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HomeMy WebLinkAbout08-30-10J 1505610143 , REV-1500 ~"°'-'°' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania county code veer File Number Bureau of Individual Taxes ov~eTMtrrT Or nevetuE PO Box.2aosot INHERITANCE TAX RETURN Harrisburg, PA 17128-DSD1 RESIDENT DECEDENT 21 10 O$q 5 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 166 O1 1416 05 29 2010 O1 23 1917 Decedent's Last Name ssEAFFER Suffix Decedent's First Name MARGARET MI K (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW MI 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 m death ever 12-12-82) ^ 5. Federal Estate Tax Return Required x^ a Decedent Dletl Tectale (Attach Copy M will) ^ T Decedent Mainte~nad a living Trust (Attach (:opy of Trust) 8. Total Number of Safe De pOSit BOXES ^ 9. Litigation Proceeds Received ^ 10. ~~rii~~i fJ~e dt{-ia95M death ^ 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number FOREST N MYERS 717 53~ 9046 0 aO o -'[- 7 I r' l t, REGISTER -'- i~ICp3 U3~1NLY~t- C_7 ' ~`' First line of address ~ ~ ~ O ;. _j 137 PARK PLACE WEST c'>7~ ~ ~~` ,~.. '~ n Second line of address ~ ~ .. ,' ` ~ i ~• ~ 1 -,.i City or Post Office State ZIP Code DATE FILED SHIPPENSBURG pA Correspondent's a-mall address: fnmyers~lawofficeforestmyers.com Under penalties of pery'ury, I declare that I have examined this return induding accompanying schedules and atatemerns, and to the best of my knowledge and belief, it is true, correct and complete. Dedaretion of preparer other than the personal representative is based on all information of which preparer has any knowledge. Robert P CARBAUGH Jr Q 2~ _ 341 E Orans~e St. Shlppensbum PA 17257 SIGNATURE OF PREPARER OTHER THAN REPRESENTATNE DATE `-~' ~, Forest N Myers 8 2.6 ~ \O ADDRESS `~ 137 Park Place West, Shippensburg, PA Side 1 L 1505610143 1505610143 J J REV-1500 EX 1505610243 oeceaenrs Name: SHEAFFER, Margaret Katherine 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 & Notes Receivable (Schedule D) ........................................................ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous I~oq Probate Property (Schedule G) u Separate Billing Requested............ 7, 8. Total Gross Assets (total Lines 1-7) ..................................................................... g, Decedent's Social Security Number 166 O1 1416 1,170.01 2,361.13 3,531.14 9. Funeral Expenses & Administrative Costs (Schedule H) ............................... ........ 9. 4,364.00 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ...................... ........ 10. 559.29 11. Total Deductions (total Lines 9 & 10) .......................................................... ......... 11, 4 , 923.2 9 12. Net Value of Estate (Line 8 minus Line 11) .................................................. ........ 12, -1, 3 92.15 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ....................................... ........ 13. 14. Net Value SubJaet to Tax (Line 12 minus Line 13) ...................................... ......... 14, -1 , 3 92.15 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 .00 15. 16. Amount of Line 14 taxable at lineal rate X .045 0 • 00 16. 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17. 18. Amount of Line 14 taxable at collateral rate X .15 0.00 18. 19. Tax Due .............................................. ................................................................... . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 0.00 0.00 0.00 0.00 0.00 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10 DECEDENTS NAME SHEAFFER, Margaret Katherine STREET ADDRESS 339 E Orange Street CITY STATE ZIP Shippensburg PA 17287 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 0.00 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check boz 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. Make Check Payable to: REGISTER Total Credits (A + B) AG (1) 0.00 (2) 0.00 (3) (4) (5) 0.00 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? .................................... g ^ ....................... x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ ^z 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 contains a beneficiary designation? ...................................................................................... ^ 0 ............................ 