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JERRY R. DUFFIE
RICHARD W. STEWART
C. ROY WEIDNER, JR
EDMUND G. MYERS
DAVID W. DELuCE
JOHN A. STATLER
JEFFERSON J. SHIPMAN
JEFFREY B. RETTIG
KEVIN E. OSBORNE
RALPH H. WRIGHT. JR.
MARK C. DUFFIE
JOHN R. NINOSKY
MICHAEL J. CASSIDY
LAW OFFICES
JOHNSON
DUFFIE
MELISSA PEEL GREEVY
ROBERT M. WALKER
WADE D. MANLEY
ELIZABETH D. SNOVER
KELLY L. BONANNO
OF COUNSEL
HORACE A. JOHNSON
F. LEE SHIPMAN
(1965-2006)
\V"rnT'Fr~.'8E\T 'N'~,l,! 1.1
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December 14,2007
Register of Wills Office
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RE:
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Estate of Earnest Wayne Smithermaf(~ ~
Date of Death: January 17, 2007 ,(~~;
Your File No.. 21-2007-0757
Our File No. 015063-1
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Dear Register:
Enclosed for filing please find the following documents for the above referenced decedent:
1. 2 Original PA Inheritance Tax Returns. There is tax due in the amount of $122.11 including interest
for filing after the due of October 17,2007. Check No. 1138 is attached to the Return.
2. Inventory
3. Two copies of Pages 1 of the Pa Inheritance tax return, which we ask that you time-stamp and return to
us in the enclosed envelope.
4. One copy of the of the Inventory to be time-stamped and returned to us in the enclosed self
addressed envelope.
5. Check No.1139 attached to this correspondence in the amount of $30.00 representing the filing
fee for the Inheritance Tax Return and Inventory.
Should you have any questions, please do not hesitate to contact our office. Thank you for you
..
Very truly yours,
NSON, Ufflf7, ASllf.Y~~~1 & W,EIDNER
, .l).J~~l
'-1) na . eman
Estate Administration Paralegal
c:
:318224
Margaret Smitherman, Administratrix
301 MARKET STREET PO, BOx 109 LEMOYNE, PENNSYLVANIA 17043-0109
WWWJDSWCOM 717.761.4540 FAX: 717.761.3015 MAIL@JDSWCOM
JOHNSON, DUFFIE, STEWART & WEIDNER, P.C.
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15056041147
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
OFFICIAL USE ONLY
County Code Yeer
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1 0 7
757
Date of Birth
425901924
01172007
04011945
Decedent's Last Name
Suffix
Decedent's First Name
SMITHERMAN
EARNEST
MI
W
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
MI
SMITHERMAN
MARGARET
E
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
D 1. Original Return
D 4. Limited Estate
D 6. Decedent Died Testate
(Attach Copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return D 3. Remainder Retum (date of death
prior to 12-13-82)
D 4a. Futura Interest Compromise D 5. Federal Estate Tax Return Required
(data of death after 12-12-82)
D 7. Decedent Mainteined a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Trust)
D 1 0 Spousal Povarty Credit ~ date of death D 11. Election to tax under Sec. 9113(A)
. between 12-31-91 and -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
EDMUND G. MYERS
717761~40 g
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REGISTER O~ ~ag;s US~NL Y (; )
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First line of address
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Firm Name (If Applicable)
JOHNSON DUFFIE
301 MARKET STREET
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Second line of address
LEMOYNE
State
PA
ZIP Code
17043
DA TE FILED
City or Post Office
Correspondent's e-mail address:
Under penalties of perjury, I declare that I have examined this return, 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 whi has any knowledge.
SIGNATURE OF PERSON RES PO ISLE FOR FILING RETURN DATE
1'1? a-<J
Margaret E Smitherman
17025
EDMUND G. MYERS
DATE
I'){t 'II t.7?
301 MARKET STREET, LEMOYNE, PA 17043
L
Side 1
15056041147
15056041147
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15056042148
REV-1500 EX
Decedent's Name: Ear n est Way n e S m it her man
RECAPITULATION
Decedent's Social Security Number
425901924
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) 0 Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 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, of
transfers under Sec. 9116
(a)(1.2) X .00
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
2,679.51
15.
2,679.51
16.
0.00
17.
0.00
18.
19. Tax Due.................................................................................................................. .1.9.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
L
Side 2
15056042148
22,108.63
22,108.63
15,349.62
1,400.00
16,749.62
5,359.01
5,359.01
0.00
120.58
0.00
0.00
120.58
D
15056042148
--.J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-07-757
DECEDENT'S NAME
Earnest Wayne Smitherman
STREET ADDRESS
9 West Highland Avenue
CITY I STATE IZIP
Enola PA 17025
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
120.58
0.00
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
0.00
1.53
TotallnteresUPenalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
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;.................................................................................[J [!]
b. retain the right to designate who shall use the property transferred or its income;.................................... D [!]
c. retain a reversionary interest; or........ .............. ........................ .... .......................... ...................................0 [!]
d. receive the promise for life of either payments, benefits or care?.............................................................D [!]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideratiOn?....................................................................................................................D [!]
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 spouse is three (3) percent [72 P.S. 99116 (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. 99116 (a) (1.1) (ii)]. The statute does not exemPB 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. 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. 99116 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-1508 EX+ (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMON~LTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Smitherman, Earnest Wayne
FILE NUMBER
21-07-757
Include the proceeds of Iitigetion and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Sovereign Bank Checking Account 0921717296
VALUE AT DATE
OF DEATH
154.39
2 Sovereign Bank Savings Account No. 0924031123
21.954.24
TOTAL (Also enter on Line 5, Recapitulation)
22.108.63
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
REV-1151 EX+ (12-99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Smitherman, Earnest Wayne
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-07-757
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
10,483.00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City
Year(s) Commission paid
State Zip
2.
