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15056041158
REV-'1500 EX(OB-05)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of IndlMtluel Texas County Code Veer Flle Number
Po Box zaosot INHERITANCE TAX RETURN 21 08 1139
Harrisburg, PA 17128-0801 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
209-12-9403 08202008 03191928
Decedent's Last Name
DENISON
Suffix Decedent's First Neme
WILLIAM
MI
E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Nama
DENISON VIRGINIA
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WRH THE
- - REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Retum (date of death
^ 4. Limited Estate
^ 4a.
Future Interest Compromise (dale of prior to 12-13-82)
^ 5. Federal Estate Tax Return Required
^ 8. Decedent Died Testate
(Attach Copy of Will)
^ 7. death after 12-12-82)
Decedent Maintained a Living Trust
Att
h C
(]_ 8. Total Number of Safe Deposit Boxes
^ 9. Litigation Proceeds Receiv
d
^ 10 (
ac
opy of Trust)
^
e . Spousal Poverty Credit (date of death 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 Daylima Telephone I~i~mber
ELIZABETH P• MULLAUGH ~
r
°~
717-237-
Firm Name (If Applicable) ~
~
-~ t7 ~[ ~.^; _
MCNEES WALLACE 8 NURI
CK LL
C REGISTER -, fT USE'04LY
•
First line of atldress - - C \~ ] ~D ~ ~
' ~ „_,
100 PINE STREET ;=•~ „
s
Second line of address _
_
2 ---r
P•0• BOX 1166 W
CBy Or POat Office Slate ZIP Code DATE FILED
HARRISBURG PA 17108-1166
Correspondent'se-mailaddress: EMULLAUGHaMWN•COM
Under penekies of perjury, I declare that I have examined this ratum, including accompanying achedulea and statements, and [o the best of my knowledge end Delief,
ii is We, correct and complete. Decleratbn of preparer other than the personal repreaentetive Is based on all Information of which praperer has any knowledge.
SI~G,,NA~l1RE OF PERSON R N E FOR FILING RETURN DATE
MI
B
°^~~ °L•y• HAN1CStlUfiG, PA 17~SU
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE pAT€
^MCNEES WALLACE 8 NURICK, LLC, B SPtf ~o~
15056041158
side t
BM464] a.000 15 0 5 6 0 4115 8
J~~
J 15056042159
REV-1500 EX
Decedent's Social Security Number
Decedent'eN me~DENISON 209-12-9403
ilTl I TAM
RECAPITULATION
1. Real estate (Schedule A) ...... .. 1.
0.00
2. Stocks and Bonds (Schedule B) ........... .. 2. 0 • D D
3. Closely Held Corporation, Partnership or Sole-proprietorship (Schedule C)... 3. D • D D
4. Mortgages $ Notes Receivable (Schedule D)... .. 4. 0 • D 0
5. Cash, Bank Deposits $ Miscellaneous Personal Property (Schedule E) . 5.
87980.82
8. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6. 0 . D 0
7. Inter-Vivos Transfers $ Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested 7.
0.OD
8. Total Gross Assets (total Lines 1-7). s
9. Funeral Expenses 8 Administrative Costs (SMedule H).... g, 14 2 4 7 • 4 2
10. Debts of Decedent, Mortgage Liabilities, $ Liens (Schedule I)........... 10. 4 790 • 2 6
11. Total Daductlons (total Lines 9 $ 10) ............ 11. 190 37.6 8
12. Nat value of Estate (Line 8 minus Line 11) ........ 12. 68943.14
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J)..... 13. 0 • 0 0
14. Net Value 3ubJect to Tax (Line 12 minus Lina 13) .... 14.
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers un er Sec. 9118
~
(a)(1.z)x.D 49471.57 15. 0.00
16. Amount of Line 14 taxable
at lineal rate x .045 1 y y 71.5 7 1 s.
17.
Amount of Line 14 taxable 876.2 2
a[ sibling rate X .12 D• O D 17.
18.
Amount of Line 14 taxable 0• D 0
at collateral rate X .15 0.00 1 s. 0.00
19. TAX DUE .. .. .. 19.
876.22
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L 15056042159 15056042159
BMIfi48 2000
REV-1500 EX Page 3
DBCedenf'S Cmm~lMe Addroaa•
FIN Number
- cJl uo JJL~7
DECEDENT'S NAME
STREET ADDRESS
CITY STATE ZIP
Tax Payments and Credits:
1. Tex Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit Q " Q Q
B. Prior Payments Q , Q Q
C. Discount n - n n
(1) 876.22
3. Interest/Penalty if applicable
D. Interest Q , Q Q
E. Penalty Q • QQ
ToNlCretlas (A +B+C) (2) Q•QQ
Total lntemsUPenaMy (D+E) (3) Q"QQ
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This Is the OVERPAYMENT.
