HomeMy WebLinkAbout02-22-08
REV- 1 500 EX (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
FILE NUMBER
INHERITANCE TAX RETURN
RESIDENT DECEDENT
---21_ - JL L
COUNTY CODE YEAR
0351_ __
I~UMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Gordon L
DATE OF BIRTH (MM-DD-YEAR)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
SOCIAL SECURITY NUMBER
- 16
-2975
090
7
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, A
057
- 28
- 6287
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Q 1. Original Return
o 4. Limited Estate
~ 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 3. Remainder Return (date 01 death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
o 2. Supplemental Return
o 4a. Future Interest Compromise (date 01 death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
o 10. Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-95)
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NAME
COMPLETE MAILING ADDRESS
FI RM NAME (If Applicable)
900 Market street
Lemoyne PA 17043
TELEPHONE NUMBER
717 763-8133
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
(1)
(2) $ 2 2 , 520 . 9 0
(3)
(4)
(5)
OFFICl4L USE ONLY
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5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
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)
(11)
(12)
(13)
(7)
$9,660.48
(8) $ 3 2 , 1 8 1 . 3 8
(9)
(10)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14) $ 1? , 1 A 1 _ 1 A
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
$32,181.38
x .0 --0- (15) $0.00
x.O_ (16)
x .12 (17)
x .15 (18)
(19) $0 00
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
CITY
Mechanicsbur
Tax Payments and Credits:
1. Tax Due (Page 1Line 19) (1) $ n . no
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C ) (2)
3. InteresUPenalty if applicable
D. Interest
E. Penalty
TotallnteresUPenalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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)
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(5B) $ 0 . 0 0
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
a. retain the use or income of the property transferred;.......................................................................................... 0
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0
c. retain a reversionary interest; or.......................................................................................................................... 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0
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? ........................................................................................................................ G
ESPONSIBLE FOR FILING RETURN
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et..ka fA J'13)
THER THAN REPRESENTATIVE
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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 3%
[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 0% [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.
~r dates of death on or after July 1, 2000:
.. 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,
stepparent of the child is 0% [72 P.S. 99116(a)(1.2)].
'~~osed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 PS. 99116(a)(1)].
~ r~posed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 39116(a)(1.3)]. A sibling is defined, under Section 9102, as an
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REV-1503 Ex. (1-97)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Gordon L. McKiernsn
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
D1-()7-()~I:l~
DESCRIPTION
VALUE AT DATE
OF DEATH
Tyco International LTD stock
$6~3.49
2
Tyco International LTD stock
$623.49
3
Exxon Mobile stock
$21273.92
TOTAL (Also enter on line 2, Recapitulation) $ 22 , 520 . 90
(If more space is needed, insert additional sheets of the same size)
REV-1510 EX+ (2-87)
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COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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SCHEDULE G
TRANSFERS
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PLEASE PRINT OR TYPE
ESTATE OF
Gordon L. McKiernan
FILE NUMBER
21-07-0353
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
, =[ r ,DECD, I DOLLAR VALUE
ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE % OF DECEDENT'S
N~MBER 'o;~~~~:~~~:'rn;OO'h;P. d~d.o' drnoo'"oo're' - -1$ 9o;~~T4; 1 ~:"%-! $ 9 ~:;E.R:S~__
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Shirley McKiernan (wife)
Messiah Village MtAllen Drive
Mechanicsburg PA 17050
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___________~_ TOTAL (Also enter on line 7, Recapitulation) S 9660.48
(If more space is needed, insert additional sheets of same size)
REV-1~13 EX+ (9,-00*,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
21-07-0353
Gordon L. McKiernan
NUMBER
I
RELATIONSHIP TO DECEDENT
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s)
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
Shirley McKiernan
Messiah Village Mt Allen Drive
Mechanicsburg PA 17050
wife
AMOUNT OR SHARE
OF ESTATE
100%
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 $
(If more space is needed, insert additional sheets of the same size)
Mar 28 2007 11:11AM HP LASERJET FAX
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LAST WILL AND TESTAMENT
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GORDON L. KcKXBRHAH
I, GORDON L. McKIERNAN, of Mechanicsburg, Cumberland
county, Pennsylvania, make, publish and declare this as and for
my Last will and Testament, hereby reVOking all other wills and
Codicils heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate
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including any property o~er which I hold power of appointment and
together with any insurance policies thereon, unto my wife,
SHIRLEY D. McKIERNAN, provided she survives me by sixty (60)
days.
SECOND: Should my wife, SHIRLEY D. McKIERNAN, prede-
cease me or die on or before the sixty-first (61st) day following
my death, I devise and bequeath al1 the rest, residue and remain-
der of my estate of whatever nature and wherever situate, includ-
ing any property over which I hold power of appointment and
together with any insurance policies thereon, in equal shares, to
my children, JAY S. McKIERNAN and JOEL L. McKIERNAN, provided
that should any of my children predecease me, I give and bequeath
such child's share unto his issue per stirpes by representation,
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.
