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HomeMy WebLinkAbout06-04-1015056041125 REV-1500 ~ (~~ v~ ONLY ~_ PA Depr6neMcf R~e~enrre t °~ T~ INHERITANCE TAX RETURN ~hr Code Year ~ Number Po eox 280®01 2 1 1 0 0 2 7 9 Hatelsbtna. PA 17128-0®Ot RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Deeth Dste of Birth 1 9 5 3 2 1 0 4 6 0 3 0 8 2 0 1 0 0 7 1 1 1 9 1 6 Decedent's Last Name SufAx DecedenCa First Name MI H O O V E R M I R I A M L (K Appticabls~ EnEsr sunrlvtre8 8paw•s Intbmra8eon Below Spouse's Last Name Sull'ac Spouse's First Name Ml Spouse's Social Security Number THIS RETURN IIAUST BE FILED IN DUPLICATE WITH THE REGISTER OF VYILLS FlLL IN APPROPRIATE OVALS BELOW ® 1.Originai Return ~ 2. Supplemental Return ~ 3. Remab~der Return (date of death prior b 12 13.82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12.82) ® 6. Deoede>>t Ofed Testate [] 7. Decedent Maintained a Living Trust _„ 8. Total Number of Safe Deposit oozes (~~ ~Py ~ ~~ (Attach Copy of Trust) [~ 9. L[ti9ation Proceeds Received ~ 10, Spousal Poverty Coedit (daDe of death ~ 11. Elsc~ion b tax under Sea 9113(A) between 12.31-91 end 1-1-95) (Agagr Ste, O) CORRESPONDENT - THI8 t3ECTI0N lfgJ8T gE COilAPL~ErED. ALL CORRESPONDENCE AND CONt•IDENTIAL TAX 81FORMATION SHOIiLD 8E DIRECTi:D T0: Name Daytime Telephone Number S U S A N J H A R T M A N 7 1 7 2 4 9 7 7 8 0 Flan Name (if Applicable) D U N C A N & H A R T M A N P C Flr~ line Of address 1 I R V I N E RO W Second line of address City or Post OtBoa C A R L I S L E State ZIP Code REGISTER OF WILLS USE O I~LY C7 ~ c~ a _ I ` ~~ a~ .~" ~ -n ..A ? '.. r ~-'.~~ ~`r P A 1 7 0 1 3 ~ _.... °~ ~'~ ~~ ..~., ~- Conespondenrs e-ma0 address: susanhartfnanC~pa.net Underpenal~s of perjwy. I declare that 1 hwe exandned this rabrm, bdrrdlnp aooompenying adredulas and sf#oerriarts, and b tloe best of my bia~wladae and bedef, it is t-ue, oomxtarld complete. Dedatatlon of preparerolher than the personal raprrsentslMe h based on au tntonnelton of whfdr properer hes arty browledge. S10~IAT~J~E Qf PERSON RF.S;PON~It~I.E FOR FiLU~10 RETURN .....~ _~~ ,_. 315 S UTH WASHINGTO STREET WHEATON IL 60187 SIQMA E OF PREPARER OTHER SENTATNE DATE Q ~ `! I _ PLEASE USE ORIGINAL FORM ONLY '_"" aide 1 15056041125 15056041125 J ~~ J 15056042126 REV-1500 EX Decedent's Social Security Number ,r$ Nom: MIRIAM L. HOOVER 1 9 5 3 2 1 0 4 6 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 8 Notes Receivable (Schedule D) ........................ 4. • 8 7 6 8 2 1 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. • 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ...... , 6. 1 8 0 5 9 • 0 1 7. Inter-Vn+os Transfers & Miscellaneous N n-Probate Property l h d S G ~ S Billi R t d c e u ( ) epara ng e e equeste ....... 7. • 8. Total Gross Assets (total Lines 1-7) ........................... 8. 2 6 8 2 7. 2 2 9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9. 1 6 1 1 , 5 0 10. Debts of Decedent, Mo a Liabilities, 8 Liens Schedule I rtga9 ( ) ... ......... 10. 8 2 9 5, 2 7 11. Total Deductions (total Lines 9 8 10) ........................... 11. 9 9 0 6, 7 7 12. Net Value of Estate (Line 8 minus Line 11) ................ ......... 12. 1 6 9 2 0 ~ 4 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 9 2 0 , 4 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. 0. 0 0 16. Amount of Line 14 taxable 1 6 9 2 0. at lineal rate X .045 4 5 1 s 7 6 1. 4 2 17. Amount of Line 14 taxable 0 0 0 0 0 0 . at sibling rate X .12 17. . 18. Amount of Line 14 taxable 0 0 0 0 0 0 . at collateral rate X .15 18 . 19. Tax Due ....................................... ......... 19. 7 6 1. 