Loading...
HomeMy WebLinkAbout11-30-10 (3)r-~.. __. __. 1505610140 REV-1500 ~` ~°'-'°' OFFICUIL US O LY PA Department of Revenue Bureau of Individual Taxes County Code Y r' File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 ! 1' 0 1 0 1 1 H_a_rrsburg, PA 17128-0601 RESIDENT DECEDENT '~ ENTER DECEDENT INFORMATION BELOW ~uwa~ aocunry numve~ ware yr veam MMUUTTYY UaT@ OT I31Rn MMDDYYYY 0 0 6 2 0 9 0 8 9 0 9 1 4 2 0 1 0 0 7 1 3 1 9 2 '~ Decedents Last Name Suffer Decedent's First Name MI N E W K A M I M E L D A I'~ i C (If Applicable) Enter Surviving Spouse's Information Below l l Spouse's Last Name Suffix Spouse's First Name ', MI I Spouse's Social Security Number ~I THIS RETURN MUST BE FILED IN DUPLICg TE WITH THE REGISTER OF WILLS I~ FILL INAPPROPRIATE OVALS BELOW ® 1. Original Return ~ 2. Supplemental Return ~ 3. Remai Retum (date of death prior to 12 13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Faders E ate Tax Return Required death after 12-12-82) ® 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total N m~er of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Electio to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach S . O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFO T N SHOULD BE DIRECTED TI Name Daytime Tele ho Number R O G E R B I R W I N E S Q U I R E 7 1 7 2', 4 9 2 3 5 3 REGIST R F WILLS USE ONLY First line of address rv ° ~ ~~ 0 6 0 W E S T P O M F R E T S T R E E T =- ~ '~` `' Second line of address n .c ~__ _.- _,~ ~ W r ~ Grj ], C7 ~ r City or Post Office State ZIP Code C ~>~ ~ c°,'.• ~ED ~ ~' _ ~` C A R L I S L E P A 1 7 0 1 3 ~ ~ ~~~ r © ~~,~ '~, ~ Correspondents e-mail address: i Under psnalUss of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to t of my knowledge and belief it is true, oorroct and complete. Dsdaretlon of preparer other than the personal representative is based on all information of whidr has any knowledge. SIGNATURE RSON RESPONSIBLE R FILING RETURN DATE !l ~v <v ADDRESS 60 WEST P RET STREET CARLISLE II ~'A 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATNE I DATE ADDRESS 60 WEST POMFRET STREET CARLISLE ~ I~A 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 III L 1505610140 15056 O~L40 J ~I rj n :, REV-1500 EX Page 3 Decedent's Complete Address: Flle Number 21 10 1011 __ DECEDENTS NAME IMELDA C. NEWKAM STREET ADDRESS 801 N. HANOVER STREET CITY CARLISLE STATE PA ZIP 17013 Tax Payments and Credits: ~ • Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 615.92 3. Interest 4. 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. (3) (4) (5) Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE 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 Iffe 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 fol' or payable-upon~ieath bank account or security at his or her death? ........ 4. Did decedent own an individual retirement acxount, annuity or other non-probate property, which contains a benefiaary designation? ................................................................................................. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE ,TE BLOCKS Y No LU 4~ ~ ~-S PART OF THE RETURN. 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 r fpr 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 survi in~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 req ire es'nts for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefidary. 