FIII In box on Page 2, Llne 20 to request a refund. (4) ~ • Q Q
5. If Line t + Line 3 is greater than Line 2, enter the difference. This Ls the TALC DUE. (5) 876 • ~
A. Enter the interest on the tax due. (5A) Q • QQ
B. Enter the total of Line 5 + 5A This is the BALANCE DUE. (5B) 876.2 2
Make Check Payable to: FaEC'~S1FJt OFW1lLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
i. Did decedent make a transfer and: Vas No
a. retain the use or income of the properly transferred; ^ x
b. retain the right to designate who shall use the property transferred or its income: ......... ^ x
c. retain a reverebnary interest; or ....................... x
d. receive the promise for lire of either payments, benefits or care? ................ x
2. If death occurred after December 12, 1982, did decadent 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 a security at hls or her death? . ~ a
X
4. Did decedent own en Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS VES, YOU MUST COMPLETE SCHEDULE G AND FILE n AS PART OF THE RETURN.
For dates of death on or aster July t, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to ar for the use of the suMving spouse
is three (3) percent [72 P.S. §9118 (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. §9118 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return ere still applicable even if the suMVing spouse is the only benefblary.
For dates of tleath on or after Juy 1, 2000:
The tax rate imposetl on the net value of transfers from a tleceesed 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 mro (O) percent [72 P.S. §9118(a)(1.2)].
The taz 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. §9118(x)(1)].
The tax rate imposetl on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9118(x)(1.3)]. Asiding is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by Hood or adoption.
6M4811 1,000
Rev-tsoe ex+te-ael
SCHEDULE E
~ I~NH RTANCEOTAX RENRN ANIA CASH, BANK DEPOSITS, 8 MASC.
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF FILE NUMBER
William E. Denison 21 08 1139
Include the proceeds of Iitigatlon and the date iha proceeds were recehetl by the estate.
NI rope oln .owned with the N ht of sundvonhlp moat M tllselosetl on Schetlule F.
ITEM
NUMBER VALUE AT DATE
_ DESCRIPTION OF DEATH
1 PNC Bank Premium Money Market Account 850-0479-5672 57,247 42
2 30,733.4 Par
Members lat Federal Credit Union Certificate of Deposit 30,733.60
I vt NL oleo enter on line 5 Rew ' ulation $ 87 , 980.82
3w46AO 1.po0 (If more space Is neetled, inaen eddhbnel sheets o/the acme size)
REV-1511 EX ~ (10-06)
SCHEDULE H
CDMMDNINEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TA%RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDEN7
~~~~ ~ FILE NUMBER
William E. Denison ~ 08Ttvo
Debts of decedent must be reportetl on Schedule I.
ITEM
UMBER DESCRIPTION
A. FUNERAL EXPENSES:
~. Parthemore Funeral Home 6 Cremation Services, Ino.
Funeral Expense
B.
t
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City
Year(s) Commission Paid;
State PA Zip
AMOUNT
9,714.42
2. Attorney Fees
800.00
3. Family Exemption: (IT decedent's address is not the same as claimant's, attach wrylanetlon) 3 , 500.00
Claimant Virginia B. Denison
Street Address 5445 Rivendale Blvd.
City Mechanicaburo State PA Zip 17050
Reletlonship of Claimant to Decedent SPOUSE
4. Probate Fees
233.00
5. Accountant's Fees
8. Tax Relurn Preparer's Fees
7
rwaenc 1.000
None
TOTAL (Also enter on line 9 R~
(If more space is needed, Insert additional sheets of the same size)
REV-191Y EX t (12-09)
Pennsylvania SCHEDULE I
OEPPAIAENf OF REVENUE DEBTS OF DECEDENT
r~soEN' r~orctE~r~ir't'R" ,
MORTGAGE LIABILITIES 8 LIENS
ESTATE OF
FILE NUMBER
William E. Denison
21 OB 1139
Neport tlents Incurred by the decedent prior to death that remained unpaid at the tlate of deaM, Includlnp unrolmburoed madkal expenses.
I?EM
1.
