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HomeMy WebLinkAbout02-0084 EV- 1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT E D E N T OFFICIAL USE ONLY FILE NUMBER COUNTY CODE YEAR NUMBER D DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER E Richardson Sophia D. 192-14-6030 c DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) :[0/27/2001 ' 09/09/1922 (IF APPL CABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) CAPB HpRL EpIO c=AC E~TK "-ES Co. Richardson, Jack W. ~:~ 1. OrlglnalReturn ~ ~478,, SupplementalReturn 4. Limited Estate · Future Interest Compromise (date of death after 12-12-82) 8. Decedent Died Testate Decedent Maintained a Living Trust (Attach copy of Will) (Attach copy of Trust) ~ 9. Litigation Proceeds Received I~118. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) NAME Donna M. Mullin Esq. FIRM NAME (If Applicable) JAMES, SMITH, DURKIN & CONNELLY, LLP TELEPHONE NUMBER 717/533-3280 1. Real Estate (Schedule A) Z. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship THIS RETURN MUST BE FILED I N DUPUCATE ~q'H THE REGISTER OF WILLS sOCIAL SECURITY NUMBER (d.atepf cteath 3. Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch O) COMPLETE MAILING ADDRESS 134 Sipe Avenue Hummelstown, PA 17036 R 5. E C A 6. ¥. T L T 8. O 9. N 10. 11. 12. 13. 14. C O M T I 0 N (1) (3) ~0ne Mortgages & Notes Receivable (Schedule D) (4) Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) Jointly Owned Property (Schedule F) (6) ~ Separate Billing Requested Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) Total Gross Assets (total Lines 1-7) Funeral Expenses & Administrative Costs (Schedule H) (9) Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) Total Deductions (total Lines 9 & 10) Net Value of Estate (Line 8 minus Line 11 ) None 46,00q,,,00 432,259.31 8,970.39 820.00 ~.) OFFIC~,~,SE ONLY (8) 478,259.31 (11) 9,790.39 (12) 468,468.92 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (14) 468,468.92 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 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 17,960.00 X .0 0 (15) 450,508.92 X .0 45 (16) 20,272.90 X .12 (17) X .15 (18) 19. Tax Due (19) 20,272.90 2o '~ ............................................ ~.~:'~i~.~ ~ ~i ~ :.=~=~ ~.~ ~ ~:?~ ~ ~ '~;'~='='~" ~ ........... ~ ...... ~'~ ~' :~ '" '; :; ;' :' ''~:' ' ~';: '~':; "' ~-~ ~ ~~ .... ....... Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STHEET ADDRESS 774 Allenview Drive CITY Mechanicsbur~ STATE ?A ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) Z. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3o Interest/Penalty if applicable D. Interest E. Penalty (~) 1,013.65 Total Credits ( A + B + C ) (Z) Total Interest/Penalty ( D + E ) (3) 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 20,272.90 (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. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (SB) 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. retaintheuseorincomeofthepropertytransferred; ......................... ~ ~ 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? ................... Z. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ r-] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............................................. [~] r~] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ [-'-] [~] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, ' YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 1,013.65 19,259.26 19,259.26 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, SIGNAT,~ O~RyN RESP~/I~SIB[E F/F/NG RETURN /~1 exmTtdracorrect and complete. D~claratlon of preparer of~er~an the personal representative Is based on all information of which preparer has any knowledge. ~e~sel DATE/ / ~~,/ ~ ~ /__~627 Green Street ........................ ~GNA~URE~ PREPARER OTHE~THAN~EPR~SENTATIVE ~ ' . ,. ~ES, SMITH, D~IN & CO~ELLY, ~P DATE ~~ ~ .