HomeMy WebLinkAbout02-26-10 (3) C3
J 1505607121
O6
OS
REV-1500 EX
(
-
)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN County Code Year File Number
Harrisburg, PA 17128-0601
RESIDENT DECEDENT
(~ ~ ~ ~ i ^~ J
UJ _I
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
2 0 1 1 6 5 9 7 3 0 7 0 5 2 0 0 9 0 9 0 6 1 9 2 2
Decedent's Last Name Suffix Decedent's First Name MI
M U R T O F F R O B E R T G
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name 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
0 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
J O H N H B R O U J O S E S Q U I R 7 1 7 2 4 3 4 5 7 4
Firm Name (If Applicable)
First line of address
4 N O R T H
Second line of address
City or Post Office
C A R L I S L E
H A N O V E R S T R E E T
State ZIP Code
REGISTEI~F WILLS USE~LY
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Correspondent's a-mail address:
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 ocher than the personal representatwe is based on all information of which preparer has any knowledge.
SIGNATU E C~F PERSON RESPONSI LE FOR FILING RETURN DATE
~ `~.~ ~~,.2. ~~ 2 ~as is
A r]RFRR
217 FORGE ROAD BOILING SPRINGS PA 17007
SIGNATUR~EPAI~CER~OTHER THAN REPRESENTATIVE DATE
4 NORTW HANOVER STREET CARLISLE PA 17013
• PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505607121 J ,
~~
1505607221
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: ROBERT G• M U R T O F F 2 0 1 1 6 5 9 7 3
RECAPITULATION
1. Real estate Schedule A 1. 1 6 0 0 0 0. 0 0
2. Stocks and Bonds (Schedule B) .................................. 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 0 5 1 1 . 5 5
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. Total Gross Assets (total Lines 1-7) .................... ..... .. 8. 1 7 0 5 1 1. 5 5
9. Funeral Expenses & Administrative Costs (Schedule H) ......... ..... .. 9. 3 8 3 4 . 0 D
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ..... ..... .. 10. 1 3 0 4 • 0 0
11. Total Deductions (total Lines 9 & 10) .................... ..... .. 11. 5 1 3 8 . 0 0
12. Net Value of Estate (Line 8 minus Line 11) .................. ..... .. 12. 1 6 5 3 7 3 . 5 5
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. 1 6 5 3 7 3 . 5 5
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. 0 0 15. Q. Q Q
16. Amount of Line 14 taxable
at lineal rate x o.oa5 1 6 5 3 7 3. 5 5 16. 7 4 4 1. 8 1
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0. 0 0 1 g Q• Q Q
19. Tax Due ................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
7 4 4 1. 8 1
Side 2
L 1505607221 1505607221
REV-1502 EX + (6-98)
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROBERT G. MURTOFF 0 0
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real roe which is ointl -owned with ri ht of survivorshi must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Dwelling located at 1522 McClures Gap Road 160,000.00
Settlement date 12.10.09 HUD-1 attached
TOTAL (Also enter on line 1, Recapitulation) $ 160.000.00
(If more space is needed, insert additional sheets of the same size)
-~~-
~ Settlement Statement
A.
LAW OFFICES U.S. Department of Housing and Urban DeveloK>ment
7~ '~,( J7']~ j (~' ~ ~ /(
~]~ T~G~~ OMB No. 2502-0265 (expires 11/30/2009)
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j` 11! ~/ j1 V (~ 1 VI 1 ~I B. TYPE OF LOAN
1. ^FHA 2. ^FmHA 3. ^Conv. Unins.
WEST POMFRET PROFESSIONAL BUILDING 4. ^VA 5. ^C:onv. Ins,
60 WEST POMFRET S TREET 6. FILE NUMBER 7. LOAN NUMBER
CARLISLE, PENNSYLVANIA 97093-3222 RHOADESS12-09
(797) 249-2353
I 8. MORTGAGE INSURANCE CASE NUMBER
is rm is umis o give you a s eme o a ua se ame cos s. u pa o a
Note: Items marked `(p.o.c.)- wero pakt outside the closing; they are shown Mrs for information purp
C y se amen agan are • wn.
oses and are not included in the totals. TitleEXpreSS Settlement System
.
WARNING: K is a crime to knowingly make false statements to tM United States on this or a o
Section 1~0
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S tMr similar form. Penakies upon
Printed 12110/2009 at 10:43 JMR
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conviction can include a fine and Im risonment. For details see: Tkle .
