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Home My WebLink About12-18-08 (2)15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Ty Po Box 2sosol 21 08 :1015 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth __ __ ... . __ __. __ 09/23/2008 ' ' 02/06/1954 _ __ Decedent's Last Name Suffix Decedent's First Name MI ~. ~.. _ __ _. SHARP ;MICHAEL C (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 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ ~~ 5. Federal Estate Tax Return Required death after 12-12-82) t~ 6. Decedent Died Testate b 7. Decedent Maintained a Living Trust 0__ 8. Total Number of Safe Deposit Boxes (Attach Copy of Wiil) (Attach Copy of Trust) '3 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death r«~,."°f 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number __ _ __ _ .. __ _ _ TAYLOR P ANDREWS, ESQ N Firm Name (If Applicable). __ _ _ _ ~_.__..._ -Ca- ~_~__..__.~~~o_v_.__---.W i ANDREWS AND JOHNSON First line of address 78 W POMFRET ST Second line of address City or Post Office CARLISLE __ State PA ZIP Code --- ',17013 REGIS WILLS l~ ONLY :- t) -- ~ C4J V ~"~ " f ~ t / ~~ r • ".' ITt - r i q `_~~ O _ ~ ~ --t ~ , ~ _ n .c- .~' DATE FILED V'{ _.... Correspondent's a-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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ~ f~IP~rh t1- !7~ 4 ~ A RESS 49 Sumrne~eL Dr~C-af~ic~e, PA 17015 ~T El~~= 0~ St., Carlisle, PA 17013 PLEASE USE ORIGINAL FORM ONL' Side 1 15056051058 15056051058 J 15056052059 REV-1500 EX Decedent's Name: MICHAEL C SHARP Decedent's Social Security Number __ __ RECAPITULATION 1. Real estate (Schedule A) . ............................................ 1. ' 0.00 2. Stocks and Bonds (Schedule B) 2. ! 285,094.51 ', 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. I 0.00 : 4. Mort a es & Notes Receivable Schedule D 9 9 ( ) ............................. q, ' 0.00 ''; 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5. ', 15,525.41 ', 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ....... 6. I 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) E~ Separate Billing Requested....... 7 0.00 8. Total Gross Assets (total Lines 1-7) .................................... 8. 300,619.92 'i 9. Funeral Expenses & Administrative Costs (Schedule H) ..................... 9. 16,617.58 " 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................ 10. ! 1,814.23 11. Total Deductions (total Lines 9 & 10) ................................... 11. ', 18,431.81 12. 13. 14. Net Value of Estate (Line 8 minus Line 11) .............................. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ Net Value Subject to Tax (Line 12 minus Line 13) ........................ ~~ 12. ', 13. ' 14. '' 282,188.11 0.00 282,188.11 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 _.. .. __ __ __ ___ ___ _ (a)(1.2) x .0_ 0.00 I 15, ', 0.00 16. ..,,w..~.._ . _:_._ .. _,,...._ ,,..,_.w.. ..,_.._..,, ,, , ~.... Amount of Line 14 taxable at lineal rate X .0 45 282,188.11 1 g, '; 12,698.46 17. Amount of Line 14 taxable 0 00 ' 0 00 . at sibling rate X .12 17. . 18. Amount of Line 14 taxable 0 00 ! 0 00 . at collateral rate X .15 18 . 19. TAX DUE ......................................................... 19. ' 12,698.46 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 ~..? 15056052059 REV-1500 EX Aage 3 nor~nrlont'c [_mm~lptp Orltlrpcc~ File Mumber m.n~ ~ ... 1 ~~,. I 21 ; . 08 's .1015 „__._ ~ ._. w~.... ..~. ....~..._ .__ DECEDENT'S NAME DECEDENT S SOCIAL SECURITY NUMBER MICHAEL C SHARP 209-46-0080 STREET ADDRESS 313 ARCH STREET CITY CARLISLE STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments 0.00 A. Spousal Poverty Credit B. Prior Payments 12,093.77 C. Discount 604.69 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 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) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) Make Check Payable fo: REGISTER OF WILLS, AGENT 12,698.46 12,698.46 0.00 0.00 0.00 0.00 0.00 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 :.................................................................................... ...... ^ 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? ........................................................................................................ ...... ^ 3. Did decedent own an "intrust 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? .................................................................................................................. ...... ^ ^x 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. §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 