HomeMy WebLinkAbout12-01-10 (2) 1505607121
REV-1500 EX
06
05
(
-
)
PA Department of Revenue OFFICIAL USE ONLY
eureauoflndnridualTaxes
Po aox 28osof INHERITANCE TAX RETURN County Code Year File Number
Harrisbum, PA 17128-0601
RESIDENT DECEDENT 2 1 1 0 0 9 4 7
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
2 0 1 1 6 1 1 6 1 0 9 1 1 2 0 1 0 0 2 1 2 1 9 2 5
Decedent's Last Name Suffix Decedent's First Name MI
S T I N E A L I C E p
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
D 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)
QX 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
I V O V O T T O I I I 7 1 7 2 4 3 3 3 4 1
Firm Name (If Applicable) - __ ___ __
M A R T S O N
First line of address
1 0 E A S T
Second line of address
City or Post Office
C A R L I S L E
State ZIP Code
REGISTER OF WILLS USE ONLY
~i ~ N
0
0
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~_ ~ ~
CI1 ~'
P A 1 7 0 1 3
Correspondent's e-mail address: I O T T O a M A R T S O N L A W• C O M
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Under penalties of perjury, l dedare that I have examined this return, induding accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, co--ect and complete. Dedaratron of preparer other than the personal representatnre is based on all information of which preparer has any knowledge.
SIGNATU ~E~ APB ~, Ofd RESPQ(JSI`BLrnE F'OQR,F,I'LI ~ RETURN DATE
vf' ,~nl ~ ~ /02 l `' l
ADDRESS
1321 S RING ROAD CARLISLE PA 17013
SIGNATUR~F~E~A HER THAN REPRESENTATIVE DATE
10 EAST HIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505607121 J
L A W O F F I C E S
H I G H S T R E E T
s~
1505607221
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: ALICE P• S T I N E 2 0 1 1 6 1 1 6 1
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. 8 8 6 0 1 . 0 8
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property
(Schedule G) ~ S
t
Billi
epara
e
ng Requested ....... 7.
8. Total Gross Assets (total Lines 1-7) ........................... 8. 8 8 6 0 1, 0 8
9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9. 1 D D 3 9 . 8 8
10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I
9 9 ( ) ............ 10, 1 0 8 7 , 9 3
11. Total Deductions (total Lines 9 & 10) ........................... 11. 1 1 1 2 7 . 8 1
12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 7 7 4 7 3 . 2 7
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. 7 7 4 7 3 . 2 7
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.o _ 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 7 7 7 4 3. 2 7 16. 3 4 9 8. 4 5
17. Amount of Line 14 taxable
at sibling rate X .12 0 D D
17.
0.
0
0
18. Amount of Line 14 taxable
at collateral rate X .15 D. D 0
18.
0.
D
D
19. Tax Due ................................................ 19. 3 4 9 8. 4 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
1505607221 1505607221 J
REV-15p0 EX Page 3
Decedent's Complete Address:
File Number
21 10 0947
DECEDENTS NAME
ALICE P. STINE
--- -_---
STREET ADDRESS
1321 SPRING ROAD
__-
CITY STATE -- ZIP
CARLISLE PA 17013
Tax Payments and Credits:
t Tax Due (Page 2 Line 19) (1) 3
498
45
2. Credits/Payments ,
.
A. Spousal Poverty Credit
B. Prior Payments
C. Discount 174.92
Total Credifs (A + B + C) (2) 174
92
3. Interest/Penalty ifapplicable .
D. Interest
E. Penalty
Total InteresbPenalty (D + E) (3) 0
00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. .
Flll in oval on Page 2, Llne 20 b request a refund. (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 3,323.53
A. Enter the interest on the tax due. (5A)
B. Enter fhe total of Line 5 + 5A. This is the BALANCE DUE. (5B) 3 , 3 2 3.5 3
Make Check Payable to: REGISTER OF WILLS, AGENT
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. retain the right to designate who shall use the property transferred or its income; ............................... ^ Q
c. retain a reversionary interest; or ................................................................................................ ^ 0
d. receive the promise for life of either payments, benefits or care? ....................................................... ^ Q
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ^ Q
3. Did decadent 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 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 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) peroent (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. §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 twenty-one years of age or younger at death fo or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (O) 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 four and one-half (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 twelve (12) percent (72 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.
