HomeMy WebLinkAbout01-15-08
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1505b041147
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 Year
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1 0 7
1103
Date of Birth
206109146
12272006
03211913
Decedent's Last Name
Suffix
Decedent's First Name
MI
EBY
ALMA
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
[!] 1. Original Return D 2. Supplemental Retum D 3. Remainder Retum (date of death
prior to 12-13-82)
D 4. Limited Estate D 4a. Future Interest Compromise D 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
[K] 6. Decedent Died Testate D 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe' Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
D 9. Litigation Proceeds Received D 1 0 Spousal Poverty Cred~ (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
JAMES D. BOGAR 7177378761
2
01
Firm Name (If Applicable)
BOGAR & HIPP LAW OFFICES
Cod -'"-1
REGISTEROIfW1LLS use ONL'tI"
'-. :i';',)
First line of address
ONE WEST MAIN STREET
'.,,') ..-
-...."
Second line of address
City or Post Office
SHIREMANSTOWN
" =--1
DATE FILED
U)
State
PA
ZIP Code
17011
f0
--..J
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,
SIG JURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
Barbara Ann Davis
17319
DATE
James D. Bogar
hiremanstown, PA 17011
Side 1
L
1505b041147
15056041147
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on
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15056042148
REV-1500 EX
Decedent's Name: A I maN. E by
Decedent's Social Security Number
206109146
RECAPITULATION
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 0 . 00 15.
16. Amount of Line 14 taxable
at lineal rate X .045 84 , 32 9 . 40 16.
17. Amount of Line 14 taxable
atsiblingrateX.12 0.00 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 . 0 0 18.
19. Tax Due..................................................................................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L
1505b042148
86,846.44
6,174.89
13,712.43
106,733.76
22,404.36
22,404.36
84,329.40
84,329.40
0.00
3,794.82
0.00
0.00
3,794.82
o
1505b042148
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I
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
Alma N. Eby
STREET ADDRESS
Woods at Cedar Run
File Number 21-07 -1103
824 Lisburn Road
Camp Hill
I STATE
PA
IZIP
17011
CITY
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
3,794.82
277.87
14.62
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
292.49
82.95
Total Interest/Penalty (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.
(3) 82.95
(4)
(5) 3,585.28
(5A)
(5B) 3,585.28
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:
a. retain the use or income of the property transferred;..................................................................................
b. retain the right to designate who shall use the property transferred or its income;...................................
c. retain a reversionary interest; or..................................................................................................................
d. receive the promise for life of either payments, benefits or care?..............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?....................................................................................................................
Yes
D
D
D
D
D
D
No
[!J
~
[!J
[!J
[!J
[!J D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
3. Did decedent own an "in trust for" 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 designation?.................... ................................................................................................
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 exempt 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. 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.
CDMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DA VIS BARBARA
350 HEMLOCK LANE
ETTERS, PA 17319
-------~. fold
ESTATE INFORMATION: SSN: 206-10-9156
FILE NUMBER: 6707-0387
DECEDENT NAME: EBY ALMA
DATE OF PAYMENT: 03/09/2007
POSTMARK DATE: 03/02/2007
COUNTY: YORK
DATE OF DEATH: 12/27/2006
REMARKS:
CHECK# 379
SEAL
REV-1162 EX[11-96)
NO. YK 012836
ACN
ASSESSMENT
CONTROL
NUMBER
07106256
I
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
INITIALS: REM
RECEIVED BY:
TAXPAYER
AMOUNT
$277.87
$277.87
YAm,' r, Q r-, n
':~ /' vJt)~,J ~ I ..' ~.~
BADLEY C itr.COB~
V (/
REGISTER OF WILLS
Rev-1508 EX+ (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Eby, Alma N.