TB~RD: Should any of my grandchildren not have
attained the age of twenty-five (25) years at the time for dis-
tribution to him or her, I give, devise and bequeath the share of
each such qrandchild to my hereinafter named Trustee or Trustees,
IN SEPARATE TRUSTS, to hold, manage, invest and reinvest the
shares so received, and to use and apply from time to time such
portion of income and principal for the said grandchild's
education (inClUding college, trade schoo1 or other similar
training or education), as my Trustee or Trustees, in their sole
discretion, deem advisable.
Mar 28 2007 11:11AM HP LASERJET FAX
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Upon each of my grandchildren attaining the age of
twenty-three (23) years, I direct that they shall be entitled to
receive one-half (1/2) of the principal and any and all accumu-
1ated income in the trusts established hereunder for their
benefit. All remaining principal and any and all accumulated
interest shall be paid, absolutely, to said grandchild upon that
grandchild reaching the age of twenty-five (25) years. In the
event any grandchild dies prior to the termination of this trust,
the interest of said grandchild in said trust shall cease with
any income and principal being divided evenly between or among my
other grandchildren or the separate trusts established hereunder
for their benefit.
FOURTH: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
actinq hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, 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 (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
t 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 rea1 estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
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Mar 28 2007 11:11AM HP LASER JET FAX
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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 heing
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.
(1) 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
manner they consider advisable.
FIFTH: I nominate and appoint my sons, JAY S. McKIERNAN
and JOEL L. McKIERNAN, or the survivor thereof, as Trustees of
the hereinabove described trusts, who shall serve without bond
and shall receive fair and reasonable compensation.
SIXTH: I direct that all inheritance, estate,
transfer, succession and death 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.
SEVENTH: All interests hereunder, whether principal or
income, which are undistributed. and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
able, shall not be subject to attachment, execution or sequestra-
tion for any debt, contract, obligation or liability of any
beneficiary, and furthermore, shall not be subject to pledge,
3
Mar 28 2007 11:11AM HP LASERJET FAX
p.4
assignment, conveyance or anticipation.
E~GHTH: I nominate and appoint my wife, SHIRLEY D.
McKIERNAN, Executrix of this, my Last will and Testament. In the
event of the death, resignation or inability to serve for any
reason whatsoever of the said SHIRLEY D. McKIERNAN, I nominate
and appoint JAY S. McKIERNAN and JOEL L. McKIERNAN Co-Executors
of this, my Last Will and Testament. I direct that my Executrix
or Co-Executors, Trustee or Trustees, as the case may be, and
their successors, shall not be required to post security or a
bond for the performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last will and Testament, this /u y:( day of
J~ ,1998.
~y~~~~
GORDON L. McKIERNAN
( SEAL)
signed, sealed, published and declared by the above-
named Testator as and for his Last will and Testament in our
presence, who, at his request, in his presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses. '
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MEMORANDUM
In conjunction with my Last Will and Testament, dated
~~~l? , 199B, the following information may be of some
help to my personal representatives in the administration of my
estate. This information is in no way intended to be a part of
my Will nor to alter in any way anything contained in my said
will.
1. I direct that my remains be cremated and, further,
that there be no viewing. I further direct that my ashes be
scattered as my family sees fit.
Date: "f~d<("',....v. /f'7.P 4~4 ~ 4oo---'tSEALj
/' GtJRDON L. MCKIERNAN~
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Inventory of the real and personal estate of
Gordon L. McKiernan deceased
1 . Pershing IRA $9660
2. Tyco International LTD stock $623
3. Tyco International LTD stock $623
4. Exxon Mobile stock 21273
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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Jay McKiernan aDd Jo~l Mr.Kiprn~n
being duly !';wnrn according to law, deposes and says that theY are
Executors _~ of the Estate of Gordon L. McKiernan
late of ___m_..!lPl~e:r-__1\!~~n 'I'ownE;tl~p____ , Cumberland County, Pa., deceased and that the
within is an inventory made by Jay McKiernan and Joel~cKiernan, the said Exec'1tors
of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
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and subscribed before me,
NNSYLVANIA
NOTARIAL SEAL
TRACY K. KATSHIR. Notary Public
Lemoyne Boro.. Cumberland County
ComI.1lission Expires February 25. 2010
PI*-,b"l)l pI). '\12 9
Address
Day
March
Month
2007
Date of Death _
5
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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GREGORY J. KATSHIR
February 21,2008
Register of Wills
Cumberland County
One Courthouse Square
Carlisle PA 17013
RE: Estate of Gordon McKiernan
Dear Register of Wills:
Enclosed please find an original and two (2) copies of an Inheritance tax
Return, an original and two (2) copies of an Inventory and two (2) checks,
each in the amount of $15.00.
Kindly file the originals and return time-stamped copies in the enclosed
envelope.
If you have any questions, please feel free to contact me. Thank you.
Very trUlyt..u , ~""'"
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Gregory r. Katshir
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Enclosures
Cc: Jay and Joel McKiernan
Attorney at Law
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900 Market Street · Lemoyne, Pennsylvania 17043 · (717) 763-8133 · Fax (717) 763-9425