Attorney's Fees
Johnson Duffie
1,000.00
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Margaret E Smitherman
Street Address 9 West Highland Avenue
City Enola State PA Zip 17025
Relationship of Claimant to Decedent Spouse
3,500.00
4.
Probate Fees
87.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
279.62
TOTAL (Also enter on line 9, Recapitulation)
15,349.62
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rey.1502 EX+ (6-961
*'
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMO~LTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Smitherman, Earnest Wayne
FILE NUMBER
21-07-757
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Brady Funeral Home
8.183.00
2
Headstone
2.300.00
Subtotal
10.483.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-B7
OTHER
ADMINISTRA TIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Smitherman, Earnest Wayne
FILE NUMBER
21-07-757
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cumberland County Register of Wills Office - Filing Fees for Inheritance Tax Return
($15.00) and Inventory ($15.00)
30.00
2
Dauphin County Register of Wills - Oath of Personal Representative
20.00
3
The Cumberland Law Journal - Notice of Estate Administration
75.00
4
The Patriot News - Notice of Estate Administration
154.62
Subtotal
279.62
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONIlVEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Smitherman, Earnest Wayne
FILE NUMBER
21-07 -757
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Hershey Medical Center - Medical Expenses for last Illness
VALUE AT DATE
OF DEATH
1.400.00
TOTAL (Also enter on Line 10, Recapitulation)
1,400.00
(If more space is needed, additional pages of the same size)
Copyright (C) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV-1513 EX+ (9-00)
.
SCHEDULE .J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Smitherman, Earnest Wayne
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
i:listributions, and transfers
under Sec. 9116(a)(1.2)]
Margaret E Smitherman
9 West Highland Avenue
Enola, PA 17025
Spouse
RELATIONSHIP TO
DECEDENT
Do Not List Trusteelsl
I.
Ronald Smitherman
Unknown
PA
Son
Colleen Watkins
581 Majestic Park Lane
Cedar Hill, TX 75104
Daughter
FILE NUMBER
21-07-757
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
1/2 of the
Estate
1/4th ofthe
Estate
1/4th of the
Estate
Total
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
Copyright (c) 2002 form software only The Lackner Group, Inc.
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE
Form PA-1500 Schedule J (Rev. 6-98)
0.00
EXHIBIT A
EXHIBIT B
:318648
ESTATE OF EARNEST Jf: SMITHERMAN
SCHEDULE OF EXHIBITS
Copy of Letter granting Extension to File Inheritance Tax Return
from Department of Revenue, Inheritance Tax Division.
Sovereign Bank Date of Death Account Balances
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG, PA 17128-0601
October 17, 2007
Telephone
(717) 787-3930
FAX (717) 772-0412
Johnson Duffie
Attorneys at Law
301 Market Street
P.O. Box 109
Lemoyne, Pa 17043-0109
RECEIver
OCT 1 9 2007
JOHNS()j'c!' D"
STEWART 1, Ut",
AND WEIDNh,
Re: Estate of EARNEST W. SMITHERMAN
File Number 2107-0757
Dear Sir or Madam:
This is in response to your request for an extension of time to file the Inheritance Tax Return for
the above estate.
In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for
filing the return is extended for an additional period of six months. This extension will avoid the
imposition of a penalty for failure to make a timely return. However, it does not prevent interest from
accruing on any tax remaining unpaid after the delinquent date.
The return must be filed with the Register of Wills on or before April 17, 2008. Because Section
2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s)
will be granted that would exceed the maximum time permitted.
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Document Processing Unit
Inheritance Tax Division
~:I. Sovereign BanK
Court Ordered Processing \ Decedents - MA1-MB3-02-1O - P. O. Box 841005 - Boston, MA 02284
Dana L. Wieseman
Johnson, Duffie, Stewart & Weidner, PC
301 Market St.
P.O. Box 109
Lemoyne, PA 17043-0109
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S1En"
August 23, 2007
RE: Estate of Earnest W. Smitherman
Date of Death: 01/17/07
Dear Dana L. Wieseman:
Per your request, enclosed please find the account information as of the date of death
for the above-named decedent. For your information, accrued interest is not included in
the date of death balance.
Please feel free to contact me if I can be of any further assistance.
Very truly yours,
~~[J(.~~~
Laurie DiGiandd~enico
Team Leader
617-533-1789
. .
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Earnest W. Smitherman
425-90-1924
January 17,2007
Account #: 0921702205 Type: Checking Open date: 10/16/2001
In the name of: Margaret E. Smitherman or Earnest W. Smitherman
Date of Death Balance: $50,412.98
Int.(YTD) from 1/1/2007 to 1/1712007 $0.00
Accrued interest to date of death: $7.02
Other Info:
Account #: 0921717296 Type:
In the name ot;:";,,Eamest2W.,Smithel1lUlI),,',;;)~
Date of Death Balance:
Int.(YTD) from 1/1/2007 to
Accrued interest to date of death:
Other Info:
Checking
Open date: 2/1112000
$154.39
1/1712007
$0.00
$0.00
Account #: 0924026867 Type: Club Account Open date: 2/23/1998
In the name of: Margaret E. Smitherman or Earnest W. Smitherman
Date of Death Balance: $100.00
Int.(YTD) from 1/1/2007 to 1/17/2007 $0.00
Accrued interest to date of death: $0.02
Other Info:
Account #: 0924031123 Type:
In the name of::,EamestW.Smitherman'
Date of Death Balance:
Int.(YTD) from 1/1/2007 to
Accrued interest to date of death:
Other Info:
Savings
Open date: 2/11/2000
$21,954.24
1/1712007
$6.13
$0.00
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