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 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 {ineal benefidaries is 4.5 percent, 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 decedents siblings is 12 percent [72 P.S. §9' Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoptior Total Credits (A + B) (2) Muse of a natural parent, an Ceat as noted in 16~a)(1.3)]. A sibling is defined, uncle REV-1503 EX + (8-98) COAMWONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT _ _ __ SCHEDULE B STOCKS & BONDS :STATE OF FILE NUMBER MELDA C. NEWKAM 21 10 1011 All properly jointly-owned with right of sunhronihip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION ~ OF DEATH 1. ORRSTOWN FINANCIAL ADVISORS 932.62 932,620 SHARES FORWARD US GOVERNMENT MONEY-INSTITUTIONAL i 2. ORRSTOWN FINANCIAL ADVISORS ~I 48,771.73 3,329.128 SHARES FOWARD INCOME ALLOCATION-INSTITUTIONAL 'I !, TOTAL (Also enter on line 2, Recapitula 'on I S ~ 49 704.35 (If more space is needed, insert additional sheets of the same size) '' SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. I" RES DENT I cF_RnE~ " PERSONAL PROPERTY ESTATE OF FILE NUMBE IMELDA C. NEWKAM 21 10 10 1' Include the proceeds of litigation and the date the prooseds were recehred by the estate. All propeRy -0wnsd with M of survhrorship must be discbsed on ScheduN F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ORRSTOWN BANK -CHECKING ACCOUNT #106003040 ', 4,160.88 2. I ORRSTOWN BANK -MONEY MARKET ACCOUNT #106800623 ' 85,748.71 3. ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000028896 80,195.28 4. ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000028897 I i II i I i I I ' I 80,195.28 TOTAL (Also enter on line 5, Recapitul tiorh) S 250 300.15 pf more space is needed, insert additional sheets of the same size) REY-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS FILE N 21 1 uocovem s asua muse De repor[eo on x118GUre 1. ITEM NUMBER DESCRIPTION ~ AMOUNT A. FUNERAL EXPENSES: 1. PROMENADE -FUNERAL LUNCHEON ~, I~I ill 200.00 . i I I ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: ~ Name(s) of Personal Represer~tive(s) ROGER B. IRWIN '~ 12,000.00 Street Address 60 W. POMFRET STREET I Cry CARLISLE S}a~ PA ZIP 17013 ~ Year(s) Commission Paid: I 2, AUomeyFees: IRWIN 8 McKNIGHT, P.C. ' 12,750.00 3. FamNy F~cemption: (If decedents address is not the same as claimants, attach explanation.) ', Claimant Street Address CtiY State ZIP Relationship of Claimant to l~Cedent 4• Probate Fees: REGISTER OF WILLS ~, '' 272.50 5 AcoountantFees: PATRICIAA. ROSENDALE, CPA II ', 345.00 I INCOME TAX RETURNS 2007-2010 I ', 6. TaxRetumPreparerFees: PATRICIAA. ROSENDALE, CPA ~ 350.00 FIDUCIARY TAX RETURN 7. REGISTER OF WILLS -FILING FEE ~ 30.00 8. CUMBERLAND LAW JOURNAL -ESTATE NOTICE ' 75.00 9. THE SENTINEL -ESTATE NOTICE I 176.92 10. REGISTER OF WILLS -SHORT CERTIFICATE ' 4.00 11. NOTARY FEES I II ~~ i ~, ~I~ I 35.00 TOTAL (Also enter on Line 9, Recapitul ~ s 26 238.42 If more space is needed, use additional sheets of paper of the same size. i REV 1512 EX+ 12-08 ( } Pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT , ESTATE OF FILE NUMBE IMELDAC. NEWKAM 21 10 1d 11~ Repoli debts Incurred by the decedent prior to death that remained unpaid at the date of death, including unreim ur~sed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. MOBILE X-RAY IMAGING -MEDICAL II i I III I I I II i I i i j II it I, I 24.54 TOTAL (Also enter on Line 10, Recapitu atiq'n) E 24.54 11 more space is needed, insert additional sheets of the same size. pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBE IMELDA C. NEWKAM 21 10 1 11' RELATIONSHIP TO DECEDE T AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS pndude outright s sal distributans and transfers under Sec. 91'6 (a~(12).] 