DAt- ILED ~ ~ :g Correspondent's e-mail address: reiohnson~pa.net ADDRESS SIG Side 1 L 15056051047 15056051047 'P7 --.l CJ r'l ("") ( U1 -0 :x o CO .-n fTl CJ CJ :.0 C':."J , fTl ':;0 C_J --"1 ""n ('5 r ,., coo "Tl ~ ~ :L505605204& REV-1500 EX Decedent's Name: RECAPITULATION 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) 0 Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 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) 11. Total Deductions (total Lines 9 & 10) 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) 14. Net Value Sub'ect 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 .0 _ 16. Amount of Line 14 taxable at lineal rate x .045 $82,938.61 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 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L Side 2 :L505605204l!l 1. $0.00 I $0.001 2. 3. 4. $0.00 I $90,606.61 I $0.00 I $0.00 I 5. 6. 7. 8. $90,606.61 9.1 10.1 11.1 12.1 13.1 $7,668.00 $0.00 $7,668.00 $82,938.61 $0.00 14. $82,938.61 15 $0.00 16 $3,732.24 17 $0.00 18 $0.00 191 $3,732.241 c::::> :L505605204l!l J REV-1500 EX Page 3 File Number 21-07-0835 Decedent's Complete Address: Decedent's Name Ruby M. McCarthy STREET ADDRESS 66 Ashburg Drive, Apt. 104 CITY STATE Mechanicsburg Tax Payments and Credits: 1. Tax Due 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discounts PA $186.61 Total Credns (A+B+C) 3. Interest/Penalty if applicable D. Interest E. Penalty 4. Total InterestlPentatty (D+E) 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 (1 ) (2) (3) (4) ZIP 17050 $3,732.24 $186.61 $0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $3,545.63 A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) $3,545.63 Make Check Payable to: REGISTER OF WILLS, AGENT ..T'....., -~r;~~-~~::~.:',!i!tl-t:i;IJr~L~tf~~~~itJl~~~.~rJ~ltllA~_~_1r..~~..~,,~~~~~~~€fu~ 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: b. retain the right to designate who shall use the property transerred or ns income: c. retain a reversionary interest: or d. retain the promise for life of enher payments or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? 3. Did decedent own an "in trust fo," or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary disignation? D D D D D D D w w w w w w w For dates of death on or after July 1, 1994 end before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use ofthe surviving spouse is 3% [72P.S. Sec. 9116(a)(1.1)(I)]. For detes of death on or after January 1, 1995, the tax rate imposed on the net velue of transfers to orforthe use of the surviving spouse is 0% [72 P.S. Sec. 9116(a)(1.1)(ii)J. The statute does not exempt a transfer to a surviving spouse from tax, and the stetutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiery. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deseased child twenty-one years of age or younger at death to or for the use of a naturel perent, an adoptive perent, or a stepparent of the child is 0% [72 P.S. Sec. 9116(a)(1.2)]. The tax rete imposed on the net value of trensfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. Sec. 9116(1.2) [72 P.S. Sec.9116(a)(1). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. Sec.9116(a)(1.3)]. A sibling is defined. under Section 9102, as an individuel who has alleast one parent in common with the decedent, whether by blood or adoption. t tf f: ~ t LAST WILL AND TESTAMENT OF RUBY MAE McCARTHY I, RUBY MAE McCARTHY, of Silver Spring Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any and all wills and codicils heretofore made by me. ITEM I: My personal representative shall pay from the residue of my estate the expenses of my last illness, funeral and burial debts duly allowed against my estate, and all death taxes (pennsylvania inheritance tax and federal estate tax) occasioned by my death and incurred with respect to all property taxed to my estate regardless of whether such property passes by this Will or passes outside of this Will. ITEM II: I bequeath my automobiles, personal effects, household goods, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, if