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 end before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 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 21 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 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 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 12 percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT I, MARGARET KATHARIlVE SHEAFFER, of 339 East Orange Street, Borough of Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore'~made. IIBS.T: I order and direct the payment of all my legally enforcable debts and funeral expenses as soon as may be convenient after my decease. SECOND• I direct my hereinafter-named Exector to sell my personal property, whatsoever and wheresoever situate, at public or private sale, and to distribute the net proceeds of said sale as follows: , A. I give and bequeath ALL of the net proceeds of said sale, in equal shares to my great nieces and great nephews who are the children of my nieces, Bobbi Bailey and Cindy Lingel and my nephews, Robert Carbaugh and Brian Barnett. THI$p. In the event that any beneficiary of this my Last Will and Testament is. under the age of twenty-one (21) years, I then give and bequeath said beneficiary's share to and appoint as TRUSTEE of any property which passes under this Will or otherwise, my brother, Robert I'. Carbaugh, Jr., of 431 East Qrange Street, Shippensburg, Pennsylvania, AS TRUSTEE, NEVERTHELESS, to invest and re-invest the same until the said beneficiary reaches the age of twenty-one (21) yeazs, with the following powers in addition to those presently given by law: A. The power to expend the income towards the health, support and maintenance, and education, including a college (both undergraduate and graduate), trade, business or technical school education, of the said beneficiary; B. The power to expend the principal, within the discretion of the said Trustee, if the income is insufficient, towards the health, support and maintenance, and education, including a college (both undergraduate and graduate), trade, business yr technical school education, of the said beneficiary; C. The power to sell any and all real estate, within the discretion of the said Trustee. D. The power and obligation to distribute the balance of principal and interest, if any remaining, when the said beneficiary reaches the age of twenty- one (21) years, without the necessity of a formal adjudication of the Trustee's account in the Court of Common Pleas of Cumberland County, upon the receipt of a good and valid release; E. The paincipal of the Trust and the income therefrom shall be free from the debts, liabilities, and engagements of those beneficially interested therein, and shall not be subject to assignment by him or her, nor to attachment or execution under any legal, equitable or other process for the enforcement of judgments or claims of any sort against them, either individually or collectively; F. ]n the event the above-mentioned Robert P. Carbaugh, Jr. is unable to accept the Trust, I then name, constitute and appoint my sister-in-law, Christine Carbaugh, of Ship~ensburg, Pennsylvania, as Trustee, with the same powers hereinbefore stated. FOURTH. I nominate, constitute, and appoint my brother, Robert P. Carbaugh, Jr., to be the Executor of this my Last Will and Testament; if he be unable to fulfill the duties of Executor, I then nominate, constitute and appoint my sister-in-law, Christine Carbaugh, to be the Executrix of this my Last Will and Testament. ~ETl3• I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, MARGARET I{ATAARINE SI~A)ti'FER, have hereunto set my hand and seal to this my Last Will and Testament, written on two pages, the fast page signed for identification only, this ~ ~ day of 1997. .