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Home My WebLink About07-27-09r 1505607121 -'' REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 0 8 0 7 2 0 _ Harrisburg PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 2 6 5 3 2 2 9 2 4 0 5 2 9 2 0 0 8 0 3 3 1 1 9 2 1 Decedent's Last Name Suffix Decedent's First Name MI F L O Y D V I R G I N I A B (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI ^X 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) ^X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. 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 T0: Name Daytime Telephone Number H U B E R T X G I L R O Y 7 1 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 C A R L I S L E State ZIP Code REGISTER- OF WILLS US~NLY ~ c~ -Q ~: . { ~ -r7 + - : , ~~ ~_ .. N , ~.n ,y. --I - ,; ~ -;~ 7 `_._ _ _ ~ FILED _~-~ ~':~ n, P A 1 7 0 1 3 ~..t Correspondent's a-mail address: H G I L R O Y b1 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 of which preparer has any knowledge. SIG ATURE OF PERSO O LE FOR FILING RETURN DA E A RESS V 35 kEY WEST OULEVARD CARLISLE PA 17015 SI A P R T R THAN REPRESENTATIVE 7 ~T~ Q~ A -DRESS /v~ 10 EAST HIGH S EET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505607121 1505607121 J L A W O F F I C E S H I G H S T R E E T 1505607221 REV-1500 EX Decedent's Social Security Number decedent's Name: VIRGINIA B• F L O Y D 2 6 5 3 2 2 9 2 4 RECAPITULATION 1. Real estate (Schedule A) ........................................ 1. 2. Stocks and Bonds (Schedule B) .................................. 2. 0 0 0 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. 2 1 2 7 9 • 1 6 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ...... . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested ...... . 7. 8 6 4 7 6 • 8 2 8. Total Gross Assets (total Lines 1-7) ........................... 8. 1 0 7 7 5 5. 9 8 9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9• 9 9 8 1 . 2 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10. 9 9 9 , 4 8 11. Total Deductions (total Lines 9 & 10) ........................... 11. 1 0 9 8 0 . 6 8 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 9 6 7 7 5 • 3 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) ......... ......... .. .. .... .... ... 13. ... 14. 9 6 7 7 5 . 3 0 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLIC ABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.t) _ 0 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate X .045 9 6 7 7 5. 3 0 16. 4 3 5 4. 8 9 17. Amount of Line 14 taxable at sibling rate X .12 Q 0 0 17. 0• 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0 0 0 1 g. 0, Q Q 19. Tax Due ............................ ........... .. ..... ..19. 4 3 5 4. 8 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505607221 1505607221 J REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 08 0720 DECEDENT'S NAME VIRGINIA B. FLOYD STREET ADDRESS 7073 CARLISLE PIKE #95 CITY ;STATE CARLISLE PA Zlp 17015 Tax Payments and Credits: 1 • Tax Due (Page 2 Line 19) (1) 4,354.89 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 0.00 3. InteresUPenalty if applicable D. Interest 86.51 E. Penalty Total InteresUPenalty (D + E ) 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. (3) (4) 86.51 A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 0.00 (5) 4,441.40 (5A) (5B) 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 : ...................................................................... ^ X^ 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? ....................................................... ^ X^ 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 "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? .................................................................................................. ^ 0 4,441.40 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 exemot 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)J. 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-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER VIRGINIA B. FLOYD 21 08 0720 Include the proceeds of litigation and the date the proceeds were received by the estate. All ~rooerty jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION_ OF DEATH_ PNC checking 5004928474 See attached PNC savings 5005248352 ($9,622.21 + $.16 interest) See attached 11,657.00 9,622.16 TOTAL (Also enter on line 5, Recapitulation) I $ 21,279.16 (If more space is needed, insert additional sheets of the same size) REV- i 510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER VIRGINIA B. FLOYD 21 08 0720 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 4NCLUDETHENAMEOFTHETRANSFEflEE,THEIRRELATIONSHIPTODECEDENTAND THE DATE OF TRANSFER. ATTAGHACOPYOFTHEDEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IFAPPt1CABLE) TAXABLE VALUE 1. PNC Investments, Capital Directions acct# 12345747 transferred to 89,476.82 100. 