1. MARGARET R. TRUXAL Lineal ' 91,247.18 10 E. OAKWOOD AVENUE 1/3 REMAINDER CARLISLE, PA 17015 2. JANET A. CARLSON Lineal ' 91,247.18 PO BOX 663 ' 1/3 REMAINDER CORNWALL, PA 17016 3. IMELDA M. STEVISON Lineal 91,247.18 252 S. WEST STREET 1/3 REMAINDER CARLISLE, PA 17013 I I I I I I ENTER DOLLAR AMOUNTS F STRIBUTIONS SHOWN ABOVE ON LINES 15 T i HROUGH 18 OF REV-1500 CO E S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UN R SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. I i i I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: ~ 1. ~, I I~ I' i III TOTAL OF PAttT II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET '~ s ~~ mole spay is neeaea, use aaair~onal sneers Di paper Di the same size. f 1,~~ i1i ~z~ (~ e~~~nnte~ I, IMELDA C. NEWKAM, of the Borough of Carlisle, Cu berland County, Pennsylvania, declare this instrument to be my 1 s~ will and testament, hereby expressly revoking all wills and ~odicils heretofore made by me. ~, 1. I direct my executrices to pay all of my debts, funeral and administrative expenses as soon as may be done conv ni''~,ently after my decease. 2. I authorize and empower my executrices to s~1T~ any realty owned by me at my death, and not specifically e'vised herein, at either public or private sale, and to give g od and sufficient deeds therefor, in fee simple, as I could dq if living. 3. I give, devise and bequeath all of my estate, of every nature and wherever situate to my three children, share an~ share alike, the child or children of any deceased child takilg the share their parent would have taken if living. However, a y', home loan given by me to my three children, shall be forgiven 'n full with the understanding that the ultimate distribution sh~ll be equal to each child, and this equality is to be consideredlim the home loan forgiveness, so that each child receives the exa t same amount in final distribution of their share of the asses and forgiveness. ~, 4. I nominate and appoint Margaret R. Truxal, Jar~e~ A. Carlson and Imelda M. Stevison, to be the executrices of ~hi~s my last will and testament; they are to serve as such without bond. I 5. I hereby suggest that my personal representativl retain the services of Irwin, Irwin & McKnight, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2 6~ day of May, 1987. 5EAL) Signed, sealed, published and declared by Im~llga C. Newkam, the testatrix above named, as and for her la t!, will and testament, in the presence of us, who, at her reque t~ in her presence and in the presence of each other have sub cribed our names as witnesses hereto. . ,..,,.. f .. I'p. ' ACKNOWLED6EbENI AND AEEIDA~I.IT WE, IMELDA C. NEWKAM, BETZI A. MORRISON and SF~A~ON L. SCHWALM, the testatrix and witnesses respectively, who~e,names are signed to the foregoing instrument, being first dul}~ sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Lash' Will and that she had signed willingly, and that she execute l) 'it as her free and voluntary act 'for the purpose herein express d,' and that each of the witnesses, in their presence and heaein pf the testatrix, signed the Will as a witness and that to the bbst of their knowledge the testatrix was, at that time, eighteen ,years of age or older, of sound mind and under no constrainlt or undue influence. '~ COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND . Subscribed, sworn to and acknowledged before ~m~ by IMELDA C. NEWKAM, the testatrix, and subscribed and sworn to before me by BETII A. MORRISON and SHARON L. S~H~IALM, witnesses, this Lbr day ~r "-•• ~^^~ _ _ _,,., _~ __ 1d: 38 ORRSTOWN BRNK (FR?O7172d98010 P. 002/003 ds Web Systcm Page 1 of t ~~~ ~Rl~~~T ~~A~~ ~ Tradrt~'on of llQ»c~- !, Shareholder ~~ Rstnpe AeoountNO.110i2001808 Imelda Newkam 252 5. West St. Carlisle, PA 17013 Account saiancoc As of: ~ 09/~4/ptQ10 anti Narrm sew un tea ih rward US Government Mo -InstRudonsl 932. .