FILE NUMBER
21-07-1103
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolnlly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Fulton Bank - Certificate of Deposit No. 523-0034430; date of death balance
$13,945.46; accrued interest $64.55
VALUE AT DATE
OF DEATH
13.945.46
2 Beaver Urich Funeral Home, Inc. - Refund of overpayment of funeral expenses
26.20
3 Fulton Bank - Certificate of Deposit No. 523-0016938; date of death balance
$196,406.37; accrued interest $168.82
19.406.37
4 Fulton Bank - Certificate of Deposit No. 523-0016939; date of death balance
$196,406.37; accrued interest $168.82
19.406.37
5 Fulton Bank - Certificate of Deposit No. 523-0016940; date of death balance
$20,206.60; accrued interest $258.28
20.206.60
6 Fulton Bank - Certificate of Deposit No. 523-0038108; date of death balance
$7,900.28; accrued interest $90.55
7.900.28
7 M& T Bank - Checking Account No. 30241138; date of death balance $5,954.93;
accrued interest $0.23
5.955.16
TOTAL (Also enter on Line 5, Recapitulation)
86.846.44
(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)
Fulton Bank
LISTENING.
December 12, 2007
James D. Bogar
One West Main Street
Shiremanstown, Pennsylvania 17011
Dear Mr. Bogar:
RE: Alma N. Eby, deceased December 27,2006
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following accounts were open at the date of death:
Money Market # 9932-31213, open 1/12/1983, date of death balance
$12,349.78 and no accrued interest, joint with Barbara Davis.
DATE OF DEATH ACC
CD# BALANCE !NT RATE OPEN ROLL OVER
523-0016938 $19,406.37 $168.82 2.08% 5/30/1997 7/28/2006
523-0016939 $19,406.37 $168.82 2.08% 5/30/1997 7/28/2006
523-0016940 $20,206.60 $258.28 3.05% 5/30/1997 7/28/2006
523-0034430 $13,945.46 $64.55 3.92% 11/14/1997 11/14/2005
523-0038108 $7,900.28 $90.55 3.20% 2/19/1998 2/19/2006
* all above CD's are in her name only with Barbara Davis as Power of Attorney.
MATURITY
3/28/2008
3/28/2008
3/30/2008
11/14/2007
2/19/2008
....
Very truly yours,
\0)~b+r
Karen D. Hillegas
Credit Inquiry Processor
co r~J Fi D Er\Jl-IA~L
~i:,;~~~~ti;~;';:'~~~~:~j '~, to.:.~,:~...,:'~,.~,..~.~.'~.' ~_:;~~,::;,~~;rs "~;~~:!!:
No responsibmty is 3:~sun1B{~ ~ -.. ,-
Anv oD~r~~cn her~~:jfi eJ.(i}t~s:;::~j ~s :;utis~) to chJr:ge iN~thQut i;ot~ce.
.1~'''i.l''~\''~X.~2flr...........
FuJ:ronBank
POBox 4887
Lancaster, PA 17604
125YEA~SANOSTIU LJ STE N J N G.
fultonbank.com
1-800-FULTON-4
I!M&rBank
499 Mitchell Road, MiIlsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
December 12, 2007
James D Bogar
Attorney At Law
One West Main Street
Shiremanstown, Pennsylvania 17011
Re: Estate of Alma N Ebv
Social Securitv: 206-10-9146
Date of Death: December 27,2006
Dear Sir or Madam:
Per your inquiry dated December 04, 2007, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1.
Type of Account
Checking Account
Account Number
30241138
Ownership (Names oj)
Alma N Eby *
Opening Date
04/28/69 Closed 12/10/07
Balance on Date of Death
$5,954.93
Accrued Interest
$
0.23
Total
$5,955.16
Please be advised, there was no safe deposit box found for the above decedent.
For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call the
West Shore Plaza Office # 717-255-2271.
Sincerely,
~cyCo//
Nancy Clagett
Rey.1509 EX+ (6-98)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMON~L TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Eby, Alma N.
FILE NUMBER
21-07-1103
If an asset was made joint within one year of the decedenfs date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Barbara Ann Davis
ADDRESS
RELATIONSHIP TO DECEDENT
350 Hemlock Lane
Etters, PA 17319
Daughter
B.
c.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH . DECO'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENTS INTEREST
JOINTLY-HELD REAL ESTATE.
1 A 1/12/1983 Fulton Bank - ftIIoney Market Account No. 12.349.78 50.000% 6.174.89
9932-31213; date of death balance
$12,349.78; no accrued interest
TOTAL (Also enter on Line 6, Recapitulation) 6.174.89
(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 F (Rev. 6-98)
FWtonBank
LISTENING.
