HomeMy WebLinkAbout01-22-10 (2)15056051058
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN rj ( ~ v U O O
PO BOX 280601 RESIDENT DECEDENT L
uarrichurn PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
186-30-6139
04/09/2009
Date of Birth
'. 05/18/1939
_...
MI
Suffix Decedent's First Name
....William '' W
Suffix Spouse's First Name MI
__
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
__
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~1Ew` 1. Original Return °? 2. Supplemental Retum ;; "3 3. Remainder Return (date of death
prior to 12-13-82)
Limited Estate
w 4
4a. Future Interest Compromise (date of
wm 5. Federal Estate Tax Return Reqwred
.
- ~ death after 12-12-82)
Decedent Died Testate
=~l3 6 _o= 7. Decedent Maintained a Living Trust __......__. B. Total Number of Safe Deposit Boxes
.
(Attach Copy of Will) Attach Co of Trust
( py )
death
"•
*y 10
nder Sec. 9113(A)
~°-°~ 11 ~
a
,., 9. Litigation Proceeds Received --°
~ between12-3 91 and 1a1t95) O)
Attach Sch
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Telephone Number
Daytime
Name _ _ __ _ _ .
_.
(717) 249-6873 ^'
n
`~~'
'David A. Baric, Esquire -
Firm Name (If Applicable) _ _ --
__ REGISTER OF WII~IL9E ONLY E,,,
~_
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__ -,
.
, n ~ -,-- n ..
~
°
O'Brien Baric & Scherer -~
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hz:~rn N
_.. _ ~ =a7
J ~ ~
First line of address
~_ _ __ _.._ -
19 West South Street __ ! ~ ~~?
Second line of address - - - ~ `-~
~
:-
,
v
- f``3
.. _...
_ _. .... % DATE FILED Cz3
City or Post Office State ZIP Code _.
_
PA 17013
;Carlisle
...___...._..
.........__..........
Correspondent's a-mail address: ~
Under pena ties o qury, I declare that
it is true, corromplete. eda
com
return, including accompanying schedules and statements, and to the best of my xnowieage arw onnci,
than the personal representative is based on all information of which preparer has any knowledge.
(TURN DATED' ' n
ADDRESS
19 West South Street, Carlisle, PA 17013
DATE
~7
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26 Broa~Street, Newville, P(D~ 17241 and 16 Tunbridge Lane, Carlisle, PA 17015
PLEASE USE ORIGINAL FORM ONLY
Side 1 15056051058
15056051058
15056052059
REV-1500 EX Decedent's Social Security Number
William W Martin ! 186-30-6139
Decedent's Name: ~,!Y,_~~,..__..._,~,M__M____ _._.__..____._.,..._,~_...
~M~.~ .~~~.~,...,... . _....~.,.. __
_....
RECAPITULATION
1. Real estate (Schedule A) .......................................... ... 1. _
2. Stocks and Bonds (Schedule B) 2' -
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3.
4. Mortgages 23< Notes Receivable (Schedule D) 4. -
5.
Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .....
... 5. 17,083.22
_ ,, ,
6. Jointly Owned Property (Schedule F) :"w.;p Separate Billing Requested .... ... 6. _
7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property
~~ Separate Billing Requested.....
~
... 7.
_.
(Schedule G)
8 17,083.22
8. ....
Total Gross Assets (total Lines 1- ......... ...
_ .
9. Funeral Expenses 8 AdminisVative Costs (Schedule H). ...... .
• s.
3,243.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............
10.
... .
11. ..............
Total Deductions (total Lines 9 & 10) ................. .... 11. 3,243.00
_
12.
..........
Net Value of Estate (Line 8 minus Line 11) ............... .
.... 12.
..,...13,840.82
13 . Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 0.00
an election to tax has not been made (Schedule J) ...... .
14 . Net Value Subject to Tax (Line 12 minus Line 13) ... • • -
- . • 14
13,840.22
...:.._....____._~._...~ . ..,.,,...~._... ~m......_~._.._.._...___.~._....._~...._w._.__M. _.
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or _ __. ._, _
__.. _
transfers under Sec. 9116 15. I.
...
w..
_.
16. Amount of Line 14 taxable 10,840.00 16.: 487.80
at lineal rate X .0 45 .... . ........ ..~ ..._ _
_. ,
_. ~ _
17. Amount of Line 14 taxable 3,000.00 ' 17, ', 360.00
at sibling rate X .12 _ _
18. Amount of Line 14 taxable 18 ''
at collateral rate X .15 _ _._ _ .
847.80
19. TAX DUE .........................................................19. ...._ __ _._ _
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
15056052059
RE*J-1500 EX Page 3 ~ °'°
Decedent's Complete Address: ..~ .~.... ~..._._. ~ .. _.
DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER
V~Iliam W Martin 186-30-6139
STREET ADDRESS
1100 Crandon Way
cITY
Mechanicsburg
STATE
PA
17050
zIP
Tax Payments and Credits: (1) 847.80
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount Total Credits (A + B + C) (2) 0.00
3. InterestlPenalty if applicable
D. Interest
E. Penalty Total InterestlPenalty (D + E) (3) 0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Fill in oval on Page 2, Line 20 to request a refund.
847.80
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
(5A)
A. Enter the interest on the tax due.
(5B) 847.80
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
Yes No
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred :.......................................................................................... ^
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? .....................................................
2. If death occurred after December 12, 1982, did decedent 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 or security at his or her death? .............. ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
X
contains a beneficiary designation? ........................................................................................................................ ^
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)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-15CS EX+ (8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCNEDt~LE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
William W. Martin
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate.
... _____r.. ~_~_.~...........a ,.d•ti •~nh• of survivorship must be disclosed on Schedule F.
REV-15 ~1 EX+ (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCNEDIJLE N
fUNERAI EXPENSES &
ADMINISTRATNE COSTS
FILE NUMBER
William W. Martin
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION
NUMBER
A. FUNERAL EXPENSES:
t. Memorial Engraving
2. Carlisle Free Church
395.00
250.00
g. ADMINISTRATIVE COSTS:
~, Personal Representative's Commissions 850.00
Name of Personal Representative(s) Gladys Henry and Paul Marten.
Social Security Number(s)/EIN Number of Personal Representative(s) _ _
SUeet Address
City State Zip
Year(s) Commission Paid:' 2009
1,500.00
2. Attorney Fees
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State ,Zip
Relationship of Claimant to Decedent
4, Probate Fees
5, Accountant's Fees
g, Tax Return Preparer's Fees
_ 48.00
~. DCM Services
200.00
s. Odyssey Hospice
TOTAL (Also enter on line 9, Recapitulation) $ 3,243.00
If more space is needed, insert additional sheets of the same size)
~t °l~~ll~d c~«tt
OF
WILLIAM W MARTIN
~I
3"
'lliam W Martin, of, Carlisle, Cumberland County, Pennsylvania, do hereby declaze this to
I, Wi
Last Will and Testament and hereby revoke all Wills and Codicils previously made by me.
be my
ONE: I direct the payment of my debts and the expenses of my last illness and funeral
ITEM
estate as soon after my death as conveniently may be done. If there be no cemetery lot
from my
interment, owned by me at the time of my death, I authorize my personal representative
available for my
e such cemetery lot with a contract for perpetual caze, using, therefore, funds from my estate,
to purchas
' e m ersonal representative to cause title to or ownership of such lot so purchased to be
and I authoriz y p
vested in such person as my personal representative shall designate.
Further, in this connection, I authorize my personal representative to expend funds from my
amount as my personal representative shall consider necessary and desirable, for the
estate, in such
d inscri tion of a suitable marker for my grave I direct the payment of my debts and
purchase, erection an P
last illness and funeral from my estate as soon after my death as conveniently may be
the expenses of my
done.
TWO: I specifically bequeath one thousand dollars ($1,000.00) each to Gladys Henry,
ITEM
rtin and Charles Morrison. I also bequeath to Dick Kern, my Mule Deer head. I then
Paul Ma
rest residue and remainder of my entire estate of whatever nature and wherever situate to
bequeath the ,
m randsons, Seth Andrew Martin and Wickuy Barnes, in equal shares, per capita.
yg
ITEM THREE: In the event any portion of my estate passes to an heir under the age of twenty-
3
3
one (21), then that portion of my estate passing to the heir shall be placed with Susan Martin, as
Trustee. In the event Susan Martin is unable or unwilling to serve as Trustee, I then appoint Gladys
Henry as alternate Trustee.
1, My Trustee shall pay principal and income to, or for the benefit of the heirs during their
life as my Trustee, from time to time, shall deem advisable for the health, maintenance, support and
complete education of such heirs. In addition, my Trustee in his or her sole discretion may advance
principal to said beneficiary against the fractional shares to be advanced hereunder for the costs of
marriage, or the purchasing of a home or costs of entering a business or profession if my said Trustee
shall deem such expense reasonably prudent.
2. Notwithstanding the foregoing provisions, after attainment of twenty-one (21) years, each
heir may.withdraw the remainder of said principal and undistributed income.
3. In the event of the death of the trust beneficiary prior to age twenty-one (21), then my
Trustee shall distribute any remaining principal and interest to the remaining heir of said trust beneficiary
or, if no such heir remain, then to the Trustee.