the 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. §9116(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. SCHEDULE B STOCKS AND BONDS ESTATE OF FILE NUMBER Sharp, Michael C. 21-08-1015 All property jointly-owned with Right of Survivorship must be disclosed on Schedule F ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Vanguard Funds including accrued dividends $130,400.14 Vanguard Health Care Fund $86,934.00 nontaxable 2 Neuberger Berman acct: 1252 1 1 900/7 $154,267.58 3 Neuberger Berman acct: 140382363/4 IRA $77,638.27 [named beneficiary deceased; paid to estate] nontaxable 4 Neuberger Berman acct: 143135812/6 Roth IRA $21,458.25 [named beneficiary deceased; paid to estate] nontaxable 5 637 shares of Thermoenergy Cort @ .67 per $426.79 TOTAL (also on line 2, Recapitulation) $285,094.51 Y , v Page > 1 of 1 ~~'" Van ard~ Michael C. Sharp Report for 09/23/2008 313 Arch St Voyager Services: 800-284-7245 Carlisle, PA 17013-3804 Total report value: $217,334.14 (Total report value includes any accrued dividends.) Michaei~C. Sharp~;= Individual Account Account`value summary- r Name Admiral Trsy Money Mkt Admiral TrsyMoney Mkt Health Care Fund Adm accrued ., : _ Fund & Account I Date Price Per i I Accrued Number Opened. Shares Share Value` l Dividends 0011-09850739386 06/16/2003 0.000 $1.00 $0.00 $0.00 0011-08624245955 03/28/2007 130,257.130 $1.00.. $130,257.13. $143.01 0552-08624245955 02/28/2006 1,666.360 $52.171 $86,934.00 - Totals $217,191.13 $143.01 0883209409 10/24/2008 18:10:45 • ~ Neuberger Berman Management Inc. 605 Third Avenue New York, NY 10158-0180 Tel 212.476.8800 TAYLOR P ANDREWS ESQUIRE 78 W POMFRET ST CARLISLE PA 17013-3216 Dear Mr. Andrews: NEUBERGER BERMAN A Lehman Brothers Company October 24, 2008 REFERENCE: 03718767 MICHAEL C SHARP STATE STREET BANK & TRUST CO OUST FOR THE IRA R/O MICHAEL C SHARP STATE STREET BANK & TRUST CO OUST ROTH CONTRIBUTORY IRA 2004 FBO MICHAEL C SHARP We are contacting you concerning a request we received from Ryan Shumberger to forward information on the referenced Neuberger Berman Partners Fund Investor Class accounts to your office. Our records indicate that on September 23, 2008 Michael C. Sharp's individual account held 6,195.458 shares. The share price for this date was $24.90 and the dollar value was $154,267.58. His IRA Rollover account held 3,118.003 shares. The share price for this date was $24.90 and the dollar value was $77,638.27. His Roth IRA account held 861.777 shares. The share price for this date was $24.90 and the dollar value was $21,458.25. We hope this information is helpful. If you have any questions, please feel free to write to us or call toll free at 800-877-9700. A Neuberger Berman Retail Service Representative will be happy to assist you. Sincerely, Neuberger Berman Shareholder Services SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANIOUS PERSONAL PROPERTY ~~itiir, yr FILE NUMBER Sharp, Michael C. 21-08-1015 Include the proceeds of 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 DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Sovereign Bank account 2891026748 accrued interest 2 Accrued salary 3 PSECU account -savings 4 PSECU account - cking 5 Patriot News refund 6 Donegal insurance return of premium 7 AAA membership refund 8 Comcast refund 9 Pennsylvania State Employee Retirement payout to estate 10 1999 Buick Century - 131,000 mi -fair cond 11 Misc furnishings incl computer $5,662.24 $0.03 $4,244.48 $33.63 $306.48 $26.20 $199.00 $48.64 $4.71 $285,739.07 nontaxable $2,500.00 $2,500.00 TOTAL (also online 5, Recapitulation) $15,525.41 Sovereign Bank ESTATE OF Michael C. Sharp SOCIAL SECURITY #: 209-46-0080 DATE OF DEATH: September 23, 2008 Account #: 2891026748 Type: Checking Open date: 2/19/1983 In the name of: Michael C Sharp Date of Death Balance: $5,662.24 Int.(YTD) from 1/1/2008 to 9/19/2008 $4.44 Accrued interest to date of death: Other Info: $0.03 Page 1 of 1 ~~ l~ ~ n~ Ryan Shumberger 49 Summerfield Drive Carlisle, PA 17015 Dear Mr. Shumberger November 13, 2008 BUREAU OF COMMONWEALTH PAYROLL OPERATIONS P.O. BOX 8006 HARRISBURG, PA 17105-8006 FAX: (717) 772-3104 The enclosed check represents payment to you on behalf of Michael C. Sharp as the administrator of his estate. Please note that you as the administrator will receive a "Form 1099-NFisc." in the amount of $37,420.64 at year's end. The form will be in the name of the ESTATE OF MICHAEL C. SHARP and the TIN# 26-6592306 and should be kept along with this letter for tax filing purposes: PAYMENTS (PAY DATE AFTER DATE OF DEATH) PPE DATE PAY