HomeMy WebLinkAbout09-25-0815056041158
J REV-1500 EX (U8-o5)
PA Department of Revenue OFFICIAL. USE ONLY
Bureau of Individual Taxes County Code Year Flle Number
Po aox 2soso~ INHERITANCE TAX RETURN 21 D8 0295
Harrisburg, PA 77128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
204-26-9792 12182007 05191932
Decedent's Last Name Suffix Decedent's First Name M I
RILEY JANE
F
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name M I
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
- - REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
^ 1. Original Return
^ 4
. Limited Estate
^X 6. Decedent Died Testate
(Attach Copy of Will)
^
9. Litigation Proceeds Received
2. Supplemental Return
^ 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
between 12-31-91 and 1-1-95)
a.vrcr«~rvnutn I -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
THOMAS W SHIELDS, VICE PRESIDENT 71?-291-27
Firm Name (if Applicable)
26
FULTON FINANCIAL ADVISORS, NA
First line of address
P•0• BOX 3215
Second line of address
City or Post Office
LANCASTER
State ZIP Code
3. Remainder Return (date of death
^ 5. prior to 12-13-82)
Federal Estate Tax Return Required
~ 8. Total Number of Safe Deposit Boxes
^ 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
PA 17604-3215
Correspondent'se-mail address: TSHIELDSBFULTONFINANC_IALADVISORS•COM
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.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
FULTON FINANCIAL ADVISORS, NA BY: ~~.w.-i.,~~ 9/25/2008
ADDRESS
P•0• BOX 3215 LANCASTER, PA 17604-3215
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056041158 15056041158 J
6M4647 3.000
REGISTER OF NfILLS USE ONLY =~
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DATE FILED r. ,
REV-1500 EX
15056042159
Decedent's Social Security Number
204-26-9792
Decedents Narne~ I L E Y A N E P
RECAPITULATION
1. Real estate (Schedule A) 1.
0.00
2. Stocks and Bonds (Schedule B) . 2. 0 • 0 D
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) - 3, 0 . D ^
4. Mortgages & Notes Receivable (Schedule D). 4
. 0 - D 0
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . 5.
1420 .85
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6
7.
Inter-Vivos Transfers & Miscellaneous Non-Probate Property . D . 0 D
(Schedule G) ~ Separate Billing Requested 7.
0.00
8. Total Gross Assets (total Lines 1-7). 8 4
9. Funeral Expenses 8 Administrative Costs (Schedule H). g. 0 - 00
10. Debts of Decedent, Mortgage Liabilities, 8 liens (Schedule I). 10. D - D 0
11. Total Deductions (total lines 9 & 10) . 11. 0 - D D
12. Net Value of Estate (Line 8 minus Line 11) . 12
13.
Charitable and Governmental Bequests/Sec 9113 Trusts for which . ], 4 2 0 • 8 5
an election to tax has not been made (Schedule J). 13
. D - 00
14. Net Value SubJect to Tax (Line 12 minus Line 13) 14
. 4
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
t
2
x
(a)(
.
)
.o 0 , DO 15. 0 •00
16. Amount of Line 14 taxable
at lineal rate x .015 0.0 D 16. 0 • 0 0
17. Amount of Line 14 taxable
at sibling rate X .12 14 2 0.8 5 17. 17 0 •5 0
18. Amount of Line 14 taxable
at collateral rate X .15 D• D O 18. D• D D
19. TAX DUE 19. 17 0 • 5 D
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^
Side 2
L, 15056042159 15056042159 J
6M4648 2.000
REV-1500 EX Page 3
rOecedent's Comeleta Oddraee•
File Number
n~a~
DECEDENTS NAME .r.