D. NAME OF BORROWER: STEPHANIE L. RHOADES
j ADDRESS• 1117 Mountain Road, Newburg, PA 17240
E. NAME OF SELLER: ROBERT G. MURTOFF ESTATE
ADDRESS: 1522 MCCLURES GAP ROAD CARLISLE PA 17015
F. NAME OF LENDER: ORRSTOWN BANK
ADDRESS: 77 EAST KING STREET SHIPPENSBURG PA 17257
G. PROPERTY ADDRESS: 1522 MCCLURES GAP ROAD, Carlisle, PA 17015
i Lower Frankford Township
i H. SETTLEMENT AGENT: 18M REAL ESTATE SERVICES, LLC, Telephone: 717.249-2353 Fax: 717-249-6354
i PLACE OF SETTLEMENT• West Pomfret Professional Bldg, 60 West Pomfret Street, Carlisle, PA 17013
r.IT n~rr. 47I~AI7Afll]
V~ ~~J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales rice 160 000.00 401. Contract sales rice _ 160 000.00
102. Personal Pro rt 402.. Personal Pro rt .
103. Settlement char es to borrower line 1400 3 520.00 403.
104. _ 404.
r Adjustments for items aid b seller in advance Adjustments for items aid b seller in advance
107. Count taxes 12110109 to 12131109 19.67 407. Count taxes 12110109 to 12131109 19.67
108. School Tax 12110109 to 06130110 944.05 408. School Tax 12110109 to 06130110 944.05
109. 409.
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 164483.72 420. GROSS AMOUNT DUE TO SELLER 160 963.72
200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE'TO SELLER
201. Deposit or earnest money - 5 000.00 .501. Excess De sit see instructions
1
Adjustments for items unpaid by seller I Adjustments for items unpaid by seller ~
213. 513.
214. 514.
215. 515.
~~ a 516, --
220. TOTAL PAID BYIFOR BORROWER
300. CASH AT SETTLEMENT FROM OR TO
301. Gross amount due from borrower (line 120)
302. Less amounts paid by/for borrower (line 220'
303. CASH FROM BORROWER
1
1
1
600: CASH AT
601. Gross amc
602. Less reduc
603. CASH TO
AMOUNT qUE SELLER I 1
:NT TO OR'FROM SEL_L_ER _
:Iler (line 4201 T 16
riua seller (line 5201 1
REV-1508 EX + (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, ~ MSC.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROBERT G. MURTOFF 0 0
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. Members 1st Federal Credit Union, 5000 Louise Drive, P. O. Box 40 5,810.01
Mechanicsburg, Pq 17055
AC# 14834-11 (checking)
2. Members 1st Federal Credit Union, 5000 Louise Drive, P. O. Box 40 53.29
Mechanicsburg, PA 17055
AC# 14834-00 (savings)
3. Household Effects, net from sale at auction on 9.9.09 1,653.25
Rowe's Auction Service, 2505 Ritner Highway
Carlisle, PA 17015 (attached)
4. 1995 Jeep Cherokee VIN No.: 1J4G278Y55C678925; Miles 45433 2,995.00
Estimate attached (to son for $100)
TOTAL (Also enter on line 5, Recapitulation) ~ $ 10,511.55
(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
ROBERT G. MURTOFF 0 0
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hollinger Funeral Home/Crematory Inc., 501 North Baltimore Avenue
Mt. Holly Springs, PA 17065 Pre-paid(?) 0.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) Lucian, Enck
Street Address 217 Forge Road
c;ty Boiling Springs state PA zip 17007
Year(s) Commisslon Paid:
2 Attorney Fees John H. Sroujos, Esquire, 4 North Hanover Street, Carlisle, PA 17013
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 Petition Itrs test, will, short certificate, JCP fee, renunciation, codicil
5. I Accountant's Fees
6. { Tax Return Preparer's Fees
7
TOTAL (Also enter on line 9, Recapitulation) $
0.00
3,500.00
334.00
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
SCHEDULE 1
CONMAONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES ~ LIENS
RESIDENT DECEDENT ~
ESTATE OF FILE NUMBER
ROBERT G. MURTOFF 0 p
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
1. Diversified Appraisal Services, 36 East High Street, Carlisle, PA 17013 275.00
Appraisal of 1522 McClures Gap Road, Carlisle, PA 17015
2. IHomewreckers, LLC, P. O. Box 1381, Carlisle, PA 17013 I 300.00
Trash haul
3. Homewreckers, LLC, P. O. Box 1381, Carlisle, PA 17013 277.64
Trash haul
4. (Boiling Springs Service Center, 1335 Lutztown Road, Mechanicsburg, PA 17055 I 103.77
Inspection of Decedent's car
5. (Adams Electric, 1338 Biglerville Road, Gettysburg, PA 17325-1055 I 47.59
Last electric bill
6. Jai Enck, 409 East Old York Road, Carlisle, PA 17015 300.00
Housecleaning and carpet removal
TOTAL (Also enter on line 10, Recapitulation) I $ 1 304 00
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (9-00)
SCHEDULE)
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROBERT G. MURTOFF 0 0
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. 9116 (a) (12j]
t. Lucian R. Enck (Daughter of Decedent) Lineal
217 Forge Road 50°l0
Boiling Springs, PA 17007
2. Jennifer L. McAlister (Daughter of Decedent) Lineal
349 Kerrsville Road 50%
Carlisle, PA 17013
I 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 lS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET I $
(If more space is needed, insert additional sheets of the same size)
Will
I, Robert G. Murtoff, of Lower Frankford Township, 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 gravemazker
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 Rose M. Murtoff,
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 give, devise, and bequeath my entire estate to my
children Lucian R. Enck, 217 Forge Road, Boiling Springs, PA, 17007 and Jennifer L.
