HomeMy WebLinkAbout07-22-091556041114
""' REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601 ~ Cl~ ~ ~`~~
Harrisburo PA 17128-0601 RESIDENT DECEDENT ~ C J
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
204-03-5557 04032009 03191919
Decedent's Last Name Suffix Decedent's First Name MI
PECHART ELIZABETH I
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
1. Original Return 0 2. Supplemental Return ~ 3. Remainder Return (date of death
priortc 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
6. Decedent Died Testate 0 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of WiII) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death 0 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
ROBERT G. FREY 717-243-5838
Firm Name (If Applicable)
FREY & TILEY
First line of address
5 SOUTH HANOVER STREET
Second line of address
City or Post Office State ZIP Code
CARLISLE PA 17013
REGISTER WILLS USE (SI~ItY
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Correspondent's a-mail address: RFREY@ FREYTILEY . COM
Under penalties of perjury, I declare that 1 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 PER~Ot~J.RESPOAIBL/E OR FIL~ RET~~~~~ ~~ [~AT~ /~
ADDRESS
SIGNATU F P Pf'~~ROTH~R TF
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L 1556041114
TIVE
PLEASE USE ORIGINAL
Side 1
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DATE
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ONLY
15056041114
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15056042115
REV-1500 EX
Decedent's Social Security Number
~ecedent'sName: ELIZABETH I PECHART 204-03-5557
RECAPITULATION
1.
..........................................
Real estate (Schedule A) 1,
. NONE
2. Stocks and Bonds (Schedule B) ..................................... . 2. NONE
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. NONE
4. Mortgages & Notes Receivable (Schedule D) ........................... . 4. NONE
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... . 5. 2 2 9 8 2 4 . 0 0
6. Jointly Owned Property (Schedule F) Separate Billing Requested ....... . 6. 32 62.0 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) OSeparate Billing Requested ....... . 7 NONE
8. Total Gross Assets (total Lines 1-7) ................................. . 8. 2 3 3 0 8 6. 0 0
9. Funeral Expenses & Administrative Costs (Schedule H) .................. . 9. 2 4 5 0 7 . 0 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. . 10. NONE
11. Total Deductions (total Lines 9 & 10) ................................ . 11. 2 4 5 0 7 . 0 0
12. Net Value of Estate (Line 8 minus Line 11) ............................ . 12. 2 O 8 5 7 9 . O O
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ...................... . 13. O . 0 0
14 Net Value Subject to Tax (Line 12 minus Line 13) ...................... . 14. 2 O 8 5 7 9 . 0 O
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 15. 0. 0 0
16. Amount of Line 14 taxable
at linealratex.o 45 208579.00 16, 9386.00
17. Amount of Line 14
taxable at sibling rate X • 12
17.
0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X . 15 18. O . 0 0
19. TAX DUE .......................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
9386.00
0
L 15056042115 15056042115 J
REV-1500 EX Page 3 204-03-5557
Decedent's Complete Address:
File Number
21-09-0335
DECEDENT'S NAME
ELIZABETH I PECHART DECEDENT'S SOCIAL SECURITY NUMBER
204-03-5557
STREET ADDRESS
CITY
CARLISLE STATE
PA ZIP
17015
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 8940.00
C. Discount 447.00
(1) 9386.00
Total Credits (A + B + C) (2) 9387.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
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. (5B)
0.00
1.00
0.00
0.00
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:
f
rr
d
t
f
h
rt Yes
^ No
^X
: ......................................
rans
e
e
e prope
y
t
a. retain the use or income o .
b. retain the right to designate who shall use the property transferred or its income : ................ ^ ^
c. retain a reversionary interest; or ..................................................... . ^ 0
d. receive the promise for life of either payments, benefits or care? ............................ . ^ ^
If death occurred after December 12, 1982, did decedent transfer property within one year of death
2
.
without receiving adequate consideration? ................................................ . ^ ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . . ^ ^X
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.
zn
REV-1508 EX+ (6-98) SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY
INHERITANCE TAX RETURN
ESTATE OF FILE NUMBER
Elizabeth I Pechart 21-09-0335
Include the proceeds of litigation and the date the proceeds were received by the estate.
(If more space is needed, insert additional sheets of the same size)
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REV-1509 EX+ (6-98) SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
ESTATE OF
FILE NUMBER
Elizabeth I Pechart 21-09-0335
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Carolyn E. Link
B.
C.
JOINTLY-OWNED PROPERTY:
ADDRESS
412 Westwood Drive
West Deptford, NJ 08096
RELATIONSHIP TO DECEDENT
Daughter
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLV~HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A. 8/28/00 Citizens Bank Acct. no. 6140773318 6,523 50.00% 3,262
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL (Also enter on line 6, Recapitulation) $ 3,262
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
IN RES DENTEDECEDENTRN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Elizabeth I Pechart
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Funeral home 10,375
2. Funeral lunch 454
3. Flowers 31 g
4. Facility rental 100
B.
1
2
3
4.
5.
6.
7.
8.
VIINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
State Zip
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Hospice, final medical bill
Zip
1,500
200
11, 560
TOTAL (Also enter on line 9, Recapitulation) ~ $ 24
(If more space is needed, insert additional sheets of the same size)
~~ Citizens Bank
May 15, 2009
ROBERT G FREY
5 SOUTH HANOVER ST
CARLISLE PA 17013
Estate of ELIZABETH I PECHART
Date of Death: Apr 03, 2009
SSN: 204-03-5557
Dear Sir/Madam:
525 William Penn Place
Suite 153-2618
Pittsburgh, PA 15219
In accordance with your request, the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please
call 888-999-6884
Sincerely,
Operations Services
~~ Citizens Bank
Account Number 6100746909
Account Title ELIZABETH I PECHART
Date O ened 6/6/1966
Account Tye Checking
Principal Balance as of DOD $43307.28
Interest from Last Posting to DOD $ .00
Account Balance as of DOD $43307.28
YTD Interest to DOD $9.97
Citizens Ban~C
Account Number 6100905810
Account Title ELIZABETH I PECHART
Date O ened 10/2/2000
Account Type Checking
Principal Balance as of DOD $50343.05
Interest from Last Posting to D_OD $ .00
Account Balance as of DOD $50343.05
YTD Interest to DOD $191.18
~~
Account Number 6254394481
Account Title ELIZABETH I PECHART
Date O ened 10/31/2008
Account Type Time De osits
Principal Balance as of DOD $101647.35
Interest from Last Posting to DOD $54.72
Account Balance as of DOD $101702.07
YTD Interest to DOD $1313.57
a~ Citizens Bank
Account Number 6140773318
Account Title ELIZABETH I PECHART CAROLYN E LINK
Date O ened 8/28/2000
Account Tye Time Deposits
Principal Balance as of DOD $6517.50
Interest from Last Posting to DOD $5.14
Account Balance as of DOD $6522.64
YTD Interest to DOD $51.16
LAST [SILL AND TESTAPIENT OF ELIZABETH I. PECHART
I, ELIZABETH I. PECHART, of 1196 York Road, Mechanicsburg,
Cumberland County, Pennsylvania, declare this instrument to be
my Last Will and Testament, in manner and form following:
1. I hereby expressly revoke all [dills and Codicils
heretofore made by me.
2. I hereby direct my Executor to pay all my just debts,
funeral and administrative expenses out of my estate, as soon as
practicable after my death.
3. I direct that all taxes that may be assessed in
consequence of my death of whatever nature and by whatever
jurisdiction imposed shall be paid out of my estate as a part of
the administration of my estate.
4. Should my husband, Robert H. Pechart, survive me for a
period of thirty days following my death, I devise and bequeath
the remainder of my estate to Robert H. Pechart.
5. Should my husband, Robert H. Pechart, predecease me or
die on or before the thirtieth day following my death, I give,
devise and bequeath the remainder of my estate in equal shares
to my children, Carolyn E. Link, Donald R. Pechart and T9illiam
O. Pechart; or to the issue, per stirpes, of any of them who
should predecease me.
6. I nominate and appoint Commonwealth National Bank,
Harrisburg, Pennsylvania, Trustee of the share of any beneficiary
who may be a minor. The income and/or principal of said trust
may be accumulated or expended for the maintenance, education and
support of such beneficiary as my Trustee in its sole discretion
may determine; and my Trustee, in the expenditure of income and/
or principal for-such purposes, may, at its discretion, apply the
same directly without the intervention of a guardian or pay the
same to any person having the care or control of said beneficiary
- 1 -
or with whom the beneficiary resides, without duty on the part
of the Trustee to supervise or inquire into the application of
the funds by any person to whom any payment is so made. The
balance of such income and/or principal shall be paid to such
beneficiary upon reaching majority or to such beneficiary's
estate in the event of death prior thereto.
7. I nominate and appoint my husband, Robert H. Pechart, as
Executor of this my Last Will and Testament; and as substitute
Executors I nominate and appoint my children, Carolyn E. Link,
Donald R. Pechart and 44illiam O. Pechart.
8. I direct that my personal representative and Trustee, as
well as their successors, shall not be required to file bond or
security in any jurisdiction.
IN WITNESS [VHEREOF, I have hereunto set my hand and seal
this I ~..~ day of September, 1985.
(~~ / GC' ~4 e' ~ .~ ..~ ~~ ?Z ~ ( SEAL )
Elizabeth I. Pechart
WITNESS:
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COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, Elizabeth I. Pechart, Testatrix, whose name is signed to
the attached or foregoing 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
willingly; and that I signed it as my free and voluntary act
for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by Elizabeth
I. Pechart, Testatrix, this I/,JA day of September, 1985.
Te tatrix
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COMMONWEALTH OF PENNSYLVANIA :
SS.
COUNTY OF CUMBERLAND
We, Roger M. Morgenthal and Laura A. Bistline, the 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 Testatrix, Elizabeth I. Pechart, sign and
execute the instrument as her Last Will; that she signed will-
ingly and that she executed it as her free and voluntary act for
the purposes therein expressed; that each of us in the hearing
and sight of the Testatrix signed the Will as witnesses; and that
to the best of our knowledge the Testatrix was at that time 18
or more years of age, of sound mind and under no constraint or
undue influence.
Sworn or affirmed to and subscribed to before me, by Roger
M. Morgenthal and Laura A. Bistline, witnesses, this `/~
of September, 1985. day
Wit ess
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1,! (~ititr~~e.VYt r
Witness
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REV-1513 EX+ (11-OS)
Pennsylvania SCHEDULE J
DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN BENEFICIARIES
ESTATE OF FILE NUMBER
Elizabeth I Pechart 21-09-0335
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 outright spousal distributions and transfers under
Sec. 2116 (a) (1.2).]
1. Carolyn E. Link
2. Donald R. Pechart
3. William 0. Pechart
Daughter
one-third
one-third
one-third
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $
If more space is needed, insert additional sheets of the same size.