any, as set forth in a separate memorandum which I shall place with my Will to the persons therein designated. If! shall leave no separate memorandum, or with regard to my automobiles, personal effects, household goods, and other tangible personal property of like nature (not including cash or securities) not referenced by such memorandum, I bequeath such property to my Sons, DENNIS K. McCREARY and MICHAEL S. McCREARY, or the survivor of them living at the time of my death, to be divided among them by my Executor with due regard for their personal preferences in as nearly equal shares as practical. f J ~ 1 S ITEM III: I devise and bequeath the residue of my estate, of every nature and wherever situate, in equal shares to my Sons, DENNIS K. McCREARY and MICHAEL S. McCREARY. ITEM IV: My Executor and his successors, shall have the following powers in addition to those vested in him by law, and by other provisions of my Will, applicable to all property, whether income or principal, includL'1g property held for minors, exercisable without court approval, and effective until actual distribution of all property: A. To borrow money from any person or institution, including my Executor and to mortgage or pledge any or all real or personal property as my Executor in his sole discretion shall choose. B. To compromise any claim or controversy. c. To invest in all forms of property (including stock, common trust funds and mortgage investment funds, whether maintained by my corporate fiduciary or others) without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principal of diversification or risk. D. To retain any or all of the assets of my estate, real or personal, without regard to any principal of diversification or risk. E. To sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as they deem proper. ITEM V: I appoint my son, MICHAEL S. MCCREARY, Executor of this my Last Will and Testament. Should MICHAEL S. MCCREARY fail to qualify or cease to act as Executor, I appoint DENNIS K. McCREARY of Lock Haven, Pennsylvania, as Executor of my estate. IN WITNESS WHEREOF, I, RUBY MAE McCARTHY, have hereunto set my hand and seal to this my Last Will and Testament, consisting of four (4) typewritten pages, each of which bears my signature, tI-Js ~, day of Janua...-y 2007. -rC~7'~~~ Ruby Mae McCarthy, Testatrix Signed, sealed, published and declared by the above-named Testatrix, RUBY MAE McCARTHY, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~~..~ "7 COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) WE, RUBY MAE McCARTHY, TAYLOR P. ANDREWS, and rn i v-htl"'{ $, m t C r<4Y, the Testatrix and witnesses, respectively, whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as and for her Last Will arid Testament and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge the Testatrix was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~~m~~ Ruby Mae McCarthy, Te . ~-/~J Michael S. McCreary, Witnes Subscribed, sworn to and acknowledged before me by RUBY MAE McCARTHY, the Testatrix, ~d subscribed to and sworn or affirmed to before me by TAYLOR P. ANDREWS and 00, ~.,j S. v'hcCr' ~' witnesses, this <3~, day of January 2007. . t.JO'fAFlIAL SEAL I SHELLY SEXTON, Notary Public ! I Carlisle Bora, Cumberland County ! My Commission Expires A{YiI 26, 2007 I -------, (SEAL) SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANIOUS PERSONAL PROPERTY ESTATE OF FILE NUMBER Ruby M. McCarthy 21-07-0835 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 DESCRIPTION VALUE AT DATE NUMBER OF DEATH 2 3 4 5 6 7 8 9 10 11 12 Savings account no: 1684300609-Sovereign Bank DOD Balance accured interest to date of death $17,209.02 $24.89 Checking account no: 2891 0490 12-Sovereign Bank DOD Balance accured interest to date of death $2,797.80 $0.19 CD No: 2475163099-Sovereign Bank DOD Balance accured interest to date of death $21,893.80 $29.83 CD No: 2475153107-Sovereign Bank DOD Balance accured interest to date of death $21,977.91 $26.81 CD No: 24 75163115-Sovereign Bank DOD Balance accured