McAlister, 349 Kerrsville Road, Carlisle, PA, 17013, equally, share and share alike, per
stirpes..
Item Three: I appoint my children Lucian R. Enck and Jennifer L. McAlister
Executrices, or the survivor as Executrix, of this my last will, with the same rights,
powers, and duties.
Item Four: I appoint my children Lucian R. Enck and Jennifer L. McAlister or the
survivor thereof as Guardians/ Trustees of any property which passes to any person under
the age of 21 years and with respect to which I am authorized to appoint a
Guardian/Trustee and have not otherwise specifically done so, with the same rights,
powers, and duties. Guardian shall establish separate guardianship accounts and shall
have the power to use income from time to time for the beneficiary's education, including
technical and vocational training and graduate school, travel, support, and welfaze
without regard to his or her parents' ability to provide for such education, travel, support,
and welfare, or to make payment for these purposes, without further responsibility, to the
beneficiary or to the beneficiary's parents or to any person taking care of the beneficiary.
Guardian shall administer the account until the beneficiary becomes 18 years of age, at
which time the Guardian shall transfer the principal and income remaining in the separate
guardianship account to my Trustee, being the same person as my designatEd Guardian,
who shall then administer a trust account, of both principal and income and any other
funds transferred to the accounts designated, for the beneficiary's education, including
technical and vocational training and graduate school, travel, support, health, and welfare.
When the guardianship or trust account is less than $5,000.00 or the beneficiary of the
separate trust becomes 21 years of age, the share of the beneficiary remaining in the
account shall be paid to the beneficiary in full and the guardianship or trust terminated.
In the event of the death of any beneficiary after my decease and prior to reaching the age
of 21 years, his or her share shall be distributed equally among his or her children,
equally; otherwise to my surviving children or child, per stirpes, to be administered in
accordance with the guardianship and/or trust provisions. No interest under this
instrument shall be transferable or assignable by any beneficiary, or be subject during its
life to the claims of creditors. Guardian and Trustee shall not be required to file
accountings with any court. In the event that any provision of this will shall be
interpreted to violate the Rule Against Perpetuities, then the remaining provisions of this
.~
will shall not be invalid. Trustee shall administer the trust and dispose of assets so as not
to violate the rule, making distribution as required to a life or lives in being plus 21 years.
Item Five: 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. In the event that a substantial portion, as determined in the sole
and absolute judgment and discretion of my Executor, of the non-probate assets such as an
annuity or mutual funds are directed to be paid to a beneficiary or beneficiaries, so that the
taxes referred to herein would be paid out of the probate residue passing to the beneficiary
or beneficiaries of this will (whether or not the same as the beneficiary or beneficiaries
under the non-probate assets), my Executrix, in the Executrix's sole and absolute judgment
and discretion, shall direct or have the right to allocate the full or partial payment of the
taxes to the beneficiary or beneficiaries of the non-probate assets.
Item Six: 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.
Item Seven: In addition to the rights and powers given to the fiduciaries by law or
elsewhere in this will, I give to my Executrix during the full time necessary for the
administration of my estate the following rights and powers to be exercised in her sole
discretion.
A. To retain any real or personal property which may at any time form a part of my
estate so long as he or she deems it advisable.
B. To invest in any real or personal property without restrictions as to legal
investments.
C. To repair, alter, improve or lease for any period of time any real or personal
property and to give options for leases.
D. To sell at public or private sale, for cash or credit, with or without security, to
exchange or to partition, to mortgage or pledge real or personal property, and to
give options for leases.
E. To make distribution in kind.
F. To compromise claims.
IN WITNESS WHEREOF, I have hereunto set my hand this ~ / _ day of October,
2004.
Signed r
obert G. Murtoff
~~
The preceding instrument, consisting of this and two other typewritten pages each identified
by the signature of the Testator was on the day and date thereof signed, published and
declared by the Testator therein named as and for his last will, in the presence of us, who at
his request, in his presence and in the presence of each o er a subscri ed o ames.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
We, John H. Broujos and Melissa S. Kiner, 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 o
Sworn and subscribed to before
met 's ~ day of tober, 2004.
~ ~~~
N TARY PUBLIC
Notarial Seal
Bridget Ann Corcoran. Notary Public
Cazlisle Boro, Cumberland County
My Commission Expires lone 10, 2006
Member. Pennsyhrania Associationof Notaries
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss
I, Robert G. Murtoff, whose name is signed to the attached document, 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.
/. ' ~ _~y`
Robert G. Murtoff, Testatrix
Sworn and affirmed to and acknowledged
before me this (L`' day~of October, 2004.
` Notarial Seal
l ~ rum Bridget Ann Corcoran, Notary Public
~7/Y Carlisle Boro, Cumberland County
NOT RY PUBLIC My Commission Expires lone 10, 2006
Member PPnnsvwaniaAS.sociationotNOtaries