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HARRY B. YOST ,~:_: .
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JAMES W. APPEL ~
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JOHN L. SAMPSON ,
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KENNETH H. HOWARD Il
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WILLIAM J. CASSIDY, JR.
ELAINE G. UGOLNIK
ROBERT W. HALLINGER LAW OFFICES
PETER e. ASTORINO THIRTY-THREE NORTH DUKE STREET
BRADLEY A. ZUKE LANCASTER
PENNSYLVANIA 17602
LUCY F. DOWD ,
(717)394-0521
OF COUNSEL FAX (717) 431-1664
WILLIAM R. WHEATLY
MATTHEW G. GUNTHARP (email Janelle a
) ~ ppelyost.com
J. MARLIN SHREINER February 17, 2009
Cumberland County Register of Wills
One Courthouse Square
Carlisle, PA 17013
Re: Nelson S. Free Estate
Dear Sir or Madam:
MERRILL L. HASSEL (1941-1972)
T. ROBERTS APPEL, II (1961-2006)
BRANCH OFFICES
OFFICE AT NEW HOLLAND, PA
(717) 354-0117
OFFICE AT STRASBURG, PA
(717)687.7871
OFFICE AT QUARRYVILLE, PA
(717)788-3172
OFFICE AT EPHRATA, PA
(717)733-2104
OFFICE AT CHRISTIANA, PA
(610)593-6740
We are assisting Barry S. Free, Executor, in the settlement of the Nelson S. Free Estate.
Enclosed for filing with your office are Information Notice and Taxpayer Response forms
for two accounts which were titled in the name of Bernice M. Free who was the Wife of Nelson S.
Free.
Please file the originals with your office and return atime-stamped copy of each to our
office in the enclosed self-addressed, stamped envelope.
If you have any questions or need additional information, please do not hesitate to contact
me.
Sincerely,
r:Tanelle ~upir~4 ~ ~.
,..Paralegal fcar,.~
Kenneth H. Howard
57081 O1
enclosures
cc: Barry S. Free
Kenneth H. Howard
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AN D
HARRIDSBURG6PA rnza-0601 ~~-\ ~~ ~ ~'~-A,jl`PAYER RESPONSE
- ,;
REV-1543 EX AFP Q49-987' ' - -'J '~~ ~ ~ t '
FILE N0. 21 Qcj U1-7~
ACN 09105863
DATE 01-30-2009
~~
2~~9 FHB ! ~ P~9 3~ 06
(`I ~-'==~ 'r
ii ~
** NELSON S FREE
210 BIG SPRING RD
NEWVILLE PA 17241
EST. OF BERNICE M FREE
SSN 162-22-4108
DATE OF DEATH 10-24-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
WACHOVIA BK NA provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
aed return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
~~. or~.a~...,. ~ loose ..oll [: .,. '8;- 927 -ii.. .,.. ~.. ,a..~~-..
COMPLETE PART 1 BELOW ~. SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 247402053726963 Date 08-19-2008
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 22, 881 .29 payment to the Register of Wills. Make check
Percent Taxable X payable to "Register of Wills, Agent".
100.00
Amount Subject to Tax $ 22,881.29 NOTE: If tax payments are made within three
Tax Rate months of the decedent's date of death,
X . 1 5 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 3,432.19 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IH AN OFFICIAL TAX ASSESSMENT
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. The above informs ion is incorrect and/or debts and deductions were paid.
amplete PART 2~ and/or PART ~ below.
PART If indicating a different ax rate, please state
relationship to decedent: 4}1P OFFICIAL USE ONLY ~ AAF
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PA DEPARTMENT DF REVENUE
PAD
Lure a. Dare established i
1 _~~.,.. _ _ ._
2. Account Balance 2 $
2
3. Percent Taxable 3 X
3
4. Amount Subject to Tax 4 $
4
5. Debts and Deductions 5 -
$ 5
6. Amount Taxable 6
6
7. Tax Rate T X _~~ ~~
7
8. Tax Due g $
8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) g
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the be t of my knowledge and belief.
HOME ( ~
WORK C ~
TAX ER NAT RE TELEPHONE NUMBER
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information
submitted by the financial institution.
2. Inheritance Tax becomes delinquent nine months after the decedent's date of death.
3. A joint account is taxable even when the decedent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) the decedent put in .joint names within one year prior to
death are fully taxable.
5. Accounts established ]ointly between husband and wife more than one year prior to death are not taxable.
6. Accounts held by a decedent "in trust for" another or others are fully taxable.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X"
in Block A of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with a check for the amount of
tax to the register of wills of the county indicated. The PA Department of Revenue will issue an official assessment
(Form REV-1548 EX) upon receipt of the return from the register of wills.
2. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance
Tax Return filed by the estate's representative, place an "X" in Block B of Part 1 of the "Taxpayer Response" section. Sign one
copy and return to the register of wills of the county indicated.
3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check Block C and complete Parts 2 and 3
according to the instructions below. Sign two copies and submit them with Your check for the amount of tax payable to the register
of wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt
of the return from the register of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the manner existing at date of dea .
NOTE: For a decedent who died after 12/12/82, accounts the decedent put in Joint names within one Year of death are
fully taxable. However, there is an exclusion not to exceed 53,000 per transferee, regardless of the value of
the account or the number of accounts held.
If a double asterisk (~^) appears before your first name in the address portion of this notice, the 53,000 exclusion
was deducted from the account balance as reported by the financial institution.
2. Enter the total balance of the account including interest accrued to the date of death.
3. The percentage of the account that is taxable to each survivor is determined as follows:
A. The percentage taxable of point assets established more than one year prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY SURVIVINGBJOINT OWNERS MULTIPLIED BY 100 = PERCENT TAXABLE
JOINT OWNERS
Example: A point asset registered in the name of the decedent and two other persons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TO EACH SURVIVOR)
B. The percentage taxable for assets created within one near of the decedent's death or accounts owned by the decedent but held
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by
the decedent.
1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR)
4. The amount sub.7ect to tax (Line 4) is determined by multiplying the account balance (Line 2) by the percent taxable (Line 3).
5. Enter the total of the debts and deductions listed in Part 3.
6. The amount taxable (Line 6) is determined by subtracting the debts and deductions (Line 5) from the amount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as determined below.
Spouse Lineal Sibling Collateral
Date of Death
07/01/94 to 12/31/94 3 percent 6 percent 15 percent 15 percent
01/01/95 to 06/30/00 0 percent 6 percent 15 percent 15 percent
07/01/00 to present 0 percent 4.5 percent * 12 percent 15 percent
^The tax rate imposed on the net value of transfers from a deceased child 21 years of age or'vounger at
death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent.
The lineal class of heirs includes grandparents, parents, children and other lineal descendents. "Children" includes natural children
whether or not then have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
natural parents and their descendents, whether or not they have been adopted by others; adopted descendents and their descendants;
and step-descendants. "Siblings" are defined as individuals who have at least one varent in common with the decedent, whether by blood
or adoption. The Collateral class of heirs includes all other beneficiaDEBTS AND DEDUCTIONS CLAIMED
CLAIMED DEDUCTIONS - PART 3 -
Allowable debts and deductions are determined as follows:
A. You are legally responsible for payment, or the estate sub]ect to administration by a versonal representative is insufficient
to pay the deductible items.
B. You actually Paid the debts after the death of the decedent and can furnish proof of payment.
C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use B 1/2" x 11" sheet of paper. Proof of
payment may be requested by the PA Department of Revenue.
TAXPAYER ASSISTANCE
IF YDU NEED FURTHER INFORMATION OR AS5I57ANCE, CONTACT ANY REGISTER OF WILLS,
PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR THE BUREAU DF INDIVIDUAL TAXES, AT
(717) 787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING ANDfOR SPEAKING NEEDS
ONLY: 1-800-447-3Q20.
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES ~ i~J~ "; AND FILE N0. 21 (~ ~ ~--in
Po Box 280681 -~. TAXPAYER RESPONSE ACN 09105864 ~(
HARRISBURG PA 17128-0601
~ ~.. .~~~.J I4- .JI -.-_..
REY-1543E%AFP~(09-OB) ~ DATE 01-30-2009
209 FED ! 8 P~~ 3~ 0
l.~tl.-F.., { 1 it
rr~`.~~~i'`~~~<< '''}! I. T
C~i's' L:' „~ i
C~ ,(, _ ~'1 , ~F~
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NELSON S FREE
210 BIG SPRING RD
NEWVILLE PA 17241
EST. OF BERNICE M FREE
SSN 162-22-4108
DATE OF DEATH 10-24-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
O CERTIF.
WACHOVIA BK NA provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsylvania. 'riease ..e.. .. :73 '2' -..~, ;
wi .. ..::sa .__,...
COMPLETE PART 1 BELOW * SEE-REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
'`
Account No. 247402053613506 Date 07-18-2008
To ensure proper credit to the account, two
Establ ished copies of this notice must accompany
Account Balance $ 64,233.12 payment to the Register of Wills. Make check
Percent Taxable
X
100.00 payable to "Register of Wills, Agent".