~(7~., 134 Sipe Avenue 7~i C3~ ~ .... w '" / ' -~ ~ --~is~g~-,--~A---i~%~-g ...................... For dates of death on or after July 1, 1994 and before Janua~ 1, 1995, the tax rate imposed on the net value of tran~ers to or for the use of the su~iving spouse is 3% [72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after Ja~uaU 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the sullying spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The ~atute does not exempt a transfer to a surviving spouse from tax, and the statuto~ requirements for disclosure of assets and filing a tax return are still applicab[e even if the sullying spouse is the only beneficial. For dates of death on or after Ju~ 1, 2000: The tax rate imposed on the net value of tramsfers from a deceased child twen~-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 0% [72 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of trampers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9~ IS(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. A sibling is defi~ed, under Section 9102, as an individual who has at least one parent in common w~h the decedent, whether by blood or adoptioq. Copyright (c) 2000 form software only The Lackner Group, inc. Form REV-I~00 ~X (Rev. 6-00) ADDITIONAL Personal Representatives Estate of Sophia D. Richardson SS# 192-14-6030 10/27/2001 Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. Gregory Dimich 68-12 Yellowstone Blvd 6M Forest Hills, NY 11375 N~une Address Line 1 Address Line 2 City, State, Zip REV- 1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sophia D. Richardson SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SS# 192-14-6030 10/27/2001 FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 46,000. O0 Check for 1/2 proceeds from sale of South Carolina real estate not deposited until after death TOTAL (Also enter on line 5, Recapitulation) $ 46,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) ~EV-I~O EX,il-9;/ SCHEDULE G INTER-VIVOS TRANSFERS & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN MI$C, NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF Sophia D. Richardson SS# 192-14-6030 10/27/2001 FILE NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION Of PROPERTY % OF ITEM INCLUDE THE NAME OFTHETRANSFERE~THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER NUMBER ATTACH A COPY OF THE DEED FOR REAL ESTATE, ' VALUE OF ASSET INTEREST 0 F APPLICABLE) 1 2,800 shares BellSouth 105,756.00 105,756.00 Corporation, CUSIP #079860102 held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 2 65,095.552 shares Franklin 123,681.55 123,681.55 AGE High Income Fund Class B - held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 3 7,931.891 shares Franklin 15,070.59 15,070.59 AGED High Income Fund Class A held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 4 Janney Montgomery Scott 4,397.23 4,397.23 Account #6968-4180 - Money market account held in the name of the Sophia D. Richardson Living Trust 5 400 shares JLG Industries 4,012.00 4,012.00 Inc, CUSIP #466210101 - held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 6 1,000 shares Merck & Co 65,515.00 65,515.00 Inc, CUSIP #589331107 - held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 7 PNC Bank - Checking Account 3,560.75 3,560.75 #5140167251 held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997; opened 07/16/1986 8 PNC Bank Corporation, CUSIP 0.44 0.44 #693475105 accrued Total of Continuation Schedule(s) 110,265.75 TOTAL(Alsoenteronline7, RecapRulmion) $ 432,259.31 (If more space is needed, insert additional sheets of the same s,ze) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-I,~10 EX (Rev. 1-97) Estate of: Sophia D. Richardson Soc Sec #: 192-14-6030 Date of Death: 10/27/2001 Continuation of Schedule G (Inter-Vivos Transfers & Misc. Non-Probate Property) Item Description of Property Date of Death % Decd Exclusion