3,000.00 86,476.82 James M. Floyd, son, 12/11/07. Value of asset on date of death was $125,376.82. Decedent's son transferred $35,900.00 of asset to Decedent's PNC checking account to pay nursing home, medical and supplemental health insurance expenses prior to date of death. TOTAL (Also enter on line 7 Recapitulation) ~ $ 86,476.82 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (10-06) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER VIRGINIA B. FLOYD 21 08 0720 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers Funeral Home, Inc. 1,703.20 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: 2 Attorney Fees Manson Law Offices (estimated) 4,515.00 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant James M. Floyd Street Address 325 Key West Blvd. (as of 6/2009) City Carlisle State PA Zip 17015 Relationship of Claimant to Decedent Son 4. Probate Fees Cumberland County Register of Wills 248.00 5 Accountant's Fees 6. Tax Return Preparer's Fees 7. Register of Wills, filing fee, Inheritance Tax return 15.00 TOTAL (Also enter on line 9, Recapitulation) $ 9 981.20 (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) SCHEDULEI COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ~ ESTATE OF FILE NUMBER VIRGINIA B. FLOYD 21 08 0720 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Pharmerica, account payable TOTAL (Also enter on line 10, Recapitulation) ~ $ 999.48 999.48 (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 V1R('7TNTA R. FLnYD 21 08 0720 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. James M. Floyd Lineal 96,775.30 235 Key West Blvd. Carlisle, PA 17015 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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) REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: Discount: 0.00 Interest Table Year ~, Days Delinquent this time period Balance Due this year Interest this period Before 1981 1982 1983 1984 1985 1986 1987 1988 throu h 1991 1992 1993 throu h 1994 1995 throu h 1998 1999 2000 ~ 2001 2002 2003 ~ 2004 ~ 2005 2006 2007 ~ 2008 2009 145 4 354.89 86.51 I ~---- TOTALS 145 __ 86.51 Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: Penalty: ,lun, 3, LVU7 IU~~JHIVI riV~ ONiVII 41L-IU7-L 141 ~~ l.EADI~IG THE WAY June 3, 2009 Vicki Otto Attorney at Law 10 E High St Ca~rlisie, PA ] 7013 RE: Name: Virginia B Floyd SSN: 265-32-2494 DOD: 05-29-2008 Dear Ms. Otto: IVO, 4177 r. I In response to your request for Date of Death (DOD} balances for the customer noted above, our records show the following: Checking Account Account # 5004928474 Established: 01-20-2006 VIRGINIA R BRONSON DOD balance: $11,657.00 non interest bearing Savings Account Account #5005238352 Established: 04-30-2007 VIRGINIA R BRONSON JAMES M FLOYD VA CUST DOD balance: $9,622.31 + 0.16 accrued interest Please note that dais office provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings). We do not process s-ny 5nancial transactions or provide statements. If you need assistance with away of these ite~aas, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Centex PNC Bank, N.A. Member FDIC Page 1 of 1 LAST WILL AND TESTAMENT I, VIRGINIA B. FLOYD, of Osceola County, Florida, make this, my LAST WILL Apia n and revoke all prior Wills and Codicils. `. o TESTAMENT p R ~ _ , z~ ~ c ' ~ ~ ARTICLE I-IDENTIFICATION-FAMILY MEMBERS ~= ~ :_ ~ _~~ ~- ' r ~ ~ ~ 1.1 Child or Children. _ ~T .' -'~ sa c_ .~ _ _ f T! I have one (1) child, JAMES M. FLOYD. All references in this will to my "mild" " az~ ' ~ _ :; r said named child. ARTICLE II-DEBTS AND EXPENSES 2.1 Debts and Expenses. I direct my Personal Representative to pay my funeral expenses, my medical expenses, the costs of administration, including ancillary, and such of my enforceable debts, other than those secured by property specifically devised under this Will or secured by property passing outside of this Will as my Personal Representative, with sole discretion, determines shall be paid. ARTICLE III-SPECIFIC GIFTS 3.1 Personal Effects. 1 devise all my clothing, jewelry, personal effects, furniture, furnishings, household effects, automobiles, boats and other tangible personal property (other than money), including insurance policies thereon, in accordance with a written list or memorandum, which I may have executed and which is in existence at the time of my death. In the event of any conflict between such memorandum and any subsequent such memorandum, this Will, or any Codicil to this Will, then as to such conflict the provisions of the last executed document shall prevail. My Personal Representative shall conclude no written memorandum or list exists if none is found within 60 days after admission of this Will to probate. ARTICLE IV-RESIDUE 4.1 Residue. All the residue of my estate shall be distributed to my son, JAMES M. FLOYD, presently residing in Carlisle, Pennsylvania, or to his issue in equal shares, per stirpes. ARTICLE V-FIDUCIARY APPOINTMENTS 5.1 Fiduciary Appointments. 1 appoint my son, JAMES M. FLOYD, to be Personal Representative under this my Will. No Personal Representative shall be required to furnish bond or other security in any jurisdiction. Page I of my Last Will and Testament ~ ~~~_ ARTICLE VI-ADMINISTRATIVE PROVISIONS 6.1. Taxes. I direct that all estate, inheritance or other death taxes (including interest and penalties, if any) payable under the laws of any jurisdiction by reason of my death, whether or not the property generating such taxes passes under this Will or any Codicil (other than any generation- skipping transfer tax, tax on property over which I have a power of appointment, or tax imposed on qualified terminable interest property, which taxes are to be paid according to applicable law or from said property), shall be paid out of my residuary estate, without contribution, reimbursement or apportionment. 