interest to date of death $22,054.90 $21.39 CD No: 2895405872-Sovereign Bank DOD Balance accured interest to date of death $2,209.14 $3.04 CD No: 3380525360-Sovereign Bank Balance accured interest to date of death (see attached statement for all of the above) $2,204.86 $2.71 Verizon - refund $6.49 Silver Springs Gardens - rent refund $18.07 Silver Springs Gardens - security deposit refund $10.00 Erie Insurance - renters insurance refund $66.00 Comcast TV Cable - refund TOTAL (also on line 5, Recapitulation) $49.76 $90,606.61 I Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Ruby M McCarthy 201-18-5770 September 8, 2007 Account #: 1684300609 Type: Savings In the name of: Ruby M McCarthy, Michael S McCreary PDA Date of Death Balance: $17,209.02 Int.(YTD) from 1/1/2007 to 8/13/2007 Accrued interest to date of death: $24.89 Other Info: Open date: 8/27/2005 $54.90 Account #: 2891049012 Type: Checking In the name of: Ruby M McCarthy, Michael S McCreary PDA Date of Death Balance: $2,797.80 Int.(YTD) from 1/1/2007 to 8/13/2007 Accrued interest to date of death: $0.19 Other Info: Open date: 6/23/2004 $1.62 Account #: 2475163099 Type: CD In the name of: Ruby M McCarthy, Michael S McCreary PDA Date of Death Balance: $21,893.80 Int.(YTD) from 1/1/2007 to 8/31/2007 Accrued interest to date of death: $29.83 Other Info: Open date: 11/24/2004 $686.88 Account#: 2475153107 Type: CD In the name of: Ruby M McCarthy, Michael S McCreary PDA Date of Death Balance: $21,977.91 Int.(YTD) from 1/1/2007 to 8/31/2007 Accrued interest to date of death: $26.81 Other Info: Open date: 11/24/2004 $641.53 Account #: 2475163115 Type: CD In the name of: Ruby M McCarthy, Michael S McCreary POA Date of Death Balance: $22,054.90 Int.(YTD) from 1/1/2007 to 8/3112007 Accrued interest to date of death: $21.39 Other Info: Open date: 11/24/2004 $512.96 Page 1 of 2 Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Ruby M McCarthy 201-18-5770 September 8, 2007 Account #: 2895405872 Type: CD In the name of: Ruby M McCarthy, Michael S McCreary POA Date of Death Balance: $2,209.14 Int.(YTD) from 1/1/2007 to 8/31/2007 Accrued interest to date of death: $3.04 Other Info: Open date: 10/23/1999 $72.61 Account #: 3385025360 Type: CD In the name of: Ruby M McCarthy, Michael S McCreary POA Date of Death Balance: $2,204.86 Int.(YTD) from 1/1/2007 to 8/31/2007 Accrued interest to date of death: $2.71 Other Info: Open date: 12/23/2000 $70.12 Page 2 of 2 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF Ruby M. McCarthy FILE NUMBER 21-07-0835 ITEM NUMBER A. 1 2 B. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Debts of decedent must be reported on Schedule I. DESCRIPTION Funeral Expenses: Prepaid Administrative Costs: Personal Representive Commissions Name of Personal Representative(s)Michael S. McCreary Social Security Number of Personal Representative: Street Address: 211-44-2510 State: Zip: 2008 City: Year(s) commissions paid: Attorney fees to Andrews & Johnson Family Exemption Claimant Street: City: State & Zip Relationship of Claimant to Decedent: Probate Fees to Register of Wills Accountant Fees to Patricia Rosendale, CPA Tax Return Preparer's Fees State Farm Insurance Co - surety bond premium Register of Wills, surety bond filing fee Community Care RX - final monthly premium Register of Wills, Inheritance Tax Return filing fee Reserve for closing and accounting TOTAL (also on line 9, Recapitulation) AMOUNT $2,400.00 $3,600.00 $252.00 $860.00 $15.00 $26.00 $15.00 $500.00 $7,668.00 SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE NUMBER Do Not List Trustee(s) OF ESTATE I TAXABLE D1STRIBlITIONS [ilu:lude outright spousal distributions, aOO transfers under Sec. 9116(a)(I.2)J 1 Michael S. McCreary son 50% 84 Walnut #401, Asheville, NC 28801 2 Dennis K. McCreary son 50% 247 Hykes Road East, Greencastle, P A 17225 II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE B. Charitable and Governmental Bequeats: Ruby M. McCarthy 21-07-0835 TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on line 13, Recapitulation) $0