STREET ADDRESS
CITY
M H R STATE ZIP
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit D • O O
B. Prior Payments O D 0
C. Discount D • D 0
3. InteresUPenalty if applicable
D. Interest ^ , D 0
E. Penalty 0 , D 0
(1) 170 .50
Total Credits (A + g + ~) (2) 0 - D 0
Total Interest/Penalty (D + E) (g) D • D D
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FIII in box on Page 2, Line 20 to request a refund. (4) ^ • D O
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) _ 170 • 50
A. Enter the interest on the tax due. (5A) D • 00
B. Enter the total of Line 5 + 5A This is the BALANCE DUE. (58) 17 D • 5 D
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; X^ ^
b. retain the right to designate who shall use the property transferred or its income; ~ ^
c. retain a reversionary interest; or . .. ^ X^
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? . . . ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?
^ O
X
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? a ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R 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. §9116 (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. §9116 (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 use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(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.>~9116(1.2) [72 P.S.§9116(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. F9116(a)(1.3)]. Asibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
6M4671 1.000
REV-1508 EX i (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIOENr oECEOENr
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, ~ MISC.
PERSONAL PROPERTY
FILE NUMBER
Jane F. Riley 2108 0295
Include the proceeds of litigation and the date the proceeds were received by the estate.
:SW4tiAU 1.000 (If mare space is needed, insert additional sheets of the same size)
REV-1513 EX+(g-0p) SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
.Tir~a V D, ~ o..
----- - - - --' 21 0 8 0295
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECENING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
1 Ann Healy
1028 Reith Avenue
Berkeley, CA 94708
IIS Office of Personnel Management
Retirement Programs annuity death
benefit Sister 1,420.85
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, O N 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
TOTAL OF PART II • ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET $ 0 . 0 0
3W46AI 7.000 ~~~ ~~~~~~ ~Na~e s neeaeo, mserz aaaiuonai sheets oT the same size)
LAST WILL AND TESTAMENT
OF
JANE F. RII,EY
I, JANE F. RILEY, of Shiremanstown, 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 give and bequeath the sum of Five Thousand
($5,000.00) Dollars to PAMELA JENNINGS, of 1525 betters Mill
Road, Dillsburg, Pennsylvania, provided, however, that should she
predecease me, I direct that this bequest be and become a part of
my residual Estate to be disposed of as in Clause SECOND
hereinbelow.
SECOND: I devise and bequeath all the rest, residue
and remainder of my estate of whatever nature and wherever
~~ situate, together with any insurance policies thereon, to FULTON
FINANCIAL ADVISORS, N.A., of Harrisburg, Pennsylvania, to be
L~ added to and hereafter treated as a part of that certain Revoca-
ble Agreement of Trust created by me on September 20, 1984 with
Fulton Bank, now Fulton Financial Advisors, N.A., of Harrisburg,
Pennsylvania, of which Fulton Financial Advisors, N.A., of
" Harrisburg, Pennsylvania is Trustee, to have and to hold, IN
TRUST, for the uses and purposes and subject to the terms and
provisions thereof, including any alterations and amendments
thereto, or any other inter vivos trusts which may hereafter be
substituted therefor. It is to be noted that as of the date
hereof, the Revocable Agreement of Trust has been amended as
follows: First Amendment to Revocable Inter-Vivos Trust Agree-
ment, same being dated March 27, 1989; Second Amendment to
Revocable Agreement of Trust dated September 20, 1984, same being
dated June 7, 2000; Third Amendment to Revocable Agreement of
Trust dated September 20, 1984, same being dated July 9, 2001.
~,
r
TBIRD: 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:
(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
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 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
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,
2
i '
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
manner they consider advisable.
FOURTH: I direct that all inheritance, estate, trans-
fer, 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.
FIFTH: 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,
assignment, conveyance or anticipation.
SIXTH: I nominate and appoint FULTON FINANCIAL ADVI-
SORS, N.A., or their successors or assigns, of Harrisburg,
Pennsylvania, as Executor of this, my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this :1)'~t day of
~~~ , 2 0 O 1.
~~
(SEAL)
JA E F. RILEY
3
Signed, sealed, published 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
Address
4