HomeMy WebLinkAbout01-07-08 (2)
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15056041125
REV-1500 EX (06-05)
PA Department of Revenue.
Bureau of Individual Taxes . INHERITANCE TAX RETURN
PO BOX 280601
HarrisburQ, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
2 1 0 7
File Number
o 0 9 9 8
Date of Birth
161341237
10262 007
05131917
Decedent's Last Name
Suffix
Decedent's First Name
YOUNG
AUDREY
MI
N
(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
lliI 1. Original Return
D 4. Limited Estate
lliI
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 D 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. LitigationProceeds Received
D
D
D
D
8. Total Number of Safe Deposit Boxes
2. Supplemental Return
D
D
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
HUBERT
x
GILROY
ESQUIRE
7 1 7 2 4 3 ~~ 4 1
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REGISTE~ILLS us
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Firm Name (If Applicable)
MARTSON
LAW 0 F F ICE S
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First line of address
1 0 E A S T
H I G H S T R E E T
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Second line of address
City or Post Office
State ZIP Code
DATE FILED
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CAR LIS L E
P A
17013
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 which preparer has any knowledge.
ATURE OF RS RESP.O OR FI G ETURN DATE
CARLISLE
PA 17013
DATE
EAST HIGH ST CARLISLE
PLEASE USE ORIGINAL FORM ONLY
PA 17013
Side 1
L
15056041125
15056041125
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15056042126
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: AUDREY N. YOUNG
RECAPITULATION
161341237
1. Real estate (Schedule A)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B)
.................................. 2.
82726.92
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) D Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested. . . . . .. 7.
9392.16
8. Total Gross Assets (total Lines 1-7)
........................... 8.
7 0 O. 0 0
9 2 8 1 9. 0 8
5 6 2 1. 0 0
1 7 8. 7 3
5 7 9 9. 7 3
8 7 0 1 9. 3 5
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. 8 7 0 1 9 . 3 5
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116 o . 0 0
(a)(1.2) X.O _ 15. O. 0 0
16. Amount of Line 14 taxable 8 7 0 1 9 . 3 5 3 9 1 5 . 8 7
at lineal rate X .012- 16.
17. Amount of Line 14 taxable o . 0 0 o . 0 0
at sibling rate X .12 17.
18. Amount of Line 14 taxable o . 0 0 O. 0 0
at collateral rate X .15 18.
19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 3 9 1 5 . 8 7
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
D
Side 2
L
15056042126
15056042126
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number
21 07 00998
DECEDENT'S NAME
AUDREY N. YOUNG
STREET ADDRESS
770 SOUTH HANOVER STREET
CITY I STATE I ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due (Page 2 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
3,915.87
195.79
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + 8 + C) (2)
195.79
Total Interest/Penalty (0 + E) (3)
4. If Line 2 is greater than Line 1 + Une 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)
0.00
0.00
3,720.08
A. Enter the interest on the tax due.
8. Enter the total of Une 5 + SA. This is the BALANCE DUE.
(SA)
(58)
3,720.08
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 00
b. retain the right to designate who shall use the property transferred or its income; ............................... 0 00
c. retain a reversionary interest; or ................................................................................................ 0 00
d. receive the promise for life of either payments, benefits or care? ....................................................... 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... 00 0
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ......... 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. 0 00
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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax retum 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-1503 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
AUDREY N. YOUNG
FILE NUMBER
21 07 00998
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
EDWARD JONES INVESTMENT ACCOUNT NO. 851-13018-1-7 (see statement attached)
VALUE AT DATE
OF DEATH
82,726.92
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
82.726.92
REV-1508 EX + (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
AUDREY N. YOUNG
FILE NUMBER
21 07 00998
Include the proceeds 01 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
1.
DESCRIPTION
PNC BANK, CHECKING ACCOUNT NO. 51-4022-3903 (interest was forfeited on closing)
VALUE AT DATE
OF DEATH
7,978.20
2.
CAPITAL BLUE CROSS, refund of premium
136.40
3.
