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HomeMy WebLinkAbout10-01-101505610140 REV-1500 EX (01-10) OFFICWL USE ONLY PA Department of Revenue Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number Po sox 2sosol 2 1 1 0' 0 4 7 8 Harrisbu PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 2 0 4 0 1 8 4 3 2 0 3 3 0 2 0 1 0 0 3 0 8 1 9 2 0 Decedent's Last Name Suffix Decedent's First Name MI FUNK ELDON ~, E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name ', MI FUNK MARGARET Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE W ~TiH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^X 1. Original Retum ~ 2. Supplemental Return ~ 3. Remainder R tum (date of death prior to 12'-13 Q) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal EStat Tax Retum Required death after 12-12-82) l © 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Numiber 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 tot under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach SCh. ) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION HOULD BE DIRECTED Tt Name Daytime Telephone wmber J OEL R. ZU L L I NGER 71 7 2~ 4 6029 REGISTE ILLS USE~ILY 0 O First line of address ~ ~,c'S ~ ~ ' 1 4 NORTH M A I N STREET -'~_ ' ~{' Second line of address 'p -q `' ~ ~ 3 S U I T E 2 0 0 - City or Post Office State ZIP Code FILED c CHAMBERSBU RG PA 1 72 01 '~ ~~ Corr~pondenYs e-mail address: i Under penalties of perjury, I declare that I he examined this return, including accompanying schedules and statements, and to the blest (rty knowledge and belief it is true, correct and complete. Dedaratio rer other than the personal representative is based on all information of which p r f?as arty knowledge. SIGNATURE F PERSON RESPONSI URN ~ DATE • Q~ AD R 10 C DAR CT.W. CARLISLE PA• 33 MYERS RD. NEWVILLE P EOFP PA HAN R ENTATNE9O Rerininger School Rd., Middleburg ' GATE 4 ' PIA 178 2 ~ , ~ AD ss 14 ORTH MAIN EET SUIT 00 CHAMBERSBURG P 17201 PLEASE USE ORIGINAL FORM ONLY Side 7 1505610140 15056101 0 a /~~~~ J 1505610240 REV-1500 EX Decedent's Social Security Number DecedenrsName: ELDON E. FUNK 2 0 4 0 ',1 8 4 3 2 RECAPRULATION 1. Real Estate (Schedule A) ........................................... L I 2. Stocks and Bonds (Schedule B) ...................................... 2. 1 2 3 ', 7 5 1 6 8 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C} ..... 3. ', 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. 5. Cash, Bank De osits and Miscellaneous Personal Pro p party (Schedule E)....... 5. 1 8 ', 0 0 0 • 0 0 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers & Miscellaneous N -Probate Property (Schedule G} ~ S Billi t R epara e ng equested ....... 7. 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 1 4 1 7 5 1 6 8 9. Funeral Expenses and Administrative Costs (Schedule H) .... ....... ..... .. 9• 4 I, g 9 3 • 5 0 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ...... ..... .. 10. 11. Total Deductions (total Lines 9 and 10) ................. ....... ..... .. 11. 4 9 9 3. 5 0 12. Net Value of Estate (Line 8 minus Line 11) .............. ....... ..... .. 12. 1 3 6 I, 7 5 8 . 1 8 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 3 6 ~, 7 5 8. 1 8 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 j (a)(1.z>x.oo_ 1 3 6 7 5 8 1 8 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x .0 _ 0 . 0 0 16. ', 0 • 0 0 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. 0. 0 0 19. TAX DUE ........................................ ....... ..... ..19. ', 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Slde 2 ', 1505610240 150561024p J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 0478 DECEDENTS NAME ELDON E. FUNK STREET ADDRESS 15 M ers Road CITY Nevwille STATE PA ZIP 17241 Tax Payments and Credits: Tax Due (Page 2, Line 19) Credits/Payments A. Prior Payments B. Discount 3. Interest 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. i (1} I 0.00 I II Total Credits (A + B) (2) ~ 0.00 I (3) (4) ~~ 0.00 (5) Ii 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPR4P~IATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ...........................::....::::::......::....'