~ 93 1. 9 6 and o Albatbn-Inatibttional 3 29.1 .00 3 329 1 Si4 . 771 taI . . . 704.3 Snapshot ~: PRM1 - Prpmler income Alkuation O~eodw/Strategyr Seeks high current income and some stability of principal. UNDERLIRNG FtJN~ PERCENT NIGNEy MANAGER InU Flxed Incofie 9.7 motet Asset Management, Applks a fundamental macro view of the markets by utilizing li data analysis baste on extensive knowledge of business cycle ~ necessarily market) rokvant data and proprietary Indicators wl track records. I.a~G~edp_Hxed 47.9 l~dfk Investtnnnt Msn~ee Company, Newport Beach, Uses bottom-up rosearch through sector spedaliabi charged wl dctcrmining rolaGve value and top-down analysis formalized d~ annual Secular Forums. d.lt. 21.8 ~41aek8ock_FIIlanelal.Manag New~!ork,~LY Recognized as a leader in mortgage-backed securities market, ~ continue to evolve and malntaln thdr expertise In this chalkmgi class. 11.~GQltL.MROdC 5.9 Forward Management,_Sap CA Attempts to maximize yield while malntalning a stable 81.00 N/ Government Sponsored Enterprises (such as Freddie Mat, Farm and FHLB) although sponsored or chartered by the U.S. Govern not funded by the U.S. Govcmrrient and the securities they issu Risk Level guaranteed by the U.S. Government. +Includes investments In cash equtvalonts. An investment In ehe lnnd b not insured gaara~eed by the PDiC or any ocher government apenry Although the Fund sNlgi to preserve the value of your ins at ¢1.00 per share, R Is possible to lose monelr by InvestU wnd. til9h rIQ~IJ. 14.7 FlrSt Wesbetnlpvestmant Nlatltiggment_ DQnve~CO Employs wdl-defined, disdpGned, time-tested strategies In purse attractive and tansiatent aftoriax reeurns. investing invah-es risk, including possible loss of principal. When investing in small tap stocks 'ate greater fluctuations in market value. By Invesdr~g In International stocks, Induding erne naricets and frontier markot,a, you may be sub)ecx to curronry fluctuations and political and a nstablllty. fty Investing In high yield bonds you may be sub)cetcd to groater price volatility bs luctuations in imuer and credit quality. When investing In bonds, you are sub)ect, but not lime htgr~:/hn'ww•forward£ands-corn/FFWeb/chengcVievvData.da?tral mot tare nee or eM IIn tl~a of ~__,. may mk Ian to, fi... 1 X/10/2010 OCT-1 ~'110(WED) 12:33 1 . ~~ QRRSTOWN FINANCIAL SERVICES; INC. A T+vdilion ajf.~sl~riur. P. 0011002 October 13, 2010 i Roger B. Irwin, Esq. '~, Irwin 8s McKnight, PC 60 West Pomfret Street I~ West Pomfret Professional Building Carlisle, PA 17013 Fax 249-6354 i Re: Estate of lmelda C. Newkam ~' Social Seeuri~.jr Number 006-20-9089 Date of Death September 14, 2010 1T 1S HERERBY CERTIFIED THAT THE ABDVE NAMED DECEDENT, q#N THE ABOVE DATE, HAD THE FOLLOWING ACCOUNTS WITH ORRSTO BANK: CHECKING ACCOUNT Account No. - 106003040 Account Type - 50+ Interest Check ' Date Opened - 4/ 17/03 Joint Account (name/date) - None '~, Balance - $4,160.85 ~~ Accrued Interest - $.03 ~, M_ ONEY MARKET ACCOUNT ~ '- Account No. - 106800623 Account Type - Money Market Date Opened - 9/25/09 Joint Account (name/date) - None Balance - $85,742.96 ~, Accrued Interest - $5.75 ', I 77 East King SLnxl;, Shin~ensburg, Prnnsylv®nia 17257 OCT-1~ 'O10(~JED} 12, 3d CE ~l TE OF DEPO ll Account No. - 4000028896 Account Type - 30 Gold Medal W/ Dcp Date Opened - 9/23/08 Joint Account (name/date) - None Balance - $80,000.00 Accrued Interest - $ 1, 95.28 Account No. - 4000028897 Account Type - 30. Gold Medal W/Dep Date Opened - 9 / 23 / 08 Joint Account (name/date) - None Balance - $80,000.00 Accrued Interest - $195.28 t Regards, Vicki L. Gullixon ` Customer Service Specialist P. 002!002 T7 Enat King S6rcet, Shippeneburg, Fennsylv,~nia 17257