December 12, 2007
James D. Bogar
One West Main Street
Shiremanstown, Pennsylvania 17011
Dear Mr. Bogar:
RE: Alma N. Eby, deceased December 27,2006
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following accounts were open at the date of death:
Money Market # 9932-31213, open 1/12/1983, date of death balance
$12,349.78 and no accrued interest, j oint with Barbara Davis.
DATE OF DEATH ACC
CD# BALANCE INT RATE OPEN ROLL OVER
523-0016938 $19,406.37 $168.82 2.08% 5/30/1997 7/28/2006
523-0016939 $19,406.37 $168.82 2.08% 5/30/1997 7/28/2006
523-0016940 $20,206.60 $258.28 3.05% 5/30/1997 7/28/2006
523-0034430 $13,945.46 $64.55 3.92% 11/14/1997 11/14/2005
523-00381Q8 $7,900.28 $90.55 3.20% 2/19/1998 2/19/2006
* all above CD's are in her name only with Barbara Davis as Power of Attorney.
MATURITY
3/28/2008
3/28/2008
3/30/2008
11/14/2007
2/19/2008
Very truly yours,
\o]o.~b~
Karen D. Hillegas
Credit Inquiry Processor
CO f\J F I D t.l\il-~P;~L
:,;;,;~~;~~t;~;';:':;;~~d'~ ~,::'~~~; :.;.:;.:~.:;~f~Ee;,~~;r
No r6spt}n~;ibE;ty Ls c:r.surnE:(~ -
Any Gp~~dar: her;.~:\n
t.o ch~f;g8 ~:.~tt~~Qut nfYtlce.
-i!:F..;}:u:I".n~~.I.:.~"
P""'-'.
FultonBm.1k
POBox 4887
Lancaster, PA 17604
12SYEAl!SANOSTIU LISTEN I NG.
fultonbonk.com
1-800-FULTON-4
Rev-1510 EX+ (6-98)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Eby, Alma N.
FILE NUMBER
21-07-1103
ESTATE OF
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.
ITEM Dt:::il;RIPTIUN ut- PRuPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 Prudential Financial-Annuity No. E0193416; 13.712.43 13.712.43
date of death balance; the Decedent's two (2)
children, Barbara Ann Davis and Richard F.
Stephens were equal named beneficiaries
TOTAL (Also enter on Line 7, Recapitulation) 13.712.43
(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 G (Rev. 6-98)
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Prudential ~ Financial
E-AC
Discovery Classic
Annuity Statement
Prudential Annuity Service Center October 01 2006 through December 31 2006
P.O. Box 7960 ' ,
Philadelphia, PA 19176
>01802 3436760 001 092001
ALMA N. EBY
CIO BARBARA A DAVIS
350 HEMLOCK LN
ETTERS, PA 17319-9369
Annuity #:
Owner Name:
Annuitant:
E0193416
Alma N. Eby
Alma N. Eby
Type: Non Qualified
Page 1 of 2
Investment Professional:
SCOTT A. MOYER
PRUDENTIAL - PIF
150 CORPORATE CENTER DRIVE
SUITE 105
CAMP HILL, PA 17011-1759
Issue Date:
Statement Date:
04/04/2000
01/01/2007
For 24-hour access to your
portfolio performance, investment options, 'current account values and other information:
Sign on to our interactive Web site www..Prudentia1.com
Or call our Annuity Service Center at 1-888-778-2888.
For other inquiries on your Annuity Contract, contact your Investment Professional at (717) 975-8150.
Please review your statement thoroughly and contact us if you find any information you believe to be inaccurate.
If we do not hear from you in 30 days, we will assume that all information is correct.
Your Portfolio
Your Annuity Activity
Beginning Value
Purchase Payments
Withdrawals
Contract Fees and Charges
Investment Performance
Ending Value
Surrender Value
Portfolio Detail
Year-to-Date
Since Issue
$13,255.13
.00
.00
.00
$457.30
.00
$10,000.00
.00
.00
$3,712.43
$13,712.43
$13,712.43
October 01, 2006 through December 31, 2006
Fixed Investments
1 Year Fixed 04/04/2007 3.450%
Total Investment Value
Account Value
as of December 31
$13,712.43
$13,712.43
Total Investment Value is the value of your annuity before the assessment of any applicable contingent deferred sales charge, maintenance
fee, optional benefit fee or Market Value Adjustment.
