HomeMy WebLinkAbout01-12-11J
REV-1500
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280801
Ex tot-tol
1505610145
Pennsylvania
oEauin~r or rtEV~ue
INHERITANCE TAX RETURN
en t tR DECEDENT INFORMATION BELOW
Social Security Number Date of Death
197-40-6546 07292010
Decedent's Last Name
MMDDYYYY Date of Birth
Suffix
Long
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
10041918
OFFICIAL USE ONLY
Courriy Code Year File Number
a~ l~ ~~~
MMDDYYYY
Decedent's First Name
MI
Ruth A
Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
FILL IN APPROPRIATE BOXES BELOW REGISTER OF WILLS
®, o..
ngmal Retum
(~
2. Supplemental Retum
(~ 3
R
4. Limited Estate
~
4a. Future Interest Compromise (dat
f .
emainder Retum (date of death
Prior to 12-13-62)
® 6. Decedent Died Testate e o
death after 12-12-82) 0 5• Federal Estate Tax Retum Required
(Attach Copy of Will)
[~ 9
Liti
ti [~ 7. Decedent Maintained a Living Trust
(Attach Copy of Trust) 0
---- 8• Total Number of Safe Deposit Boxes
.
ga
on Proceeds Received [~ 10 Spousal poverty Credit (date of death
0 11
El
between 12-31-91 and 1-1-95) •
ection to tax under Sec. 9113(A)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDE
Name NTIA
L TAX INFORMATION SHOULD BE DIRECTED T0:
DaytimeSelephone Number
Robert G. Frey
7172435838n =--
~- O -_" `a _} r_r,
REGISTER OF r' ~ '
USE ONLtY- C^? ~'~"r
rn_;:n
First line of address ~ ?~ ~•
5 South Hanover Street ~'c~c~ --„ F
Second line of address ~ `-~' ~ `~ ? .+
r_ ~ ~-' -
--I .. r.___ '-T-i
City orPost Office _._
State Zip r,^,ode DATE FILED
Carlisle PA 17013
correspondents e-mail address: rf reyQ f reyt i 1 ey .com
Under penalties of perjury, I dedare that I have examined thrs return, indudr acco
r-ry owledge and beBef, it is
true and com fete, Declaration of re ter other than the rsonal reresert~vtr a is based onlaii ntonnationeo wh•ch re~arebr hasfan knowl e•
SIG RE OF PERSONONSI FOR FILING RETURN
ADDRESS - DATE
- ~.~ yr tK VT R REPRESENTATIVE
DA
ADDRESS ~ Z 3 p ~!®
5 South Hanover Str Carlisle, PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
~.,~. 1505610145
1505610145
'--~ C;
J
REV-1500 EX
1505610245
Decedent's Social Security Number
DecedenCs Name: RU t Yl A L O n
RECAPITULATION
19 7
- 4 0- 6 5 4 6
1. Real Estate (Schedule A) ....................................... .... 1. NONE
2. Stocks and Bonds (Schedule B) .................................. .... 2. NONE
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. NONE
4. Mortgages and Notes Receivable (Schedule D) ........... 4
NONE
............
.
.. .
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ... ... 5,
15518.00
6. Jointly Owned property (Schedule F) (Separate Billing Requested 6
......
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ..
,
2 5 2 9 5. 0 0
(Schedule G) Separate Billing Requested
...... . .
7. NONE
8. Total Gross Assets (total Lines 1 th
rough 7) ............. .
""'•••••~
~• 8•
40813.00
9. Funeral Expenses and Administrative Costs (Schedule H)
.... .
...........
.. s.
9850.00
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... .. 10. NONE
11. Total Deductions (total Lines 9 and 10) ....
......................... .. 11.
9850.00
12. Net Value of Estate (Line 8 minus Line 11) ....
........ .
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
12
3 O 9 6 3 . 0 0
an election to tax has not been made (Schedule J) .......
. • . • ,
14. Net Value Sub'ect to Tax Line 12 minus Line 13 13
0.00
............. .
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
14
3 O 9 6 3 . O O
15. Amount of Line 14 taxable at
the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 0
16. Amount of Line 14 taxable 15' O . 0 0
at lineal rate x .0 4 5 3 0 9 63
0 0
.
17. Amount of Line 14 1s.
13 9 3. 3 4
taxable at sibling rate X • 12
18. Amount of Line 14 taxable 1 ~• 0 . 0 0
at collateral rate X , 15
18' 0.00
19. TAX DUE ...............
........................................ 19.
1393.34
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
~.... 1505610245 150561024
5 J
REV-1500 EX Page 3
Decedent's Complete Address: File Number
21-10-0896
DECEDENT'S NAME
STREET ADDRESS
CITY
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments 900.88
B. Discount
STATE
ZIP
197-40-6546
(1) 1393.34
3. Interest Total Credits (A + B) (2)
900.88
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3)
Fill in box on Page 2, Line 20 to 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) 492.46
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:
a. retain the use or income of the property transferred : ............................... Yes
b. retain the right to designate who shall use the property transferred or its income : ................................ ~ X
c. retain a reversionary interest; or ....................
d. receive the promise for life of either payments, benefits or care? ......................................................... a
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ...........