Value of Asset Intrst Taxable Value interest on checking account #5140167251 held in the name of the Sophia D. Richardson Living Trust dated'07/29/1997; opened 07/16/1986 9 Real Estate situate at 774 Allenview Drive, Mechanicsburg, Cumberland County, Pennsylvania - 1/2 value of real estate held as tenants in common in the name of the Sophia D. Richardson Living Trustd dated 7/29/1997 (life estate to spouse who will continue to remain in house); other 1/2 held as tenants in common in the Jack W. Richardson Living Trust dated 7/29/1997 (see Sch. K calculation) 10 15,000 shares Salomon Smith Barney 7% due 5/28/14 mutual fund, CUSIP #79549B867 held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 11 798 shares Verizon held in the name of the Sophia D. Richardson Living Trust dated 07/29/1997 55,374.00 14,672.55 40,219.20 55 , 374.00 14,672.55 40,219.20 110,265.75 REV-1511 EX * (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ~STATE OF Sophia D. Richardson SS~/ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 192-14-6030 10/27/2001 FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION 1 Funeral luncheon 2 George's Flowers 3 News Center West 4 Richardson Funeral Home, Inc. - funeral bill Total of Continuation Schedule(s) - funeral flowers - thank you cards -- zip ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attorney's Fees JAMES, SMITH, DURKIN & CONNELLY, LLP Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant administration expenses State -- Zip AMOUNT 386.31 55.65 11.66 4,360.00 1,156.77 2,500.00 Street Address Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Reserve for additional TOTAL (Aisc enter on line 9, Recapitulation) 500.00 $ 8,970.39 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) Estate of: Sophia D. Richardson Soc Sec #: 192-14-6030 Date of Death: 10/27/2001 Continuation of Schedule H-A (Funeral Expenses) Item Description Amount Romberger Memorials - Gravemarker~bill The Gardon Path - funeral bill 675.00 481.77 1,156.77 Estate of: Sophia D. Richardson Soc Sec #: 192-14-6030 Date of Death: 10/27/2001 Continuation of Schedule H~B2 (Attorney's Fees) Item Description Amount 1 James, Smith, Durkin & Connelly, LLP - attorney fees 2,500.00 2,500.00 REV-151Z EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sophia D. Richardson SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SS# 192-14-6030 10/27/2001 FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION Church.of God Home - final bill James, Smith, Durkin & Connelly, LLP - bill for services prior to death rendere¢ TOTAL (Also enter on line 10, Recapitulation) is AMOUNT 570.00 250.00 820.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF So D. Richardson SS~/ SCHEDULE J BENEFICIARIES 192-14-6030 10/27/2001 NUMB NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [tnclude.o~right spou~l dlstrlb~io~, a~ tran~ers under Sec, 9116(aX1,~] 1 Gregory Dimich 68-12 Yellowstone Blvd. 6M Forest Hills, NY 11375 2 Alexandra Hensel 1627 Green Street Harrisburg, PA 17102 3 Jeremy E. Hensel P.O. Box 1054 Edwards, CO 81632 4 Philip K. Hensel 43487 Plantation Terrace Ashburn, VA 20147 II. RELATIONSHIP TO DECEDENT Do Not List Trustee(s) S on Daughter Grandchild Grandchild FILE NUMBER AMOUNT OR SHARE OF ESTATE 1/2 of residue 1/2 of residue 20,000.00 20,000.00 Emily Ports Grandchild 1,000.00 ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Copyright (c) 2000 form software only The Lackner Group, Inc. 