CMS, Medicare reimbursement
54.56
4.
CHAPEL POINTE, refund
1,223.00
TOTAL (Also enter on line 5, Recapitulation) $
(II more space is needed, insert additional sheets 01 the same size)
9392.16
'REV-151 o 'EX + (6-98)
'*
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
AUDREY N. YOUNG
FILE NUMBER
21 07 00998
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.
DESCRIPTION OF PROPERTY
ITEM INClUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAl ESTATE. VALUE OF ASSET INTEREST VALUE
(IF APPUCABtEI
1. 8/07 Cash to Janet Hilty, daughter 3,000.00 100. 3,000.00 0.00
2. 12/06 Cash to Janet Hilty, daughter 700,00 100. 700.00
TOTAL (Also enter on line 7 Recapitulation) $ 700.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
AUDREY N. YOUNG
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21 07 00998
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Martson Law Offices (estimated) 5,250.00
3. Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills 256.00
5. Accountants Fees
6. Tax Return Preparer's Fees
7. Register of Wills, filing fee, Inheritance Tax Return 15.00
8. Reserved for additional probate and miscellaneous filing fees 100.00
TOTAL (Also enter on line 9, Recapitulation) $ 5621.00
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
AUDREY N. YOUNG
FILE NUMBER
21 07 00998
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. PNC Bank, Checking 5140223903, service fee
VALUE AT DATE
OF DEATH
2.00
2. Millennium Pharmacy System Inc., account payable
53.77
3. Brockie Healthcare, account payable
122.96
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
178.73
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 outri~ht spousal distributions, and transfers under
Sec. 9116 (a (1.2)]
1. Janet Y. Hilty Lineal 87,019.35
214 Fern Avenue
Carlisle, P A 17013
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
"'~'"" "" ",*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
AUDREY N YOUNG
SCHEDULE J
BENEFICIARIES
FILE NUMBER
21 07 00998
(If more space is needed, insert additional sheets of the same size)
0001868601 AT 0.33401 TR 00083 EJADD011 000000
AUDREY N YOUNG
214 FERN AVENUE
CARLISLE PA 17013-1190
"1111'11I" r ......11. .11... .11...11 r .11111.11.1111. I. .1. .1.11
Total Account Value
$82,728.92
Value One Month Ago
$88,921.15
Value One Year Ago
$134,845.06
Account Holder(s) AUdrey N Young
Account Number 851-13018-1-7
Financial Advisor Peter B. Arnold, 717-731-1672
3780 Trlndle Road, Camp Hili, PA 17011
Statement Date Sep 29 - Oct 26, 2007
Pa.. 1 of 4
Ii!
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personal review, contact your financial advisor today.
Value Summary
This Period This Ye.
Beginning value $88,921.15 $127,882.25
Assets added to account 0.00 15,000.00
Income 176.05 4,441.14
Assets withdrawn from account -6,691.65 -64,512.98
Change In value 321.37 -83.49
I Endln, Value $82,728.92 I
Cash a Mone, Market
Tax Free Money Market 2.82%
Certificate. of Deposit
Washington Mutual Bank CD
4.95%
Maturity
Date
Corporate Bonda
Bank of Amer InterNotes 6.30%
I Total Account V.'ue
1l/15/2007
M.turlty
O.t.
8/15/2036
Maturity Amount
Value Inve.ted
40,000.00 40,000.00
M.turlty Amount
Value Inve.ted
20,000.00 20,000.00
Endln.
Balance
$23,241.06
Amount
Wlthdr....
Value
39,991.68
Amount
Wlthdr....
V.lu.
19,494.20
$82,728.92 }
Account Type Single
SCH- 13 .r;L~ I
Nov, 19, 2007 8:33AM
PNC BANK 412-705-2747
No. 5745 p, 1/1
o PNCBAl'K
November 16,2007
Conine L. Myers
10 East High Street
Carlisle, P A 17013
RE: Estate of Audrey N. Young. deceased
SSN: 161-34-1237
DaD: 10/2612007
Dear Ms. Myers:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checking Account
Account #5140223903
Established 02114/1984
AUDREY N YOUNG
DaD balance: $7,978.20 + S.79 accrued interest
Please note that this office only provides date of death balances for deposit accounts .