3. Did decedent own an "in trust for" orpayable-upon-death bank account or security at his or her death? .... ~ X
4. Did decedent own an individual retirement account, annuity or other non-probate property, which ^
contains a beneficiary designation? .............
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT^AS PART OF~THE RET
URN.
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 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 Jan. 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 disGosure of
assets and filing a tax return are stilt 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 to
x 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)]. 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+ (g_gg)
SCHEDULE E
CASH, BANK DEPOSITS, ~ MISC.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF
Ruth A Lon FILE NUMBER
InGude the proceeds of litigation and the date the proceeds were received by the estate. 21-10-0896
All ro 'ointl -owned with ri ht of survivorshi must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
1 Sovereign Bank account 1674061463 OF DEATH
2 Sovereign Bank account 1691016802 14,659
3 CenturyLink refund 626
4 Highmark refund 10
5 State Farm refund 211
12
TOTAL (Also enter on line 5 Recapitulation) ~
(If more space Is needed Insert addltlonal sheets of the same size) 15 518
REV-1509 EX+(p~_~p~
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE AF•
SCHEDULE F
JOINTLY-OWNED PROPERTY
Ruth A Lon FILE NUMBER:
If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Sched89e G.
SURVIVING JOINT TENANT(S) NAME(S)
ADDRESS RELATIONSHIP TO DECEDENT
A. Thelma K. Snyder 324 Acre Drive, Carlisle, PA 17013
B Faye L. Hain Children
Maynard L. Long, Jr. 10 Circle Drive, Carlisle, PA 17013
~~ 200 Sulphur Spring Road, Carlisle, PA 17013
D Jesse W. Long 1152 Easy Road, Carlisle, PA 17015
E Judy A. Johnston
52829 200th Street, Moms, MN 56267
F
C.
JOINTLY OWNED PROPERTY:
ITEM
N LETTER
FOR JOINT DATE
MADE DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BA
DATE
UMBER
TENANT
JOINT NK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINT DATE OF DEATH DECEDENr
OF DEATH
~ •
A•
8/29/01 LY HELD REAL ESTATE.
Sovereign Bank Acct. No. 1675291999 VALUE OF ASSET INTEREST DECEDENTS INTEREST
2•
B
8/29/01
Sovereign Bank Acct. No. 1675292005 10,011 50.00% 5,006
3•
C
2/10/86
Sovereign Bank Acct. No. 1695214153 10,011 50.00% 5,006
4•
D
5/23/95
Sovereign Bank Acct. No. 1695214575 10,010 50.00% 5,005
5•
E
5/23/95
Sovereign Bank Acct. No. 1695214583 10,277 50.00% 5,139
10,277 50.00% 5,139
0
0
0
0
0
0
0
0
0
0
0
TOTAL (Also enter on Line 6 Recapitulation)
If more space Is needed, use addltlonal sheets of paper of the same size. 3
REV-1511 EX + (10-09)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ruth A Lono
ITEM
NUMBE
A.
1.
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
FILE g R
Decedent's debts must be reported on Schedule I.
FUNERAL EXPENSES:
Hoffman Roth Funeral Home
2. Hoy's Greenhouse (flowers)
3. Tim Dugan (Honorarium to minister)
4. St. Matthew's UCC Women's Guild (Memorial Service Reception)
5. Joan Sweger (Honorarium to organist)
B• ADMINISTRATIVE COSTS:
~ • Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
State Zlp
Year(s) Commission Paid:
2• Attorney Fees:
3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City
State Zlp
Relationship of Claimant to Decedent
4• Probate Fees:
5• Accountant Fees:
6• Tax Retum Preparer Fees:
7. Final Medical bills to Carlisle Regional Medical Center
8. Cumberland Goodwill EMS (ambulance)
9. Advertising Costs to Cumberland Law Journal and The Sentinel
10. Sovereign Bank (research fee)
11. Final Nursing Home bill to Sarah Todd Memorial Home
TOTAL !Alen a.,+e. ,...
-----~ o, ~~c~,a
If more space is needed, use additional sheets of paper of the same size.
-1
4, 749
159
100
200
50
1, 500
241
150
84
273
20
2,324
9
REV-1513 EX+ (01.10)
ESTATE OF:
NUMBER
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE)
BENEFICIARIES
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
1 Faye L. Hain
10 Circle Drive, Carlisle, PA 17013
2 Steven Otto Daughter
3670 Carlisle Springs Road, Carlisle, PA 17013
3 Anita Long Grandson
1916 Fry Loop Avenue, Carlisle, PA 17015
4 Maynard L. Long, Jr. Granddaughter
201 Sulphur Spmng Road, Carlisle, PA 17013
5 Cindy L. Willhide Son
1526 Terrace Avenue, Carlisle, PA 17013
6 Khristie Long Granddaughter
317 Zion Road, Mt. Holly Springs, PA 17065
7 Jesse W. Long Granddaughter
1152 Easy Road, Carlisle, PA 17015
8 Brenda L. Long Son
200 Sulphur Spring Road, Carlisle, PA 17013
9 Thelma K. Snyder Daughter
324 Acre Drive, Carlisle, PA 17013
10. Judy Ann Johnston Daughter
52829 200th Street, Moms, MN 56267
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROU GHDIB OF REV-1500 COVER SHEI
NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
N/A
Taxable Distributions:
11.IRobert F. Otto, Jr., Grandson
41 Wertzville Road, Carlisle, PA 17013
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
If more space is needed, use additional sheets of paper of the same size.