4 2 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056042126 15056042126 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 0279 DECEDENTS NAND MIRIAM L. HOOVER STREET ADDRESS 1 LONGSDORF WAY C!O CUMBERLAND CROSSINGS CITY STATE ZIP CARLISLE PA 17015 Tax Payments and Credits: 1 • Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 38.07 3. Inte~resUPenalty if applicable D. Interest E. Penalty tf Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FNI in oval on Page 2, Ltne ZO to request a refund. (1) 761.42 Total Credits (A + B + C) (2) 38.07 Total InterestlPenalty (D + E) (3) 0.00 (4) 0.00 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 Une 5 + 5A. This is the BALANCE DUE. (56) Make Check Payable to: REGISTER OF WILLS, AGENT 723.35 723.35 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 : ...................................................................... ^ b. ruin the right to desic,~ate who shall use the property transferred or its income; ............................... ^ c. retain a reversionary interest; or ................................................................................................ ^ d. receive the promise for life ~ either payrrrents, benefits or cue? ....................................................... ^ Q 2. ff death oax~med after December 12,1982, ~d decedent tr~sfer property within one year of death withart receiving adequate oonsideration? ....................................................................................... ^ 3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? ......... ^ Q 4. Did decedent own an Individual Refinement Account, annuity, or other non-probate property which contains a beneficlary designation? .................................................................................................. ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R 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. §911fi (a) (1.1) (ii)]. The stah~te ~ not exemat a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applic~le 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(aK1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedents lineal beneficlaries is four and onefialf (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 tr~sfers to or for the use of the decedents siblings is twelve (12) percent p2 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. MerTSank 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888)502-4349 Fax (302)934-2955 May 6, 2010 Duncan & Hartman PC Susan J Hartman One Irvine Row Carlisle PA 17013 Re: Estate of: Miriam L Hoover Social Security: 195-32-1046 Date of Death: March 8.2010 Dear Sir or Madam: Per your inquiry, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names o, fl Opening Date Balance on Date of Death Accrued Interest Total Checking Account 418935 Miriam L Hoover, joint- primary Mina H Kerr, joint-secondary 09/01/67 $1174.52 $ 0.00 $1174.52 Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, etc., please contact our Forrest Avenue branch call #~1 ~-235-4s4s. Sincerely, =~~ Norissa Sears, Adjustment Services c 0 o ~ a ~ m v z ~ v UQ~ O .~ ~ a o~~ ~ o Q~~,.c~i~¢~ ~ Q ~ ~ - ~?~ro¢ oo. ~ O ~ ~ '-- N ~ ~ ~ ~ r' m~ O ~ ~_ N 'C N pp ~ O ~ ~ O. Q1 O +-• Z ~ w •-- ~ ~ F- ~ ~ +-~ ~ o U ~ x~~zr~ a~ N O a ~o~ - ~ L ~W~r ,~ >~OcQo Z ~ = o>z~ . cn ~ ~oa~ ~ ~_~~ °' s ~ r ~z~= ~ ~~~~ Q U Z W ~ L 1"' ~ ~ s Q' o w N W u' a x ~ ~ h t~D Q ~. 11 Q1 QQ ~.., ~ ~„ z °~'F-pew a~wpX¢ ~ Q ~ m Q ~ ~ ~ O T © ~o?o~ a~~-oa.o ri~~oaao° r ~ !~ W w(~F-- ~ Q>C?W~jF-- ~~z¢~~a ~ U Wwa~- ~ ~ ~ ~ wpw~r ~ ~ +~.. 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Z C!3 69 ~ = . a • .--~ Q _ ~ ~ ~~ Z ~ ~_ Q ~ ("i N ~ ~ (~ ~ G ~~ ''' a c~ 'fie ~ . ~ ~ H W ~-~~ m ~ Q ~ O m a ~ ~ ~, ~ ~ a~ W ~_ ~ U ~ ~ D ~ ~ i ~ ? as H ~ ~ ~ ~ ~ > ~ c O ~ ~ ~ ~ R ~ ~ 3 ,~' ~ ~ .~ E ~ ~ ~ ~ a ~ ~. ~ Y _ 3 _ fG ~ n ~ m O E ~ c ~ 4l _ p cLa ~ ~ c`na m` o V ~ ° m ° ~ O LL ~ m c.> ~ ~ Q ~ ~ ~ w ~ ~ _ ~ w-. REV 1511 EX + (12-99) SCHED!/LE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES ~ INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER MIRIAM L. HOOVER 21 10 0279 Debts of decedent ngKt be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal RepresentaMre's Commissions Name of Personal Representative (s) Social Security Nurr~er(s)IEIN Number of Personal Representative(s) street address c~ Shate zip Year(s) Commission Paid: 2. Attorney Fees DU NCAN 8~ HARTMAN, PC 1, 500.00 3. Famtiy Exemption: (If deoederrCs address is not the same as da®rrant's, attach expl~ation) Ctatinant Street address City State Zip Relationsh~ of Clatinant b Decedent 4• Probate Fees REGISTER OF WILLS 96.50 5 Aooountar>rs Fees 6. Tax Return Preparers Fees 7. REGISTER OF WILLS -FILING FEE 15.00 TOTAL (Also enter on line 9, Recapitulation) I ; 1,611 50 REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESENT DECEDENT SCHED!