6.2 Beneficiaries Under Age 21. (a) If a beneficiary under age twenty-one (21) becomes absolutely entitled to any property, such property shall immediately vest in such beneficiary. The fiduciary in its discretion may distribute the property directly to the beneficiary, directly in payment of the debts or expenses of such beneficiary, to the Guardian of the person or property of such beneficiary, the parent or par~rits of such beneficiary, to a custodian for such beneficiary under a Uniform Transfers to Minors Act, to any other person who shall have the care and custody of the person of such beneficiary, or to the Personal Representative named in this Will. If property is distributed to the Personal Representative, the Personal Representative shall hold the property as a separate trust for the benef t of the beneficiary and shall pay to or apply for his or her benefit all the net income and so much of the principal at any time and from time to time as the Personal Representative with sole discretion believes advisable to provide adequately for the beneficiary's health, maintenance, education and support in reasonable comfort. (b) All funds not paid to or applied for the beneficiary in accordance with Section 6.2(a) shall be paid to the beneficiary at age twenty-one (21) or to the beneficiary's Personal Representative in the event of the beneficiary's death prior to age twenty-one (21). Upon obtaining a receipt from the person to whom distribution is made, the Persona] Representative shall be relieved of any further obligations with respect to the property distributed. ARTICLE VII-FIDUCIARY POWERS 7.1 Fiduciary Powers. My Personal Representative (including any substitute or successor Personal Representative) shall have the following powers, in addition to, and not in limitation of, those powers under F.S. § 733.612, or similar provision of subsequent law: to (a) invest, reinvest and retain, abandon assets as long as shall seem prudent, without restriction to investments authorized by law; (b) sell, convey, exchange, mortgage, lease or otherwise dispose of all or any part of my property, real or personal, at public or private sale, for such prices and upon such terms and in such manner as such fiduciary may deem advisable (c) receive the proceeds, rents, issues, incomes and profits Page 2 of my Last W i I I and Testament k' there from; (d) borrow money from themselves or others; (e) employ and compensate custodians, accountants, attorneys and other agents; (f) register securities or other property, real or personal in nominee or bearer form; (g) liquidate or compromise any and all claims due to or by my estate; (h) make distributions of such property in cash or kind or partly in each, in divided or undivided interests; (i) exercise federal tax elections under the Internal Revenue Code, with or without making compensation among beneficiaries; (j) retain and manage any business; (k) account to adults; (1) pay Personal Representative's commissions and attorney's fees on account; and (m) execute and deliver necessary instruments and give full receipts and discharges. ARTICLE VIII-DEFINITIONS 8.1 Definitions. References in this Will to "descendant" or "descendants" shall mean child, children, and issue, whether born or adopted before or after execution of this Will, provided that any adoptee is under the age of eighteen (18) years at the time of adoption. The singular shall be deemed to include the plural, the masculine the feminine, and vice versa. Headings and captions are for reference only. IN WITNESS WHEREOF, I have subscribed my name and affixed my seal to this my Wilt at New Smyrna Beach, Florida, thiss~ay of January 2006. al) IR NIA B. FLOYD We certify that the above instrument was on the date thereof signed and declared by VIRGINIA B. FLOYD, as her Will in our presence, and that we, in her presence and in the presence of each other, have signed our names as witnesses thereto, believing VIRGINIA B. FLOYD to be of sound mind at the time of signing. ~~ " - ~ ~~~~~" Of 610 N. Peninsula Avenue W. M. Gillespie New Smyrna Beach, Florida 32169 L ,3~~ 9 STATE OF FLORIDA ) COUNTY OF VOLUSIA) We, the undersigned, being the Testatrix and witnesses, respectively, whose names are signed to the foregoing instrument, and having been sworn, do hereby declare to the undersigned officer Page 3 of my Last Will and Testament that the Testatrix, in the presence of witnesses, signed the instrument as the Testatrix's Will, that the Testatrix signed willingly; and that each of the witnesses, in the presence of the Testatrix and in the presence of each other, signed the Will as a witness. ~' ~~ VIRGI IA B. FLOYD ~~'~~ WITNESS WITNESS Subscribed and sworn to before me by VIRGINIA B. FLOYD, the Testatrix, and by W. M. f~ Gillespie, and /~i2 ~~ the witnesses, on thi j day of January 2006, all of who personally appe ed before me. VIRGINIA B. FLOYD, the Testatrix, ~is personally known to me or has produced identification. I personally know W. M. Gillespie, a witness, and ~C A,~° I/~/Z~ , a witness. N tary Public, State of Florida Identification produced: _ Drivers license Other: tawanda F. Plmpr ~~~ ~~~~ E7~IEEi THIS INSTRUMENT PREPARED BY: William M. Gillespie, Attorney at Law 233 North Causeways P.O. Box 580 New Smyrna Beach, FL 32170 Page 4 of my Last Will and Testament