~ SEAL). This instnunent was by the Testatrix, on the date hereof, signed, published and declared by her to be her Last Will and Testament, in our presence, who at her request and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. 1, eCP - COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS. I, Margaret Katharine Sheaffer, the person whose name is signed to the foregoing instrument, having been duly qualified acconiing 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 affumed to and acknowledged before me by Margaret Katharine Sheaffer, the Testatrix this~~day of ~/YLa~. , 1997. COMMONWEALTH OF PENNSYLVANIA Sworn or affi ed to and sus r' d before~ne by .. and ~xr,~ P. au £. witnesses, this a~ sC-,day of `-~'~~a.~~ , 1997. COUNTY OF CUMBERLAND . SS. We a l G~, .l~ r d the witnesses whose names are signed tQ the forego instrument, being duly qualified according to law, do depose and say that we were present and saw Margaret Katharine Sheaffer, the Testatrix, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and d sight of the Testatrix, signed the will as witnesses; and that to the best of our knowledge the Testatrix was at the time eighteen (18) or mare years of age and of sound mind and under no constraint or undue influence. .d Rw•1 G08 Fj(a Is-~1 COMMON W EALTH OF PENNS V LVANIA INHERITANCE TAX RETURN RESIOEM DECEDENT SCHEDULE E CASH, BANK DEPOSITS, 8t MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER SHEAFFER Margaret Katherine 21 10 Include the proceeds of litiggation and the dale it» proceeds were received by the estate. All property jolntlyavmed vdth the Ayht of survlvonhip must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Personal property -sold at yard sale 175.00 2 Personal property -sold at auction 465.00 3 Allstate Ins. -refund of unused premium 99.00 4 Century Link -refund; telephone service 24.69 5 Highmark -refund; unused insurance premium 140.32 6 PA Dept of Revenue - 2009 rent rebate 266.00 TOTAL (Also enter on Line 5, Recapitulation) I 1 170 01 (If more space is netldeq additional pages of the same size) Copyright (e) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rav-1 ti0a telC+ (a-a9) COMMONWEALTH OF PENN6YLVANIA INHERITANCE TAX RETURN REeIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER _ SHEAFFER Margaret Katherine 21 10 Men art was made J°IM wkhin one you of 1M deeedaM's dab of death, k must W reported on scMdula G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Robert P CARBAUGH Jr 341 E Orange St Brother Shippensburg, PA 17257 B. C. JOINTLY OWNED PROPERTY: 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 JOINTLY-HELD REAL ESTATE. DATE OF DEATH ALOE OF ASSE % OF DECD'S INTEREST DATE OF DEATH DECE ENTS INTEREST 1 A 9/20/1990 Ornstown Bank -Joint Checking Account No. 4,722.26 50.000% 2.361.13 547697 TOTAL (Also enter on Line 6. Recapitulation) (If more space is needetl, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. 2,361.13 Form PA-1500 Schedule F (Rev, 6-98) REV-1161 Exa 110-0!) COM~~~7~('~F p~AN1A ESTATE OF FILE NUMBER SHEAFFER, Margaret Katherine 21-10 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: Fogelsonger-Bricker Funeral Home, funeral bill 3,999.00 B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Yearfsl Commission paid 2. AttomeYs Fees Law Office Forest N Myers 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio _ Relationship of Claimant to Decedent 4. Probate Fees filing fee; Inheritance Tax Return 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs SCHEDULE H FUNERAL EXPENSES & 1DMINISTRATIVE COSTS 350.00 15.00 TOTAL (Also enter on line 9, Recapitulation) I 4 364 00 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10.06) Rev-7672 EXe (12-08) SCHEDULE 1 DEBTS OF DECEDENT, COMMONWEALTH aF PENN8riVANIA MORTGAGE LIABILITIES, Bic LIENS INHERITANCE TAX RETVRN RESIDENT DECEDENT ESTATE OF FILE NUMBER SHEAFFER, Margaret Katherine 21 10 Report Hebb Incurrod by the deeeMnt prior to dsaM that romslnsd unpaid at the Cate of dxtll, includlnp unroimburoed medical eXpsmas. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Orrstown Bank -check image fee for June 8r July bank statements 6.00 2 Penelec -electric bill 72 85 3 Robert Carbaugh -rent for apartment 107.00 4 Shippensburg Borough Authority -water/sewer/trash bill 131.75 5 UGI -gas bill 220.69 6 Willhlde's -lawn care 21.00 TOTAL (Also enter on Line 10, Recapitulation) I 559 29 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-0t3) aev-~e~a ex+lt~-0el SCHEDULE J coM~~~°~~i~1~A"~' BENEFICIARIES ESTATE OF FILE NUMBER SHEAFFER, Ma aret Katherine 21-10 RELATIONSHIP TO NUMBER NAME AND ADDRESS OF SHARE OF ESTATE AMOUNT OF ESTATE PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) I• TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers Robert P CARBAUGH Jr 341 E Orange St Shippensburg, PA 17257 Brother 1100% of Net Distributable Estate ~ ~ Total Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet as a ro i NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ..+~ yr rI•R ~ it - GI\ 1 CR ~ v r n~ rvurv- r wkPket~t ursTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) IOS,ans RRV rni/p~, LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 16487195 Certification Number ` This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original ~ certificate will be forwarded. to the State Vital Records Office for perm ent filing. ed a z,~ Registrar Date Issued lnacw lav „ame TYrEn COMMONWEALTH OF PCNNBYLVANIA . DEPARTMENT OF HEALTH . VRAL RECORDS BU°+aa CERTIFICATE OF DEATH Isar inalnrdln,.~...d ~..._._•__ -- ~la4aAp K. Sheaffer PI B YS 93 Y,a a canny d Oallh Cumberland 7R DmieM~9awarlamMalYlbrlaW,Lprdy 339 Eaat Oragne Street 3hippenaburg, PA 17257 u rr.ralrr PM eaaa, ant aaeq Hervey 1. Burkholder ma Manam9 Nanin Rmaimd~ Robert P. Carbaugh, Jr. na lMatld dnPraBa ~ Qwmer [~ a,w D nrbwbeaa. 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NaN Ibnbd tl. anMb our a r4 d. n.na.....~ irwwa. naaall PA ObOnmdaa Cumberland +r1aabnp'T +mOr,aweaiduaab ~ +T0. wmy tTa ®tb,om.u+aww. ~,,.-----'---- a4T raat orange Street, Shippenaburg, PA 17257 awbagyrga,naa,,M•na0 zic:vlodorw+bnRb~raann.r,a,m+arasrpw) s~aum~lariaar,r,wmey 6-3-10 erland Valley ~+=T G Carlisle, PA 17013 IMMabA07wdFaeq~ Fo eleanger-Bricker Funerdl Home Inc., Shippeneburg, PA 17257 ~pYnamw.l~awrdarl ao wiw aaa,a 70 ~ cab waa laar4 w. can e~we~;/~(y,1/~aq. ~~1 C!~i_/ ..010~~ ~ 1a. ~L1r RM yd~lba~a ESiir/wew b,Nwon IAn awn6 eW, um b pr , 0. ~Y Iiadm i~iia ew IMbbe~~.E,1~L~a,~Y~~eCdmMWlaME w a p r I aa~rw nry, aen~bmMeli tl~M~WT~ c wlb~arr noalMpraa d!• a ~ ~ ~ ~ ~ , ~ I eon nbrMac4N aOa. Yhr MYpq'FYtllnp 81. Malardww FallOmlla! A~rdY RbbCanpYlan l~/ m. wada~uy Maa4 w,YMq ffiOrab ll,wbJury Otrnr aCawdDa,n4 f;l a+N ^Hmddd, ,,~~// ^Yr LANO ^Yr ^lb QMdAaa ^Padrp n,.epapn ~O.TbdY~ry •• ffie. Arad WwA7 &I.aTmlpabwl ~~ ^6uklh ^wW1Yb wWMaa QYr QNo Q~~~~ b 7A. CnYrr Wmm aly an) ~' hna/baPb'tlar Maa~b~aWpy rlmlarnnn+a.Maardgddlahaparlnawnatl Taw Mrdm/bwb/p,wnaao.,,,yyrbpraa,p,IraywrraYba_______ ~~ • na 811m1i _ TnrareYMOMMdw PaaYlmm~Pamm~apwnad a7bae!~rMOCannMrwaaa d•I ae l tlM W ~`~ . y nr,a 0 tin(a~r rnrrrYMM____~_ • aarw erdnrlwrnr ____________~ Onwbrb.WaamYraan adlr braq~tlnn,Nngepwti anaunarMw,,wl.mdoMm.rearbwrry~l anlmane.abba_ Q. & N,mlw la nlainarl apmra ntl ~ I ~I/ I ZI / Lrl ^ . rreannn.er.r.n r.-4i ~-s 0 1 t wmmYai aae ~.. ~/R! 99~,/ ~NTN~-Aq ~~ ~Y: • W aym A A o~ O Yo ~aai°> r ~ ~ ~ N V)~ LLCM $ ~F- L w.+ = Cf~M T O U o~ _~ ~~~d ~ o ~ =~U ~ =Em's ~ c cv U O U h N d ... >:.sw or~FS~ ~~OREF.3T N. M.YER~ 137'Park Places Wast, Shlppansburg, Pannsylvanla 77257 717.632.9046 Fox 777.632.8879 fnmyers ®lawofftceforesimyers.co m August 26, 2010 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle PA 17013 Re: SHEAFFER, Margaret K. (deceased) Date of Death: May 29, 2010 Dear Ms Farner-Strasbaugh: Enclosed please find the original and one copy of the Inheritance Tax Return in the above-captioned estate for filing, along with check no. 734, for the filing fee. Sincerely, Forest N. Myers ~ ahh /enclosures °~ ~ ~ } ~ ~cr~~ 7O© ~~ `~ -o a fV © ,.~ `~ -,:. ~ ~; --, c~ ~ -~ : r~ o . - , .- _, -v - _:~ __` J __ F' `~~; -.~ S,15hare~SharedGocs~Word ProcessingiClienis~5heafler, Margaret KV10-?0-(3404-Inh Tax Rel trans IYrSHE, MA; Inh Tax P,ehun prepera6on100826.dbC