DATE TYPE PAY HOURS GROSS DEDUCTION AMOUNT" NET 9/12/08 Salar 75.00 $2,496.75 9/26/08 Salar 52.50 $1,747.73 Annual 405.96 $13,514.41 Personal 22.50 $749.03 11/13/08 Sick 570.00 $18 975.30 $3,081.31 $34,401.91 LESS NON-TAXABLE GROSS DEDUCTIONS: AMOUNT EXPLANATION OF NON-TAXABLE DEDUCTION $17.99 Overtime Over a ment $44.59 Pre Tax Medical f COMMONWEALTH OF PENNSYLVANIA OFFICE OF THE BUDGET COMPTROLLER OPERATIONS Deceased Employee Estate Payment. L ~ ~ November 13, 2008 Page 2 *EXPLANATION OF DEDUCTIONS TAKEN FROM PAYMENTS: AMOUNT EXPLANATION OF DEDUCTIONS TAKEN $2,862.68 Social Securit /Medicare $156.05 Retirement __ Should you have any questions regarding this letter, please contact Mr. Edmund Brenner, at telephone number (717) 772-5368. Sincerely, !~ i ~ ~ t Sharon Wentling, Chief Special Pay Processing Enclosure PSEf~k Andrews & Johnson Attorneys at Law 78 West Pomfret Street Carlisle, PA 17013 Attn: Taylor P. Andrews Re: Michael C. Sharp, Deceased. PSECU Account # 0209460080 Dear Mr. Andrews The account was opened on January 7, 1993. The Share accounts were held solely by Michael C. Sharp. The Visa Loan was held solely by Michael C. Sharp. The following are the Date of Death Balances for Mr. Sharp's account with PSECU: Account Savings Checking Date of Death Balances Interest (S1) $ 33.37 $ 0.26 (S4) $ 305.94 $ 0.54 November 17, 2008 Loans: Visa Loan (L9) $ 695.77 Enclosed is a check, in the amount of $339.55, the last remaining funds in Michael C. Sharp's account. The Estate has satisfied the Visa balance and the account is closed. If you have any questions, please contact me at (717) 234-8484 or toll-free at (800) 237-7328, then press 6, extension 3120. Sincerely, Rox nn Myers Service Advisor PSECU Pennsylvania State Employees Credit Union Main Address: 1 Credit Union Place, Harrisburg, PA 1 71 1 0-2990 • 717.234.8484 • 800.237.7328 Mailing Address: P.O. Box 67013, Harrisburg, PA 1 71 06-701 3 • 717.777.2100 (TDD) • 800.472.1967 (TDD) psecu.com This credit union is federally insured by the National Credit Union Administration. Equal Opportunity Lender COMMONWEALTH OF PENNSYLVANIA STATE EMPLOYEES' RETIREMENT SYSTEM 30 NORTH THIRD ST STE 150 HARRISBURG, PA 17101-1716 1-800-633-5461 www.sers.state.pa.us December 03, 2008 RYAN SHUMBERGER EXECUTOR MICHAEL C SHARP ESTATE 78 WEST POMFRET ST CARLISLE PA 17013-3216 RE: MICHAEL C SHARP S.S. #209-46-0080 We are in receipt of the short certificate you submitted to this office for the Estate of Michael C. Sharp, the named beneficiary in the above referenced account, thank you. In order that we can voucher a check in the final settlement of this account, the enclosed Release and Indemnification Affidavit must be completed, notarized, and returned to this System at the address shown above as soon as possible. The following information is being provided: Death benefit payable to you: $285,739.07 Taxable Portion: $285,739.07 Non Taxable Portion: $0.00 If you have any questions or need assistance, please contact the field office nearest you at 1-800- 633-5461. Sincerely, le~ O Debra G. Murphy, Director Disability & Death Benefits Section Benefits Determination Division Enclosures BEN63A SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF FILE NUMBER Sharp, Michael C. 21-08-1015 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION NUMBER A. Funeral Expenses: 1 Ronan Funeral Home 2 B. Administrative Costs: 1 Personal Representive Commissions no fee claimed Name of Personal Representative(s) _ Social Security Number of Personal Representative: _ Street Address: City: State: Zip: Year(s) commissions paid: 2 Attorney fees to Andrews & Johnson 3 Family Exemption none Claimant Street: City: State & Zip _ Relationship of Claimant to Decedent: 4 Probate Fees to Register of Wills 5 Accountant Fees to Patricia Rosendale, CPA 6 Legal advertising 7 clean up to surrender tenancy 8 9 10 1 1 12 13 14 15 16 17 18 19 TOTAL (also on line 9, Recapitulation) AMOUNT $4,385.98 $10,000.00 $1,090.00 $350.00 $241.60 $550.00 $16,617.58 . . SCHEDULEI DEBTS OF DECEDENT MORTGAGE LIABILITIES AND LIENS ESTATE OF FILE NUMBER Sharp, Michael C. 21-08-1015 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. TOTAL (also online 10, Recapitulation) $1,814.23 SCHEDULE J BENEFICIARIES ESTATE OF F1LIJ NUM1i~K Sh Michael C. 21-08-1015 ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE NUMBER Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9I IG(aXl.2)I 1 Ryan Shlxmberger son entire estate 49 Stlmmerfield Dr., Carlisle, PA 17015 2 3 4 II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on line 13, Recapitulation) $0