REV-1508 EX + (8-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA C~`~SHf BANK DEPOSITS, Ot M~S{.r.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ALICE P. STINE 21 10 0947
Include the proceeds of 1rfigation and the date the proceeds were received by the estate.
All properlyjointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. M&T Bank checking 2670040035 86,426.19
($86,416.60 + $9.59 interest -see attached)
2. Mass Mutual, benefit received after date of death ;54.06
3. Ewing Brothers Funeral Home, refund 77 18
4. SSA payment for September, deposited to M&T Bank checking 2670040035 after date of death 1,743.65
TOTAL (Also enter on line 5, Recapitulation) ~ S 88,601.08
(If more space is needed, insert adddional sheets of the same size)
REV-111 EX+(10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES 8
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
ALICE P. STINE 21 10 0947
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Ewing Brothers Funeral Home, Cazlisle, PA 3,345.00
2. Carlisle Memorial Services, Inc., headstone 61 %.00
3. Ewing Brothers Funeral Home, foundation for headstone 350.00
4. Elizabeth Gazman, reimbursement for funeral dinner 163.00
5. Ministerial donation 150.00
8. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City Sfafa Zip
Year(s) Commission Paid:
2, AttomeyFees MARTSON LAW OFFICES
3. Family Exemption: (lf decedents address is not the same as daimanYs, attach explanation)
Gaimant
Street Address
City State _
Relationship of Claimant to Decedent
Zip
4. ~ Probate Fees Register of Wills, Cumberland County
5. I Accountant's Fees
6. ~ Tax Retum Preparer's Fees
7, Filing fee, Inheritance Tax Return
8. Register of Wills, additional probate
9. Estate checks
5,180.00
135.00
1 > .00
75.00
9.88
TOTAL (Also enter on line 9, Recapitulation) I $
10,039.88
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12A3)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
ALICE P. STINE 21 10 0947
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. Pharmerica, account payable 333.65
2. ~ Verizon, account payable
3. ~ Golden Living Nursing Home, account payable
TOTAL (Also enter on line 10, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
.60
748.68
1,087.93
REV-1513 EX + (g-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
ALICE P. STINE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS (inGude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Elizabeth Garman
1321 Spring Road
Carlisle, PA 17013
2. Linda L. Bennett
64 Scotch Gap Road, Unit 127
Quaker Hill, CT 16375
FILE NUMBER
21 10 0947
aT10NSHIP TO DECEDENT
Do Not List Trustee(s)
Lineal
Lineal
AMOUNT OR SHARE
OF ESTATE
38,871.64
38,871.63
~ 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 IS 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)
REV-1500 Discount, Interest and Penalty Worksheet
Discount Calculation
Total Amount Paid within three calendar months of the decedent's date of death
Discount: 174.92
Interest Table
Year Days Delinquent
this time period
_-
_- _ -----
Before 1981
1982 --- -
1983 -.. _ _-
1984
,one
77,743.27
interest
this period
---
- -- -_ ~__
1986
T
--- - - -
--
~
. - -
_
- - - - -- ---
~-- ._ -
1987
-- -- I - ! ~
1988 through 1991 ~_
-
_
__ __-
-- --
-
-~ --
1992 ~
1993 throu h 1994 ~ __
-~-
1995 th
h 1
~- -
--- -
~ _
roug
998
-
_- __ _ _-_
1999
-- ----- - ---- -
~
- -rt-
2000
-
------
~-
2001 --_-
- - _.
- _
_-
- --- -
- --__ - --
2002 -- - --- --- -
- ,--
-
2003
- - --- -_-
- ~
--
-- ---
- ----
2004 ~ - -
2005
-- , -
2006
2007
2008
_-
2009 -}
- --- - --
,._ -
- -----
__.. _ _-
--,--- -
TOTALS
Penalty Calculation
If the decedent's date of death was on or before March 31, 1993, insert the applicable amount:
Total Balance Due on January 17, 1996:._ ___-___ _____
Penalty: - ----- -
Balance Due
this year
-----~---- - -_ - ----f---
-- - -- , _-
u.