4
the trust, whether vested or contingent, without notice to them and without the necessity of filing an
beneficiary in the proportions to which they are then entitled to. The receipts and releases of the
'stributee will terminate absolutely the rights of all persons who might otherwise have future interest in
di
Should the principal of any trust herein provided for be or become too small in my
Trustee's discretion to make establishments or continuance of the trust advisable, my Trustee may
distribute the remaining principal and any accumulated or undistributed income outright to the
account with the court.
3
distribution thereof.
A To retain, as investments of my estate or trust, any or all assets of my estate, real,
) rinci al of diversification, and to purchase and acquire real or
personal, or mixed, without regard to any p P
and to hold any or all of such real and personal property retained or acquired without
personal property
making the same productive of income.
rmit the children, or any of them, to occupy any real estate retained or acquired
B) To pe
upon such terms and conditions as my Executor or Trustee shall deem proper.
ITEM FOUR: While in the hands of my fiduciaries, neither the principal nor the income of my
e or an trust created hereunder shall be liable for the debts of any beneficiary hereunder, nor shall
estat y
creditor of any beneficiary under any writ or
the same be subject to seizure or attachment by any
roceeding at law or in equity, and no beneficiary hereunder shall have any power to sell, assign,
P
cumber or in any manner to anticipate or dispose of his or her interest in the trust estate or m the
en
income produced thereby.
ITEM FIVE: I direct that no Trustee or Executor or other fiduciary named, nominated, or
this m Last Will and Testament shall be required to post any bond or give any security of
appointed by Y
e for an urpose whatsoever, any law or rule of the court of the Commonwealth of Pennsylvania
any typ Y P
r 'urisdiction to the contrary notwithstanding. I direct that the law of the Commonwealth of
or any othe ~
Penns lvania shall apply to any interpretation or application of the validity of this instrument.
Y
ITEM SIX: My Executor and Trustee shall have the following powers in addition to those
other rovisions of this Will, applicable to all property, real, personal or
vested in them by law and by p
fixed and wheresoever situate, including property held for minors, whether principal or income,
m
' out court approval, and effective, with respect to each item of said property until actual
exercisable with
C) To pay all taxes, charges and expenses of maintenance, upkeep, improvements,
development, protection, preservation and investment of any retained or acquired real or personal
property, such payments to be made from either principal or income as my Executor or Trustee shall
determine.
D) To retain or invest any and all funds, whether principal or income, in any real or
personal property without restriction to legal investments; to purchase investments at premiums; to
exercise all rights of a security holder or share holder in any corporation; and to lease, mortgage, pledge,
give options upon or sell at public or private sale and without approval of any court, any real or personal
property, or portion or portions thereof, irrespective of the manner or the means by which the same was
acquired by my said Executor or Trustee.
E) To make payment or distribution herein provided for in cash, kind or partly in cash
and partly in kind, at valuations fixed by my Executor or Trustee at the time of distribution.
ITEM SEVEN: Any and all payment or payments of any sum or sums, whether in cash or in
kind and whether for principal or income, payable to an heir, or any of them, shall be made upon the sole
receipt of the respective individual to whom the payment is made, and free from anticipation, alienation,
assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary.
ITEM EIGHT: I appoint Paul Martin, Executor of this my Last Will and Testament. Should
my said Executor fail to survive me or for any reason fail to qualify as Executor, I then appoint Gladys
Henry, alternate Executrix of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, consisting of five (5) typewritten pages, the first three (3) of which bear my signature in the
margin for the purpose of identification, this the 4th day of January, 2005.
~ 1 ;i. _~ v~/.~1,v, w~- (SEAL)
William W. Martin
Signed, sealed, published and declared by the above named Testator, William W. Martin, as and
for his Last Will and
in the presence of us, who, at his request, in his sight~d presence, and
of each other, have hi
ADDRESS ~~ ~~
C,~~z ~~' ~/%':~i~--<~ ADDRESS `~~
COMMONWEALTH OF PENNSYLVANIA SS.
COUNTY OF CUMBERLAND
~ j0~3
/~~G~/~
We, William W. Martin, David A. Baric, Esquire and Tina M. Ascani, the Testator and the
witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the Testator signed and executed the
instrument of his Last Will and Testament, and that he signed willingly and that he executed as his free
d voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and
an
hearin¢ of the Testator, signed the Will as witnesses, and that to the best of their knowledge, the Testator
o ears of age or older, of sound mind and under no constraint or undue
was at the time eighteen (18) y
influence.
Sworn to and subscribed before me this the 4th day of January, 2005.
. tl~'
..~
COMMONWEALTH OF PENS"., r'-`~'. "^!; ~ `
Notarial Sea!
Jennifer S. Liftdsay, No nd County i
Cariisle (3oro, Cumberia
My Commission ExP!rps Nov. 29, 2007
Member, Pennsylvania Association Of Notaries