....:: ^ ~~ Q b. retain the right to designate who shall use the property transferred or its income; ^ I' Q c. retain a rev P ionary interest; or .. P..Y ..............................:.......................................................... ^ d. receive the romise for life of either a merits, benefits or cares ^ ~ ~X 2. If death occurred after December 12,1982, did decedent transfer property within one year of death ~~ without receivin ad uate considerations ^ g ed P Y. ...po ........................................y...................................... ^~ 3. Did decedent own an "intrust for" or a able-u n~ieath bank account or secunt at his or her deaths X~ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................. ^ ~I X^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT A$ DART OF THE RETURN. I For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or fo~ the use of the surviving spouse 3 percent [72 P.S. §9116 (a) (1.1) (i)]. ', For dates of death on or after Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving ~pouse 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 requirem rits 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 i~se 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. §91160('1.3)]. A sibling is defined, unde Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BANDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ELDON E. FUNK 21 10 0478 All properly jointly~owned with right of survivorship must be disclosed on Schedule f. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 4,736 shares common stock, Orrstown Financial Services, Inc. 123,751.68 X26.13 per share TOTAL (Also enter on line 2, Recapitula~ion)T = (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-09) ' Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF _ FILE NUMBER ELDON E. FUNK 21 10 0478 Decedents debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP _ Year(s) Commission Paid: 2. Attorney Fees: Joel R. Zullinger 3, Fatuity Exemption: (If decedents address is not the same as claimants, attach explanation.) Claimant Street Address ~~ City State ZIP Relationship of Claimant to Decedent 4. Prate Fees: Letters - 410.00; will - 15.00; short certificates - 20.00; JCS fee - 23.50; automation fee - 5.00; renunciation 5.00; filing return 15.00 5 Aarountant Fees: 6. Tax Return Preparer Fees: 7. 4, 500.00 493.50 TOTAL (Also enter on Line 9, Recapilulation~ ~ S If more space is needed, use additional sheets of paper of the same size. REV-1513 F,(+ (01-10) ' Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: ELDnN F FI1NK ~~ en n~~o 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 [Indude outtsn'ght spousal distributions and transfers under 'f Sec. 91 6 (a) (1.2).) 1. Margaret W. Funk Spousal I Chapel Pointe, 770 S. Hanover Street I entire estate Carlisle, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: ~ 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: ~ TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. s u mule ~pat:e is neeaeD, US@ aa01il0nal SneeiS OT paper OT Irle Sane SIZe. ''~` ~~ r•~ JR~ - 5.1 funk.lw February 20, 2008 ,'~ c~ ~! ~ ~~v ~ ~ _o s~ _~i ~'-. - :., LAST WILL AND TESTAMENT ~, `~ ~~: -~ ~:~, 'L , I, ELDON E. FUNK, of Upper Mifflin Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my wily,, hereby revoking any and all former wills and codicils thereto by me t~eretcfo-re«ade . i . i direct that all ~:ny ~ list debts Ind f~a.neral ~~~-tenses including all expenses of my last =llness, shall ~e paid frctii "~,~1y estate as socn as practicable after my decease as a past of she expense of the administration of my estate. ', II. I give, devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Margaret W . Funk, '' providing she shall survive me by thirty days. III. Should my wife, Margaret W. Funk, predecease me or!,die on or before the thirtieth day following my death I give,. ~lwise and bequeath the residue of my estate of every nature and wherever ~~~. ,~-_^ situate as follows: A. B I give the sum of $10,000.00 cash and equal shams of my Orrstown Bank stock at the time of my death to my following named grandchildren: David Funk, Bri~.n Funk, Eric Funk, Timothy Heishman, Ryan Heishman, Michalel Gift, Stephen Gift and Sarah Gift, providing they survive me. In the even a grandchild predeceases me, their share shall be void and be distributed in accardance~,with the residue of my estate. ', I give all of my shop tools and farm equipment td my sor~, Lest:. ~~ , Funk , i f l7e sur-,; fives me . ~'~ _ gi-~e all of ~11y household goods and =ur~iishings, e..clud.ing casiz ar~d the like, to ~Z~y daughters ~ ?aonni e Heishman and Marsh Ann Gift, to be distributed among themselves and to others as they see fit. ' D. I give the balance of the residue of estate', of every nature and wherever situate to my children, namely Lester E. Funk, Vonnie R. Heishman and Mary Ann Gift,', in equal shares, provided that the share of any child who predeceases me or dies on or before the thi~'tieth day following my death shall be distributed to Y~is or her issue, per stirpes, living on the thirty-',first day following my death, and in default of any $uch then- living issue, then to my other then-living chlildren. page 2 ', IV. An.y fiduciary under this will shall have the followinjg powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal o~ income, including property held for minors, exercisable witho~Zt Court approval, and effective until actual distribution of all ~Iroperty: A. Tc retain any and ail of the assets of my estate, real or personal, ;without regard to any principle of diversification of risk. B. To_nvest ~-~~ a~1 fcrms of property ~ncludirg stock. ~cmmont?