Messiah Village
balance due
VALUE AT DATE
OF DEATH
4,790.26
9we9AN z.ooo If more space is nestled, Insert additional sheets of the same size.
REV-1513 EX+ (11-OS)
Pennsylvania SCHEDULE J
OEPFRrAENTOF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
William E. Denison
21 0 8 1139
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not Lbt Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal dlatrlbutbns, antl transfers under
Sec. 2118 (a) (1.2).]
1. Debra Cantor
1390 Armitage Way
Mechanissburg, PA 17050
506 0£ Residue: 19,471.57 Daughter 19,471.57
2 Virginia 8. Denison
5445 Rivendale Blvd.
Mechanicsburg, PA 17050
General Bequests: 30,000.00
506 0£ Residue: 19,471.57 Surviving Spouse 49 471.57
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWNABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPR OPRIATE.
II NON-TAXASLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTON 2113 FOR WHICH AN ELECTION TO TA% IS NOT TAKEN
1.
e. CHARRABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - EN1ER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET
.
.,.,.,., . ,,,._ a more s S 0.00
-
pace Is needed, InSerl addltronal sheets of the same size.
This is'to certify that this is a true copy of the record which is on &le in the Pennsylvania Division of Vital Records in accordance
with Act G6, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Military
Status
1594160
No.
~.ne-t.~ ~f~po~
Frank Yeropoli
State Registrar
OCT 212008
Date
masloeEV nzzmS COMMONWEALTH OF PENNSYLVANIA • DEPAgTMENT OF HEALTH • VITAL gECOgDS
TrvElvSwrw
aAr CERTIFICATE OF DEATH
(see In4tructlenx end nramn6e .... s......e
083711
' ----' STATE F1IE NUMBEp
I. Ne»tlOnASAPM,aidlmyl, aTVl
Y.Su SSo®19eav5tNmmx 0.pabd Uah PbmA, Uev~)al
William E. Denison male
209 - 12 - 9403 August 20, 2008
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M~Nees Wallace & Nurick LLC
attorneys at law
DAVID E. GRUVER
PARALEGAL
DIRECT DIAL: (717) 237-5362
DIRECT FAX: (717) 260.1658
E-MAIL ADDRESS: DGRUVER(f~MWN.COM
May 1 S, 2009
Cumberland County Register of Wills
One Courthouse Square
Carlisle, PA 17013
RE: Estate of William E. Denison
PA Inheritance Tax Return and Inventory
Dear Sir or Madam:
Enclosed are the following items for the above-referenced Estate:
Inventory
(2) PA Inheritance Tax Returns
Check in the amount of $30.00 for filing fee
Please date-stamp the cover page of our file copies and return in the envelope
provided.
If you have any questions, please contact me. I thank you for your attention in this
matter.
erytrul urs,
n N
O
CO ~
ap
David E. Gruver '~-~o ~~. ,,
Paralegal ~ ~ ~ _` ~
DEG _:~°~" 3
_
~
Enclosures n ~ ^..~
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P.O. Box 1166.1 OO PINE STREET • HARRISBURG, PA 17108-1166 • TEL: 717.232.8000 • FAX: 717.237.5300 • W W W.MWN.COM
COLUMBUS, OH • STATE COLLEGE, PA • LANCASTER, PA • HAZLETON, PA • WASHINGTON, DC
INVENTORY
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland SS
File Number 2008-01 l39
Personal Representative(s) of the Estate of William E. Denison
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney -- (Name) Elizabeth P. Mullaugh
(Supreme Court ZD. No.) 76397
(Address) 100 Pine Street, P.O. Box 1166, Harrisburg, PA 17108-1166
(Telephone) (717)237-5243
wmur uewin LAST RESIDENCE
OECEDENPS SOC. SEC. NO.
August 2Q 2008 5445 Rivendale Blvd., Mechanicsburg, PA 17050 209-12-9403
FIGURES MUST BE TOTALED
PNC Bank Premium Money Market Account # 50-0479-5472
Members 1st Federal Credit Union Certificate of Deposit
57,247.72
30,733.40
c7 ^'
q
_ w
7 ~ -` J
A
7, . ~ lp
._ j
:::JC Vii: -17 C ',_ i
N
W
/ fV
(Attach additionaJsheeu as needed) J
TOTAL; 87,981.12
NOTE The Memorandum of rcal estate outside the Commonwealth of Pennsylvania may, at the elation of [he personal reprosrn[e[ive includc the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Po. C.S. ,¢ 3301(b))
Farm RW-119 rev, fll /3.Od
V