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) Form REV-1513 EX (Rev. 9-00) Estate of: Sophia D. Richardson Soc Sec #: 192-14-6030 Date of Death: 10/27/2001 Continuation of Schedule J, Part I (Taxable Bequests) Item Name and Address of Beneficiary Relationship Amount or Share of Estate 7 4301 Woodcrest Lane Camp Hill, PA 17011 James Potts 4301 Woodcrest Lane Camp Hill, PA 17011 Adam Richardson 1033 Teakwood Drive Enola, PA 17025 Matt Richardson 1033 Teakwood Drive Enola, PA 17025 Grandchild Grandchild Grandchild 1,000.00 1,000.00 1,000.00 REV-1514 EX + (9-00) SCHEDULE K LIFE ESTATE, ANNUITY COMMONWEALTH OF PENNSYLVANIA INHERITANCETAX RETURN ~ TERM CERTAIN RESIDENT DECEDENT Copy lCheck Box 4 on Rev-1500 Cover SheetI ESTATE OF FILE NUMBER Sophia D. Richardson SS~/ 192-14-6030 10/27/2001 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. ~ Will r'~ Intervivos Deed of Trust ~ Other NAME(S) OF NEAREST AGE AT TERM OF YEARS LIFE ESTATE IS LIFE TENANT(S) DATE OF BIRTH DATE OF DEATH PAYABLE Jack W. Richardson 12/03/20 81 ~ Life or ~-] Term of Years ~ Life or r~ Term of Years r--] Life or r~ Term of Years ~ Life or ~ Term of Years 1. Value of fund from which life estate is payable $ 5.5,374.00 Z. Actuarial factor per appropriate table 0. 32434 Interest table rate- [---~ 3 1/2°/o [-~ 6% r--110O/o ~'~ Variable Rate 5.6 % 3. Value of life estate (Line 1 multiplied by Line 2) $ 3.7 ? 960.00 NAME(S) OF NEAREST AGE AT TERM OF YEARS ANNUITY IS ANNUITANT(S) DATE OF BIRTH DATE OF DEATH PAYABLE r~ Life or ['-'] Term of Years ~ Life or ~ Term of Years ~ Life or ~ Term of Years ~ Life or r-~ Term of Years 1. Value of fund from which annuity is payable Z. Check appropriate block below and enter corresponding (number) Frequency of payout - [-'-] Weekly (52) ~ Bi-weekly (26)~ Monthly (12) ['-"'] Quarterly (4) ~ Semi-annually (2) Annually (1) Other ( 3. Amount of payout per period 4. Aggregate annual payment, Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate- r--j31/2% ~ 6% ~ 10% r~ Variable Rate 0.0 °/o 6. Adjustment Factor (see instructions) 7. Value of annuity - If using 3 1/2%, 6%, 10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16, 17 and 18. (If more space is needed, insert additional sheets of the same size) Copyright (c) Z000 form software only The Lackner Group, I nc. Form REV-1514 EX (Rev. 9-007 DECEDENT: SURVIVING SPOUSE: RATES & FACTORS: TRUST: PA INI4ERITANCE TAX: SCHEDULE 0/9113(A) ANALYSIS Date of Death ........... [mm/dd/yyyy]10/27/2001 Mortality Table ................... Fi 90 Date of Birth ........... [mm/dd/yyyy]12/03/1920 Age at Decd Death (nearest birthday) 81 <mF1 Help Sec. 7520 Rate .................... Fi 5.6% Table S: Life Estate Factor ........ 0.32434 PA Rate (4.5%-6%-12%-15% or mixed).. 4.5% Life Insurance ...................... Other Assets ........................ Total ............................... Life Estate ......................... Remainder Interest .................. 0 55,374 55,374 17,960 37,414 Press <Enter> for results... OPTION #1: Tax REMAINDER int on 1st estate [MAKE 9113(A) ELECTION] Tax on Life Insurance .................... Exempt Tax on Other Assets: Life Estate ............. 17,960 Remainder Interest ...... 37,414 Tax on Remainder Interest @ 4.5% .. 1,684 OPTION #2: Tax ENTIRE trust on 2nd estate [NO ELECT].. 2,492 Tax paid unnecessarily [Life Insur x 4.5%] 0 Appropriate tax on 2nd estate @ 4.5% ................ A Tax under OPTION #1 @ 4.5% .................... # Years Spouse Survives.. 8 Assumed Interest Rate .... 10.00% FUTURE Value (compare this amt with A above)...C 2,492 1,684 3,609 O PNCBAN January 9, 2002 Stephanie L. Oaffey' 134 Sipe Avenue Hummelstown, PA 17036 RE: Estate of sophia D. Richardson, Deceased SSN: 192-14-6030 DOD: 10/27/2001 /SCP Dear Ms. Gaffey: In response to your request for Date of Death balances for the customer noted above, our records show the following'. CHECKING ACCOUNTS #5140167251 SOPHIA D RICHARDSON LIV TRUST URTAD 072997 DOD Balance: $3,560.75 + $0.44 accrued interest Interest Paid 1/1/2001 - 10/27/2001 - $23.95 Established 07/16/1986 #5140241941 JACK W RICHARDSON SOPHIA D RICHARDSON DOD Balance: $9,747.28 + $0.88 accrued interest Interest Paid 1 / 1/2001 - 10/27/2001 - $41.54 Established 03/25/1985 Page I 0£2 A member of The PNC Financial Servlc't~ Group Onff PNC Plaza 249 Fifth Avenue Pittsburgh Pcnqsyivania 15222 2707 PNCBANK SAFE DEPOSIT BOX #321 JACK W RICHARDSON SOPHIA D RICHARDSON Established 07/13/1995 Located: UPPER ALLEN BRANCH 127 KIM ACRES DRWE UPPER ALLEN PA 17055 717-691-4064 Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any f'mancial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, Rachelle Wells 1-800-762-1775 P7-PFSC-04-F 500 First Avenue Pittsburgh, PA 15219 Page 2 of 2 A member of The PNC Financial Services Groop One PNC Plaza 249 Fifth Avenue Pitt.