/LE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, ~ LIENS ESTATE OF FILE NUMBER MIRIAM L. HOOVER 21 10 0279 Report debts incurred by the decadent prior to death which remained unpaid as of the date of death, including unreimburse<! medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ~IN YOUR HOME CARE INVOICE ~ 262.50 2. CONTINUING CARE RX INVOICE 7.00 3. CUMBERLAND CROSSING -MARCH PREPAYMENT 7,977.08 4. REFUND TO PSERS PENSION gg.gg TOTAL (Also enter on line 10, Recapitulation) I S 8,295 27 (If more space is needed, insert additional sheets of the same size) REV 1513 EX + (9.00) SCHEDULE J COMMONWEALTH of PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF - _ FILE NUMBER ulQtotu~ I NCl[1vFR 21 10 0279 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Tnis~s) OF ESTATE I. TAXABLE DISTRIBUTIONS f~ 9i 16 (a (1. )2 ] , a~ 1. MINA H. KERR Lineal 315 SOUTH WASHINGTON STREET 100% WHEATON, IL 60187-5431 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON ONES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II, NON-TAXABLE DISTRIBUT~NS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART Il -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON UNE 13 OF REV-1500 COVER SHEET = lif mrxw cnars~ is n Inca. f arirMirnal ¢h~lc of ihR canes cirnl WILL OF MIRIAM L. HOOVER I, MIRIAM L. HOOVER, of 11 East First Street, Boiling Springs, Cumberland County, Pennsylvania, revoke any prior Wills and Codicils and declare this to be my Will. ITEM 1. I give my furniture, household and personal effects, and other tangible property of like nature, together with all insurance thereon, to my daughter MINA H. KERB, if she survives me by thirty (30) days. If she is not living on the thirty-first (31) day after my death, I give these items in equal shares to her issue per stirpes. ITEM 2. I give all the rest, residue, and remainder of my estate to my daughter MINA H. KERR, if she survives me by thirty (30) days. ITEM 3. If my daughter MINA H. KERB, is not living on the thirty-first (31) day after my death, then I give all the rest, residue and remainder of my estate in equal shares to her issue per stirpes, subject nonetheless to the trust provisions of this Will. ITEM 4. I direct that all my just debts and the expenses of my last illness and disposition of my remains shall be paid from my residuary estate as soon as practicable after my death and as part of the expense of the administration of my estate. ITEM 5. In addition to the powers conferred by the common law, by statute, or by any other provisions hereof, my personal representatives with respect to my estate and my Trustee with respect to any trust created under this Will are hereby empowered as follows: (a) To sell at public or private sale, to exchange, to lease, to pledge, to mortgage, to transfer, to convert, or otherwise dispose of, or grant options with respect to, any and all property, real, personal, or mixed, at any time forming a part of my probate or trust estates, in such manner, at such time or times, for such purposes, for such price or prices, and upon such terms, credits, and conditions as shall be deemed advisable or necessary under the circumstances. (b) To assent to, join in, and vote in favor of any merger, reorganization, voting trust, plan, lease, mortgage, consolidation, exchange, foreclosure of any corporation or other investment in which the probate estate or trusts may hold stock, bonds, investments, or an interest; (c) To vote in person or by general or limited proxy with respect to any share of stock or other investment held by the probate estate or trusts; (d) To make distribution in division of the probate estate in cash, in kind, or partly in both; (e) To distribute articles to a minor or to the minor's guardian or to any person taking care of the minor to hold for the minor within the limits authorized by statute or rule of law; (f) To compromise any claim or controversy; (g) To apportion between principal and income any receipts and disbursements and to ascertain income and principal in accordance with