HomeMy WebLinkAbout05-12-09 505607121
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue Coun Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN ~
Po sox 2aosol 2 1 0 9 0 0 3 6 3
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 9 3 2 4 2 3 2 3 0 4 0 2 2 0 0 9 D 1 0 1 1 9 2 8
Decedent's Last Name Suffix Decedent's First Name MI
S L Y D E R F R A N K W
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
S L Y D E R M A R Y M
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
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)
3. Remainder Return (date of death
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)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
H U B E R T X G I L R O Y 71 7 2 4 3 3 3 4 1
Firm Name (If Applicable)
M A R T S O N
First line of address
1 0 E A S T
Second line of address
City or Post Office
State ZIP Code
REGISTER OF WILLS USE ONLY
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correspondent's a-mail address: H G I L R O Y a3 M A R T S O N L A W• C O M
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 has any knowledge.
SIGNi,TURE OF PERSO~1 RESPONSIBLE FOR FILING RETURN DATE
ADDRESS ~
508 T S BEET MT HOLLY SPRINGS PA 17065
SIGNA~U E PRE R HER THAN REPRESENTATIVE DATE
ADD SS
10 EAST HIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
j1505607121
L A W O F F I C E S
H I G H S T R E E T
1505607121
~1
1505607221
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: FRANK W- S L Y D E R 1 9 3 2 4 2 3 2 3
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1.
2. Stocks and Bonds (Schedule B) 2 9 9 5. 4 5
.................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) ....................... . 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... . 5. 1 2 6 5 0 • 5 4
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ...... . 6. •
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ......
. 7. 4 2 9 7 2. 8 4
8. Total Gross Assets (total Lines 1-7) .......................... . 8. 5 8 6 1 8. 8 3
9. Funeral Ex enses & Administrative Costs Schedule H
P ( ) ............... 9.
. 5 0 3 2 . 0 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ........... . 10.
11. Total Deductions (total Lines 9 & 10) .......................... . 11. 5 0 3 2 . 0 0
12. Net Value of Estate (Line 8 minus Line 11) ........................ . 12. 5 3 5 8 6 • 8 3
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................. . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13)
..................
14. 5 3 5 8 6 • 8 3
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.ooo 5 3 5 8 6 8 3 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .0_ 0. 0 0 16. 0. 0 0
17. Amount of Line 14 taxable
0
0 0
0
0
0
.
at sibling rate X .12 17. .
18. Amount of Line 14 taxable
0 0 0
0
at collateral rate X .15 18 . 0 0
19. Tax Due ................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
0. 0 0
L 1505607221 1505607221
REV-1500 EX Page 3
Decedent's Complete Address:
0.00
DECEDENT'S NAME
FRANK W.SLYDER
STREET ADDRESS
508 CHESTNUT STREET
CITY
STATE
Zip
MT HOLLY SPRINGS PA 17065
Tax Payments and Credits:
t • Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
File Number
21 09 00363
Total Credits (A + B + C) (2) 0.00
Total InteresUPenalty (D + E) (3) 0.00
(4) 0.00
(5) 0.00
(5A)
(5B) 0.00
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.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
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 : ...................................................................... ^ Q
b. retain the right to designate who shall use the property transferred or its income; ............................... ^ 0
c. retain a reversionary interest; or ................................................................................................
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 "intrust for" or payable upon death bank account or security at his or her death? ......... ^ Q
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. 0 ^
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)J. 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)J.
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.
REV-1503 EX + (F-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FRANK W. SLYDER 21 09 00363
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 700 sh, common, Dendreon Corp (24823Q107) @ 4.265 2,985.50
2 5000 sh, common, Global Technovations Inc. (GTNOQ) @ .0001 0.50
3 14 sh, common, Neurobiological Tech Inc. (64124W106) @ .675 9.45
4 5000 sh, common, Teligent Inc-CL A (TGNTQ) [declared worthless 9/12/02] 0.00
TOTAL (Also enter on line 2, Recapitulation) I $ 2,995
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FRANK W. SLYDER 21 09 00363
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 VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. TD Ameritrade Acct. #872-487811, money market account 5,800.42
2 E*TRADE Financial, IRA Acct. 5739-1504; beneficiary: estate 1 900.12
3 Bankers Health & Casualty, medical insurance, refund of premium 2,250.00
4 1999 Ford Ranger pickup, actual sale price 2,700.00
TOTAL (Also enter on line 5, Recapitulation) I $ 12 650 54
(If more space is needed, insert additional sheets of the same size)
REV-1510 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
FILE NUMBER
FRANK W. SLYDER 21 09 00363
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND
THE DATE OF TRANSFER.ATTACHACOPVOFTHEDEEDFORREALESTATE.
DATE OF DEATH
VALUE OF ASSET
%OFDEOD~S
INTEREST
EXCLUSION
(IFAPPLICABLE)
TAXABLE
VALUE
1. Oppenheimer, IRA Acct. A87-0970298; beneficiary: spouse 42,972.84 100. 42,972.84
TOTAL (Also enter on line 7 Recapitulation) I $ 42,972.84
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
FRANK W. SLYDER 21 09 00363
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City State
Year(s) Commission Paid:
Zip
2. Attorney Fees Martson Law Offices 1,400.00
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00
Claimant Mary M. Slyder
Street Address 508 Chestnut Street
City Mt. Holly Springs State PA Zip 17065
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills of Cumberland County 102.00
5 Accountant's Fees
6. Tax Return Preparer's Fees
7. Register of Wills, filing fee, Inheritance Tax Return 15.00
8. Register of Wills, additional probate 15.00
TOTAL (Also enter on line 9, Recapitulation) I $ 5 032.00
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (g-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FRANK W. SLYDER 21 09 00363
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outri ht spousal distributions, and transfers under
~
Sec. 9116 (a
(1.2))
1. Mary M. Slyder Spousal 53,586.83
508 Chestnut Street
Mt. Holly Springs, PA 17065
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)
V=/ l u/ L V V J V V. V V a t\ [~ a i l V V U U V U L v v a 11a L
CODICIL TO THE LAST WILL AND TESTAMENT OF FRANK W. SLYDER, SR
DATED SEPTEMBER 2, 2003
~VVUi VVV
ITEM THREE: I appoint my wife MARY M. SLYDER, Executrix of this my last
will. Should she fail to qualify or cease to act as Executrix, I appoint FRANI~ W.