~ust =ands and -rortgage i nvestnlent T~~ndl~ -.aithcut -~estri ction ~o investments authorized Tor =~~n~zsylvai~i a fiduciaries as they deem proper, -,without regard to any principle of diversification of risk. ', C. To sell at public or private sale, to excha~ge or to lease for any period of time any real oral personal property and to give options for sales, exc,~anges or leases, for such prices and upon such terms or conditions as they deem proper. ', D. To allocate receipts and expenses to principallor income or pertly to each as they from time to time thi~k proper. E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly ineach. G. To hold property in their names without designation of Page 3 any fiduciary capacity or in the name of a nominee or unregistered. v. The interest of the beneficiaries hereunder shall) not be subject to anticipation or to voluntary or involuntary aliienation; and the principal and income shall be paid by the trustee or directly to o-r for th.e use of the beneficiary (!entitled guardian: _ thereto, without regard to any assignment, order, attachment or claim whateve?~ . _ ~~ . q~ \\\ T ,' 1 / I direct 'hat all taxes that may be assessed in consequence of ~"~ my death of -ahatesTer nature and by whatever jurisdiction. imposed, shall be paid from my residuary estate as apart of the expense of the administration of my estate. VII. I appoint my wife, Margaret W. Funk as executrix jof this my will. Should my wife, Margaret w. Funk predecease m~, fail to qualify or cease to act, I appoint my children, Lest~'r E. Funk, Vonnie R. Heishman and Mary Ann Gift, as Co-executors !of this my will. Page 4 vII2. No bond shall be required of any fiduciary hereunder in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal t¢ this my last will and testament, consisting of six typewritten p~.ges, the first four of which bear my signature in the margin for the purpose ;; of identification this ~ aay of ~i~ ~-~,.~ 2 OD 4 ~.. n (~ ~ r / S-y~ned, sealed; Uublished and declared by .he a; ~oT,re-na:~~ed teStatO=~ aS a.l`1d fOr '_1iS last :vlil and testament .i7 Ou1' '~-,OreSeliCe; who i n his presence, at his request and i n the presenc~,e of each other have hereunto set our hands as attesting witnessed. i VJe , ELDON E . FUNK , nn ~~ ~~ ~ • ~ and .~--- r(~ ' • Qf ~l the testator and the witnesses reslp~ectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the ~indersigned rit that the testator signed and executed the instrument as autho y his last will and testament and that he executed it as his free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testator signed the will as witnesses and to the best of their knowledge said signer was at that time eighteen years of age or o'ilder, of sound mind and under no constraint or undue influence. Testator ~l , ~itne cs,sD ~S~ t--t-CU,t. ~Jl . C~.t witness ~ ' r ~•J Subscribed, sworn to and acknovaledged ', before me by the above-named signer and subscribed and sworn to before ~ne by the above-named T.aitnesses this ~ ~ day of ~~Rl ~ ~ ~ ice' ~ ,~ ~ o _..„~o F Tsotary Public :~,r;~.^..;cl ;... tf.A~,::~8'i', i`Y/id6V ~Li~fiC 4~'F~~:N~g~~r~,h°cro,~:sr:~arkand?~t~rfu ~~IV ~ ?.iF "tF•~'a.:ivtt it ;iifc"'S Pt~~y ~.~r, ~(}'['~ ~~,igti.'~;, v ~ .?!':S l?~.=... _. .. _ . ~BtiQ(S Uf ~ ~.'•o'.arr~. s~ Page 6 Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price - BigC... Page 1 of 2 More Aaav~dfiwaaRlllr~' di~`e in ~h~ kraoz~~ = ^R. ~-~- Hams ~ t2uaas ~ News { Mduatriae ~ "Market 1Nlstarlcal +f2uates BigRrporta ~ ~AdYU~dTools um Products Thls Historical Quotes tool allows you to look up a security's exact closing price. Simply type in the symbol and a historical date to view a quote and mini chart for that security. Enter Symbol: ORRF _ Enter Date: 3/30/2010 Orrstown Finl Svcs Inc Tuesday, March 30, 2010 Closing Price: 26.18 Open: 26.295 High: 26.47 Low: 25.79 volume: 97,700 Go To Charting J No Splits 2-Month Daily Chart of Orcstown Finl Svcs Inc', Sponsored Links Forex Club Trade with Zero Spreads and Commission Refunds. $100 bonus. www.fxclub.com Free Penny Stock Alerts I' The Ox is on the hunt for big time returns! Join for FREE now! www.OxofWallstreet.com Penny Stocks Soaring 900% Sign up to the #1 Stock Alert Service for Free Now www.PennyStockGains.com Researching MBA Schools? Get Info on MBA Course Features & Benefits. Flexible Online Programs. Phcenix.edu Get started with a broker ~~. ~ ~ x ~7~.~ = 1a3, Isl. ~~ http://bigcharts.marketwatch.com/historicaUdefault.asp?detect=l &symbol=ORRF&clos~_... 4/15/2010