(lRAs, CDs, Checking and Savings accounts). We do not proeeu any finaDcial
transactions or provide natemen1s. If you need assistance w.ith any of these items.
please call1-888-PNC-BANK (1-8SS. 762-2265) or stop by your local PNC Bank branch
office.
~W~
RacheJJe Wells
1-800-762-1775
P7-PFSC-04-F
500 first Ave.
Pittsburgh PAl S219
Member FDIC
~H- E. ) I~
/. 1.ILi~~Esr,It<.' P:c::'rj/~~'.:':7S~ Ycur.g !~75~, v.',Ji~007
'i ./
1.;
LAST \\-'ILL AND TEST A:\JENT
I, AeDREY ~. YOUNG, of Carlisle, Cumberland County, Pennsylvania, being of sound
Jnd disposing mind and memory, do hereby make, publish and declare this to be my Last \Vill and
Testament, hereby revoking any and all former \Vills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whcthersuch taxes may be payab Ie by my estate or by any recipient 0 f any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executrix shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even thnugh on Proceeds of insurance or other property not passing under
this Will.
2.
I give, devise and bequeath all of my estate, both real and personal property, unto my
daughter, JANET Y. HILTY.
3.
In the event my daughter, JANET Y. HILTY, should predecease or fail to survive me by
thirty (30) days, then I give, devise and bequeath all of my estate both real and personal property
unto such of my said daughter's issue who shall survive me, in equal shares, absolutely.
4.
I nominate, constitute and appoint my daughter, JANET Y. HILTY, as Executrix of my
estate. In the event she is unwilling or unable to so act, then I appoint my PNC BANK, with offices
in Carlisle, Pennsylvania, as Executor of my estate.
5.
r direct that my Executrix, or her Successor, shall not be required to file a bond to secure the
I:lithful performance of their duties in any jurisdiction.
lJ.
I Jut!wri /l' and empo\\ er Ill} Executrix. or her successor, in their sole and absolutL' discrl..'tiol1.
to purchase or otherwise acquire and retain any investments of \vhich l die seized or any real or
Page I of 3 Pages
'--.
Ct.1I~ialS1
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected \vith the
protect; on and preservation 0 f my estate; to mortgage or pledge any real or personal property fonning
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my Executrix, or her successor, considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my Executrix, or her Successor, shaH have the power to conduct an inventory
of any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this
\~-,)C:J~ c~lli 7.
----r I ~-v
/' ,t!J..
c:?
day of
a. In ';;t. /z ;t 0. ~
Audre~ . Yo
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
[or her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
OU;~Wi~ess:;;;;sence Ofthe;U:aa;;;~h:r
(/
Page 2 of 3 Pages
#
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COL ~TY OF C(;~lBERLAND )
We, AudreyN. Young,.0Ct-i;- ~ ] 11/ rJ-'/r LJ-J. {L , and I~j,--. 7c/'L~'/~ J. Cfh
,
the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and
executed the instrument as her last Will and that the Testatrix has signed willingly, and that the
Testatrix executed it 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 a witness and that
to the best of hiS/her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
rzz~YJ .l.i~ .
Audrey 1 . Y ou~ Testa .
Subscribed, sworn to and acknowledged before me by Audrey N. Young, the Testatrix, and
subscribed and sworn to before me by , J . ! .
, . , the witnesses, this (~ ./ day of .. .'.
and
,
....",
~otary Public
.'0\1\10\\\ E.-\LTH OF PE\.'iS't L \.\\1.,
r ~,OT.\RJ.\LSEAL
I C...,rrille L. .\Iyers, '\orJI) Puillie
l..riisle BOrol,gh. Cumberland C,)um~
\1> ccmmisslOn expires \lay 27. ~Oll
Page 3 of 3 Pages