~burgh Pcnnsylvanio 15222 2?07 TmT~I p ~? Montgomery Scott 20 Erford Road Suite 3 ! 5 Lemoyne, PA 17043-1109 (717) 731-4400 fax: (717) 731-4411 December 3, 2001 James, Smith, Durkin & Connelly, LLP Arm: Donna M. Mullin P.O. Box 650 Hershey PA 17033 RE: Sophia D. Richardson Living Trust JMS Account # 6968-4180 Ms. Mullin: ' · Per your request, please find attached a summary of Mrs. Richardson's investments as of October 27, 2001, her date of death. Since her death occurred on a Saturday, I have included market values from both Friday, October 26 and Monday, October 29, as well as an average value of the two. Should you require any additional information, please do not hesitate to contact me at 731-4400. Sincerely, Charles D. Vance Vice president & Co-Manager Members: NYSE · NASD · SIPC C~ C~ January 23, 2002 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013-3387 THE ..ESTATE SECURITY FO MUZA ,, RE: SOPHIA D. RICHARDSON, DECEASED Dear Sir or Madam: I am enclosing herewith the Pennsylvania Inheritance Tax return (3 copies) for the. above- referenced decedent. There was no estate opened for the decedent as there were no probate assets. I am also enclosing a check in the amount of $15.00 representing the filing fee for the inheritance tax return along with a check made payable to the Register of Wills, Agent in the amount of $19,259.26 representing the Pennsylvania Inheritance tax owing. Please file the inheritance tax return and return the stamped copy to me in the enclosed, self-addressed, stamped envelope. I have also enclosed the Estate Information Sheet for the Department of Revenue. Thank you for your attention in this matter. Sincerely, Stephanie L. Gaffey Paralegal :slg Enclosures Stephanie L. Gaffey Paralegal slg~jsdlegal.com 134 SIPE AVENUE HUMMELSTOWN, PA 17036 MAILING ADDRESS PO. BOX 650 HERSHEY, PA 17033 TOLL FREE 1.800.942.3660 TEL 717.533.3280 FAX 717.533.7771 www,jamesestateplan com Z Z 0 0 0 ~ r~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD OO0793 MULLIN DONNA M ESQUIRE JAMES,SMITH,DURKIN & CONNELLY 134 SIPE AVENUE HUMMELSTOWN, PA 17036 ........ fold ESTATE INFORMATION: SSN: 192-14-6030 FILE NUMBER: 21-2002- 0084 DECEDENT NAME: RICHARDSON SOPHIA D DATE OF PAYMENT: 01/24/2002 POSTMARK DATE: 01/23/2002 COUNTY: CUM BERLAN D DATE OF DEATH: 10/27/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $19,259.26 REMARKS: TOTAL AMOUNT PAID: DONNA M MULLIN ESQUIRE $19,259.26 SEAL CHECK# 00005098 INITIALS' CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZNDZVZDUAL. TAXES TNHERTTANCE TAX DTV/SZDN DEPT. 180601 HARRISBURG, PA 17128-0601 COHHONWEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE NOTZCE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLO#AN~E OR DZSALLO#ANCE OF DEDUCTZONS AND ASSESSHENT OF TAX RE¥-I;~? EX ~FP DONNA N HULLZN JANES ETAL 154 SIPE AVE HUHNELSTOWN PA 17056 DATE 05-18-2002 ESTATE OF RICHARDSON DATE OF DEATH 10-17-2001 FZLE NUHBER 21 02-0084 APR -1 ~l~.l:~l~ITY CUHBERLAND ACN 101 SOPHIA D Amoun'1' RemJ.'l:'l:ed HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUNBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THZS LZNE ~ RETAZN LOWER PORTZON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTZCE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCTZONS AND ASSESSHENT OF TAX ESTATE OF RICHARDSON SOPHZA D FZLE NO. 21 02-0084 ACN 101 DATE 05-18-2001 TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORZGINAL RETURN 1. Real Es~a~a (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) 3. Closely Held S~ock/Par~nership ~n~ares~ (Schedule C) (3) ~. Nor~gagas/No~as Receivable (Schedule D) (~) 5. Cash/Bank Daposi~s/Hisc. Personal Proper~y (Schedule E) (5) 6. Jointly O~nad Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To~el Asse~s APPROVED DEDUCTZONS AND EXEHPTIONS: 9. Funeral Expenses/Ad.. Cos~s/Hisc. Expanses (Schedule H) (9) 10. Deb~s/Hor~gaga Liabili~ias/Lians (Schedule ~) (10) 11. To~el Deductions 12. Na~ Value of Tax Re~urn 46~000.00 .00 .00 NOTE: To Lnsure proper .00 credt~ ~o your account, .00 submi~ ~ha upper portion .00 of ~h/s form wi~h your ~ax payment. 452z259.S1 (B) 8,970.39 15. 1~. NOTE: 478,259.51 820.00 (11) ~.7~0.~ (12) 468,468.92 Char/~abla/govarnman~al Bequests; Non-elected 9115 Trusts (SchaduZe J) (15) Ne~ Value of Es~a~a Sub~ac~ ~o Tax (1~) Zf an assessment t~as issued previously, lines 14, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amoun~ of L/ne lq a~ Spousal ra~a 16. Amoun~ of L/ne 1~ ~axable a~ Lineal~Class A ra~e 17. Amoun~ of L/ne lq a~ Sibl/ng ra~e 18. Amoun~ of L/ne 1~ ~axable m~ Collateral/Class B ra~e 19. Princ/)al Tax Due DATE NUHBER ZNTEREST/PEN PA/D (-) 01-25-2002 CD000795 1,015.65 .00 468,468.92 ZF PA/D AFTER DATE ZND/CATED, SEE REVERSE FOR CALCULATION OF ADD/TZONAL /NTEREST. 18 and 19 #ill (zs). 17,960.00 x O0 = .00 (16) 450,508.91 x 045= 20,272.90 (~?). .00 x 12 = .00 (3.8), .00 x 15 = .00 (3.9)= 20,171.90 AHOUNT PAZD 19,259.26 TOTAL TAX CREDIT 20,172.91 BALANCE OF TAX DUEI .01CR ZNTEREST AND PEN. .00 TOTAL DUE .01CR ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT 1S REgUZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORN FOR ZNSTRUCT/ONS.) RESERVATION: Estates of decedents dying on or before December II, 1981 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise end assess transfer Inheritance Taxes at the lawfu! Class 8 (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the [nheritance and Estate Tax Act, Act 25 of ZOO0. (72 P.S. Section 9140). Detach the top portion of this Notice end submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGXSTER OF N/LLS, AGENT A refund of e tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-X3X3). Applications are available at the Office of the Register of Nills, any of the 2S Revenue District Offices, or by calling the special Z4-hour answering service for fores ordering: 1-800-362-Z050~ services for taxpayers eith special hearing and / or speaking needs: 1-800-447-3010 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disalloeance of deductions, or assessment of tax (including discount or interest) as sheen on this Notice must object aithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 181011, Harrisburg, PA 17118-1011, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in ertting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17118-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (51) discount of the tax paid is alloeed. The 15Z tax aamesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax and interest that has bean assessed as indicated on this notice. Interest is charged beginning eith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1981 bear interest at the rate of six (6X) percent per annum calculated et a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year eith that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through Z00Z are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 202 .000548 1992 92 .0002fi7 1983 162 .000438 1995-1994 7X .000191 198q llX .000301 1995-1998 9~ .000147 1985 13X .000356 1999 7~ .000192 1986 lOX .000174 2000 8~ .000219 1987 9~ .000247 2001 9~ .0002q7 1988-1991 11~ .000301 2002 6X .000164 --Interest is celculetad es follows: TNTEREST = BALANCE OF TAX UNPATD X NUHBER OF DAYS DELTNQUENT X DA/L¥ TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation data sheen on the Notice, additional interest must be calculated.