the statutes and rules of law of the Commonwealth of Pennsylvania; (h) To keep property in the name of a nominee with or without disclosure of any fiduciary relationship; (i) To employ attorneys, auditors, depositories and proxies with or without discretionary power. (j) To make, execute, acknowledge, and deliver any and all instruments which may be deemed advisable or necessary to carry out any of the powers herein granted or provided by law; (k) To invest and reinvest the principal of the trusts, together with any accumulated income thereon whenever such accumulation has been permitted by the terms hereof, in all forms of property, real, personal, or mixed, including but not limited to stocks, bonds, common trust funds, mortgage, investment funds, insurance policies, and annuities, without being limited by any statute or rule of law concerning investments by fiduciaries; (1) To carry out the terms of any agreement I may have entered into to sell all or any part of any property or any interest I may own in any business at the time of my death; (m) To exercise any law-given option to treat administrative expanses either as income tax or as estate tax deductions, without regard to whether the expanses ware paid from principal or income; (n) To disclaim inheritances and interests in property. ITEM 6. I direct that if any issue of my daughter I4INA H. KERB are under twenty-five (25) years of age at the time of distribution of my estate, my Trustee shall retain whatever share such beneficiary(ies) otherwise would have received and apply so much of such share or the income thereof as my Trustee considers advisable for the beneficiary's support, education, and welfare, accumulating any income not needed for these purposes. I wish that the beneficiary have an education beyond high school if desired, and funds may be used for such education if the beneficiary so desires, including vocational and business school, college, graduate, and post-graduate school. Wham the beneficiary attains the age of twenty-one (21) years, the Trustee shall distribute to such beneficiary one-half (1/2) of the than principal of the beneficiary's share, discharged of the trust. Wham the beneficiary attains the aqa of twenty-five (a5) years, the Trustee shall distribute to the beneficiary the then regaining principal and incoge of the beneficiary's share, discharged of the trust. ITEM 7. No interest of any beneficiary under this will or any trust established hereunder of any codicil hereto shall be subjected to anticipation. ITEM 8. No bond shall be required of my personal representatives and Trustee, but if bond is nevertheless required, it shall be without surety. ITEM 9. I appoint my daughter IrIIN~ H. KERR, Executrix. If she doe• not qualify or ceases to act, I appoint mY niece vINC]~NNB HOWlU~N, Executrix. ITEM 10. I appoint BRADFORD S. KERR, Trustee of any trust established under this will. ITS 11• For the convenience of my personal representatives and Trustee I note that this will has been prepared by Jered L. Hock, Esquire, and the law firm of Metzger, Wickersham, Knauss & Erb. Executed on February ~?~~ 1994. Miriam L. Hoover Signed, sealed, published and declared by the above named Testatrix, MIRIAM L. HOOVER, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ,~ ~~ r' ~ ~ ~ ~__ ~_ ~~`- L ~--~.., ~ ~ft~~ =' Address ~` . ~ _ ~_ ~ ~ ~ >il,~ ~ ~`'~ ~ ,~~. ,L -t'=-~ ~~~ ~.~~~ Address ~~_-~..L~ t. s L~, `~ -~ Commonwealth of Pennsylvania County of ,r We, 1~IRIAM L HOOVER and f.~ ~<< ~ ~ ~ r ~ / I / l' ~~ ~J ~ ~~ ~~_ , and '~-' ` ' r ~ L ~ I c ~ ~~_ , the Testatrix and the witnesses, respect vely, whose. names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will and that she had signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of our knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~L'(.~t-R-,[,cam-c. t,t ~:~ 7~.t o- -i ~s:, ~L , Testatrix ~~,~. Witness Witness SWORN to or affirmed and acknowled ed before me by the above named Testatrix and witnesses this ~,~~ day of February, 1994. ~G~ ~ ~~ N ry Publ c My Commission Expires: (SEAL) NOTARIAL SEAL JO ANN AILEMAN, Notary Public Dauphin Courrly My Commission Expires March 8,1997