Amount Subject to Tax $ 64,233.12 NOTE: If tax payments are made within three
Tax Rate
~( months of the decedent's date of death,
~ lrj deduct a 5 percent discount on the tax due.
Potential Tax Due $ 9, 634.97 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART
1 TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX AS5E55MENT
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of
C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K
0 N L Y B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax retu
1 Ito be filed by the estate representa
tive. rn
C
PART If indicating a different rate, please state
relationship to decedent: - ~
~ ~"TC;~P
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
Llnt 1. 1)a lQ e~Lau i.i5nea i ~
2. Account Balance 2 $
2
3. Percent Taxable 3 X
3
4. Amount Subject to Tax 4 $
4
5. Debts and Deductions 5 -
5
6. Amount Taxable 6 $
7.
Tax Rate - 7
X a~a 6
7
8. Tax Due g $
8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRTPTTnN
The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3^ below.
OFFICIAL U5E ONLY Q qqF
PA DEPARTMENT OF REdENiIE
- - - - - vi i ax l.OmpULaLlOn) $
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
compl a to the est f my knowledge and belief.
HOME ( )
WORK ( )
TAXPAYER AT TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information
submitted by the financial institution.
2. Inheritance Tax becomes delinquent nine months after the decedent's date of death.
3. A joint account is taxable even when the decedent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) the decedent put in joint names within one year prior to
death are fully taxable.
5. Accounts established jointly between husband and wife more than one year prior to death are not taxable.
6. Accounts held by a decedent "in trust for" another or others are fully taxable.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X"
in Block A of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with a check for the amount of
tax to the register of wills of the county indicated. The PA Department of Revenue will issue an official assessment
(Form REV-1548 EX) uvon receipt of the return from the register of wills.
2. BLDCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance
Tax Return filed by the estate's representative, place an "X" in Block B of Part 1 of the "Taxpayer Response" section. Sign one
copy and return to the register of wills of the county indicated.
3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check Block C and complete Parts 2 and 3
according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the register
of wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REY-1548 EX) upon receipt
of the return from the register of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the manner existing at date of dea
NOTE: For a decedent who died after 12/12/82, accounts the decedent put in joint names within one year of death are
fully taxable. However, there is an exclusion not to exceed $3,000 per transferee, regardless of the value of
the account or the number of accounts held.
If a double asterisk (~^l appears before your first name in the address portion of this notice, the S3,000 exclusion
was deducted from the account balance as reported by the financial institution.
2. Enter the total balance of the account including interest accrued to the date of death.
3. The percentage of the account that is taxable to each survivor is determined as follows:
A. The percentage taxable of joint assets established more than one near prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY SURVIVINGBJOINT OWNERS MULTIPLIED BY 100 = PERCENT TAXABLE
JOINT OWNERS
Example: A joint asset registered in the name of the decedent and two other persons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TD EACH SURVIVOR)
B. The percentage tau able for assets created within one near of the decedent's death ar accounts owned by the decedent but held
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 1D0 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and two other persons and established within one near of death by
the decedent.
1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (Line 4) is determined by multiplying the account balance (Line 2) by the percent taxable (Line 3).
5. Enter the total of the debts and deductions listed in Part 3.
6. The amount taxable (Line 6) is determined by subtracting the debts and deductions (Line 5) from the amount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as determined below.
t
^The tax rate imposed on the net value of transfers from a deceased
death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent.
The lineal class of heirs includes grandparents, parents, children and other lineal descendents. "Children" includes natural children
whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
natural parents and their descendents, whether or not they have been adopted by others; adopted descendents and their descendants;
and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood
or adoption. The Collateral class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are determined as follows:
A. You are legally responsible for payment, or the estate subject to administration by a personal representative is insufficient
to pay the deductible items.
B. You actually Paid the debts after the death of the decedent and can furnish proof of payment.
C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use B 1/2" x 11" sheet of paper. Proof of
payment may be requested by the PA Department of Revenue.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS,
PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR THE BUREAU DF INDIVIDUAL TAXES, AT
(717) 787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING ANDIDR SPEAKING NEEDS
ONLY: 1-80-447-320.
Date of Death Spouse Lineal Sibling Collateral
07/01/94 to 12/31/94 3 percent 6 percent 15 percent 15 percent
01/01/95 to 06/30/00 0 percent 6 percent 15 percent 15 percent
07/01/00 to present 0 percent 4.5 percent * 12 percent
child 21 nears 15 percent
of age or younger a