F:~FILESDATAFILE\Estate Plaiuung\49I4.WIL
ORIGINAL RETAINED BY;
LAW OFFICES
=~aztson J~eazc~o¢ f f ~c~~cams ~ ~~o
A PROFESSIONAL CORPORATIOPE
TEN EAST HIGH STREET
CARLISLE, PA 17013
17771243-334'
LAST WILL AND TESTAMENT
I, ALICE P. STINE, of South Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all
inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My personal representatives shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other
y~''~,,,,- property not passing under this Will.
2-
I give, devise and bequeath all the rest, residue and.: remainder of my estate, both real and
personal property, unto my daughters, ELIZABETH GA,RMAN and LINDA LEHMAN, in
equal shares, absolutely.
3.
I nominate, constitute and appoint my said daughters, ELIZABETH GA,RMAN and LINDA
LEHMAN, as Executrices of my estate.
4.
I direct that my Executrices shall not be required to file a bond to secure the faithful
performance of their duties in any jurisdiction.
5,
I authorize and empower my Executrices, in their sole and absolute discretion, to purchase
or otherwise acquire and retain any investments of which I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such prices
as they may deem advisable; to borrow money for any purposes connected with the protection and
~~.
A.P.S.
Page 1 of 3 Pages
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my estate
against others or of others against my estate; to make distribution in kind and to cause any share to
be composed of cash, property or undivided fractional shares in property different in kind from any
other share; to employ agents, attorneys and proxies and to delegate to them such power as my
Executrices consider desirable and to pay reasonable compensation for such services as may be
rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may
be necessary to carry out any of these powers. In addition, I direct that my Executrices shall have
the power to conduct an inventory of any safe deposit box necessary to the administration of my
estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this /s7` day of
y~ ~ , 2002.
_~
~~' ~ ~_.~ ~~, ~ y,..~ (SEAL)
Alice P. Stine
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
~_
Page 2 of 3 Pages
COlVIMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
We; AliceP. Stine, .,~~/~,~iiGl/r1G ..,V~L=,I~' ,and ?'Y/~,--~~~ ~ ~ ,~~yt
the Testatrix and the witnesses, respectively, whose names are signed to the 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 the Testatrix has signed willingly, and that the
Testatrix 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 a witness and that
to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
Subscribed, sworn to and acknowledged before me by Alice P. Stine, the Testatrix, and
i
subscribed and sworn to before me by ~.~~s.~/~,r? G ~ , l~ t°C~ ~' and
`~~1ltrCt~~~~ r e-r~r,_.a~~~~ ,the witnesses, thGis l~rday of r~~-,~ , 2002.
i
.~. ~
Public
NOTARIAL SEAL
CORRII~}E L. MYERS, Notary Public
CarNsle Boro, CumberlandCounry
Commission Fzpires Ma 27, 2 3
Page 3 of 3 Pages
1 ~ '
ice P. Stine, Testatrix
09-24-'10 14:53 FRONJ-MFD-849874 3029342610
]. TypeofAcxount Checking Account
Accx~urrt Number 2670040035
Ownc~s/rip (NcancsY q~ Alue P Stine
~~~ D~ US-/0]/67
Balance on Date of Death $86,416 60
Ac<:rued Interest $ 9.59
Total $86,416.19
T-440 P0002/0002 F-361
Far tLtther oceount htfornaUon, ebsures and/or rdmbttrsanent of Nods please call the High Street Carlide OIRce at #117.7,40.4.36.
We were uaahle to locate any safe deposit box for the above~nentioned decedent.
This letter does ttot htdude aqv aecouub fn which the deceased nay Mtve beat Ifsted as Power of Atrontry, Custodbtn of Uniform
Tranafcx~, Repr~cntativo Payoff or Trustee under a Wfittcn Arrcr~n~~nt
Sincerely,
Si „r,p M Kunble
Adjusttnent Services