SLYDER, JR. and LOU ANN SLYDER to act as Co-Executors with the same
rights, powers and duties. It is my direction that the Executrix or Executor shall
serve without compensation except for reimbursement of costs. Should any of the
Executors I have appointed refuse to serve because of this provision, any other
individual who may be appointed to serve by the court may petition the court at
that time to act as the Executor.
I, Frank W. Slyder, Sr. do hereby replace PARAGRAGH ITEM THREE as shown
above with PARAGRAH ITEM 'T'HREE as shown below:
ITEM THREE: I appoint my wife MARY M. SLYDER, Executrix of this my last
will. Should she fail to qualify or cease to act as Executrix, I appoint LETITIA
ANN FULLER and LOU ANN SLYDER to act as Co-Executors with the same
rights, powers and duties. It is my direction that the Executrix or Executor shall
serve without compensation except for reimbursement of costs. Should any of the
Executors I have appointed refuse to serve because of this provision, any other
individual who may be appointed to serve by the court may petition the court at
that time to act as the Executor.
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MY COmmgslon Expires Peb 1 S. 2010
Witnessed
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LAST WILL AND TESTAMENT OF
FRANK W . SLYDER
I, FRANK W. SLYDER, of Cumberland County, Pennsylvania, declare this to be my last
will and revoke any will previously made by me.
ITEM ONE: I direct that all my debts and funeral expenses, including my gravemarker
shall be paid from my residuary estate as soon as practicable after my decease as a part of
the expense of the administration of my estate.
ITEM TWO: I give, devise and bequeath my entire estate to my wife, MARY M. SLYDER,
if she survives me by 60 days. In the event that she predeceases me or is not then living on
the 61st day after my death, then I devise and bequeath the rest and residue of my estate to
my six children, FRANK W. SLYDER, JR., DAVID A. SLYDER, PATRICIA S. BEAR,
LETITIA S. FULLER, JAMES H. SLYDER and LOU ANN SLYDER, share and share a
like per stirpes. It is my intention that if any of my children should die prior to my death,
their share shall go to their issue. Should they die without issue, their share shall be divided
in proportionate shares among the remaining children.
ITEM THREE: I appoint my wife MARY M. SLYDER, Executrix of this my last will.
Should she fail to qualify or cease to act as Executrix, I appoint FRANK W. SLYDER, JR.
and LOU ANN SLYDER to act as Co-Executors with the same rights, powers and duties. It
is my direction that the Executrix or Executor shall serve without compensation except for
reimbursement of costs. Should any of the Executors I have appointed refuse to serve
because of this provision, any other individual who may be appointed to serve by the court
may petition the court at that time to act as the Executor.
ITEM FOUR: All estate, inheritance, succession and other taxes, imposed or payable by
reason of my death, and interest and penalties thereon, with respect to all property
comprising my gross estate for tax purposes, whether or not such property passes under this
will, shall be paid out of the principal of my residuary estate, without apportionment or
right of reimbursement.
ITEM FIVE: I direct that my personal representative or guardian shall not be required to
give bond for the faithful performance of their duties in any jurisdiction.
C~
F W. SLYDE
PAGE ONE OF FOUR PAGES
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
We i ~.° 3E h )~ x L7 f L1Z C ~ and [~A~,; ~ ~ii~t~~~('~oN
witnesses whose names are signed to the attached or foregoing instrument being duly
qualified according to law, do depose and say that we were present and saw the Testator
sign and execute the instrument as his last will; that he signed willingly and executed it as his
free and voluntary act for the purposes therein expressed; that each of us in the hearing and
sight of the Testator signed the will as witnesses; and that to the best of our knowledge, the
Testator was at the time 18 or more years of age, of sound mind and under no constraint or
undue influence.
~~''~~~ C~.n~? ~.~
Sworn and subscribed to
before me this ~ day
of ~~ , 2003.
~J ~~~~
No Public
Notarial Seal
Bridget Ann Corcoran, Notary Public
Carlisle Boro, Cumberland County
My Commission &xpiros June !0, 2006
Member, Pennsylvania Association of Notaries
PAGE THREE OF FOUR PAGES
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
I, FRANK W. SLYDER, whose name is signed to the attached instrument, having been duly
qualified according to law, do hereby acknowledge that I signed and executed the instrument
as my last will; that I signed it as my free and voluntary act for the purposes therein
expressed.
FRANK W. SLYDER
Sworn and affirmed to and acknowledged before me this ~~ day of
-!~[s~. ~ o~ , 2003.
C~r2,~c'~~CA..~~/
otary Pu lie
Bridget Ann Corooran,eNotary Public
Carlisle Boro, Cumberland County
My Commission Expires June 10, 2006
Member, PennsybaniaASSOCiattonotNotaries
PAGE FOUR OF FOUR PAGES