Withdrawals made prior to the Statement Date are reflected in the values shown above. The Maturity Date is the end of your Guarantee
Period. The surrender value may change daily to reflect the investment performance of the Sub-Accounts in which you are invested and
fluctuations in our current fixed rates. Our current fixed rates are sensitive to interest rate fluctuations in the market.
Agent lD # 895602 Office # W SH
01802343676000180300360400001/00001
REV-1151 EX+ (12-99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Eby, Alma N.
FILE NUMBER
21-07-1103
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
12,986.36
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Barbara Ann Davis
Social Security Number(s) I ErN Number of Personal Representative(s):
Street Address
350 Hemlock Lane
City Etters
Year(s) Commission paid
State PA Zip 17319
2008
4,465.00
2.
Attorney's Fees
Bogar & Hipp Law Offices
4,100.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
853.00
TOTAL (Also enter on line 9, Recapitulation)
22,404.36
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
.*
SCHEDULE H.A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Eby, Alma N.
FILE NUMBER
21-01-1103
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Beaver Urich Funeral Home, Inc. - funeral bill
12.986.36
Subtotal
12.986.36
Copyright (c) 2002 form software onlyThe Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev.6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Eby, Alma N.
FILE NUMBER
21-07-1103
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Pennsylvania Vital Records - 5 original death certificates
53.00
2
RESERVES: - Cost to conclude administration of Estate including filing of PA
Inheritance Tax Return and Inventory and personal and fiduciary income tax returns
800.00
Subtotal
853.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
REV.1513 EX+ (9-40)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Eby, Alma N.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not US! Trustee(s)
I.
Barbara A Davis
350 Hemlock Lane
Etters, PA 17319
Daughter
Richard F Stephens
17100 Tamiami Trail
259 Balsam
Punta Gorda, FL 33955
Son
FILE NUMBER
21-07-1103
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
One-half of
rest, residue
and remainder
One-half of
rest, residue
and remainder
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
ll. 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 SHEET
Form PA-1500 Schedule J (Rev. 6-98)
0.00
LAST WILL AND TEST~~ENT
OF
ALMA N. EBY
I, ALMA N. EBY, of Etters, York County, Pennsylvania,
make, publish and declare this as and for my Last Will and
Testament, hereby revoking all other Wills and Codicils hereto-
fore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, in equal shares, to
my children, RICHARD F. STEPHENS and BARBARA ANN DAVIS, provided
that should any of my children predecease me, I give and bequeath
such child's share unto his or her issue per stirpes by repre-
sentation, and if there be a failure of same, then I give and
bequeath such deceased child's share to my surviving child as
provided herein.
~ ~'\ . SECOND: In addition to all powers granted to them by
~,~ law and by other provisions of this Will, I give the fiduciaries
~, acting hereunder the following powers, applicable to all proper-
~ ty, exercisable without court approval and effective until actual
distribution of all property:
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, for any period of time, any real or personal property arid ~o give
j~ options for sales, exchanges or leases, for such prices and upon
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" such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property whi~h is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage inveat.ment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee
~ ~stock ownership plan, or any other type of qualified plan) to the
~\ extent the plan or the law permits them to do so, and to exercise
~ any other rights which they may have under the plan, in whatever
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THIRD: I direct that all inheritance, estate, trans-
fer, succession and d~ath taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate.
FOURTH: I nominate and appoint RICHARD F. STEPHENS and
BARBARA ANN DAVIS, Co-Executors of this, my Last will and Testa-
ment. I direct that my Co-Executors, and their successors, shall
not be required to post security or a bond for the performance of
2
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their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last will and Testament, this r; day of
tuflJ7
, 1995.
[1frrrltv If; ;,},:fi~
ALMA N. EBY' -'-'
(SEAL)
Signed~, sealed" pub1 ished and declared by ,the above-
named Testatrix as and for her Last will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
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