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HomeMy WebLinkAbout01-07-08 (2) ---I 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 Q g REGISTE~ILLS us 1:~:2 (J ~:: "r:; j"--- '. ~:.; t~ -";-1 Firm Name (If Applicable) MARTSON LAW 0 F F ICE S I -.J :.-:, ,CJ (.J C:) :; f:~ ,::.:J \C) . :=n i:') :-_ rl. First line of address 1 0 E A S T H I G H S T R E E T ~-, 1....--' -n -u ::I: N .. ~-' ,) (~) Second line of address City or Post Office State ZIP Code DATE FILED .c- w .mll 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 ---I ---I 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 --1 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! Donft come up short when the Fed cuts Interest rates. The Federal Reserve recently cut short-term interest rates for the first time in four years. Although short-term rates may have declined, long-term rates haven't changed much. For the potential to lock in better interest rates, you may want to focus more on long-term investments within the fixed-income portion of your portfolio. For a 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