FILE NUMBER:
1-10-0896
AMOUNT OR SHARE
OF ESTATE
.T, AS APPROPRIATE.
0
r t - -
's ~
_ LAST WILL AND TESTAMENT OF
RUTH A, LONG
I, RUTH A. LONG, widow, of Middlesex Township (200 Sulphur
Springs Road, Carlisle) Cumberland County, Pennsylvania, being of sound
and disposing mind, memory and understanding, do hereby make, publish
and declare this ar and for my Last Wiil and Testament hereby revoking and
making void any and all Wills by me at any time heretofore made.
1. I direct my hereinafter named Executors to pay all• of my just
• debts and funeral expenses as soon after my death as may be found convenient
to do so.
2. I give, devise and bequeath an amount equal to eight (8%) percent
of the gross amount of my estate in equal shares to such of my five daughters
as shall survive me by a period of Ninety (90) days, the share any deceased
daughter would have received to be paid to her•issue per stirpes and if there
be no issue such shares shall lapse and be disposed of as a part of the residue
of my estate, My five daughters are Faye L. Stewart, Louise C. Otto, Thelma
K. Snyder, Brenda L. Long, and Judy A. Long.
3. If I am still the owner at the time of my death of the tract of land
situate in Middlesex Township, Cumberland County, Pennsylvania, containing
24 Acres, 98 perches, more or less, and improved with a dwelling house, said
premises being described in deed from William Lee Adams and wife to Maynard
L. Long and wife dated May 1, 1962 and recorded May 15, 1962 in the Office
• of the- Recorder of Deeds in and for Cumberland County at Carlisle, Pennsyl-
vania, inl9eed Book "N", Volume 20, Page 86, together with a 50-feet wide
right-of-way excepted a d reserved by me extending from Township Road T-708
throw h the ~d "~ ~ ~ tltl exxppect to
g J~-i*~ owned by me/Lwh~~I/cohvey to my son, Maynard L.
Long, Jr. and wife, in such event I direct my hereinafter named Executors
Page 1 of 3 Pages
to give first opportunity to purchase said tract of land containing 24 Acres
98 perches, more or less, to my son, Maynard L. Long, Jr., on such terms
as my Executors shall determine with the approval of a majority of my five
daughters, provided he shall exercise such ri ht within Nine
g ty (90) days from
the date the prop d terms and conditions are communicated to him in
writing from my Executors, but should he decline or neglect to complete
the purchase of same in accordance with such terms, then I direct that my
hereinafter named Executors shall proceed to sell the same thereafter free
and clear of this right of first privilege to purchase, provided that thereafter
my said son, Maynard L. Long, Jr. shall have a right of. first refusal to
purchase same on whatever terms and conditions are acceptable to my
Executors for the sale of said premises to a third person, provided my son,
Maynard L. Long, Jr. shall elect to purchase same on such acceptable terms
and conditions within ten days from notification in writing to him to accept
or decline to purchase same.
4. All the rest, residue and remainder of my estate, including the
proceeds of sale of property mentioned in paragraph #3 above, I give, devise
and bequeath in equal shares to such of my eight children as shall survive
me by a period of Ninety (90) days, the share any deceased child would have
received to pass to such of his or her issue, per stirpes, as shall survive
such deceased child by a period of Ninety (90) days. My eight children are
the following persons; Faye L. Stewart, Louise C. Otto, LeRoy H. Long,
Thelma K. Snyder, Jesse W. Long, Maynard L. Long, Jr., Brenda L. Long,
and Judy A. Long.
5. Should any person less than 18 years of age be entitled to distri-
bution from my estate, in such event I nominate, constitute and appoint
Commonwealth National Bank and its successors, 1 North Hanover Street,
Carlisle, Pennsylvania, as guardian of the estate of each such person and
authorize and direct it to receive and to invest the same, and to pay the
Page 2 of 3 Pages
income arising therefrom, together with so much of the principal thereof
as in its opinion is necessary or desirable to be expended for the proper
maintenance, support and education of such person, to or for the benefit of
such person, and upon such person attaining 18 years of age to pay to him
or her the then remaining principal together with any undistributed income.
s. I hereby nominate, constitute and appoint my three sons, LeRov
H. Long, Jesse W. Long, and Maynard L. Long, Jr. , or any of them, as
Co-Executors of this my Last Will and Testament and direct. that they shall
be paid a commission for their services as Executors in the amount of
Five (5%) percent of the gross value of my estate as determined for purposes
of Pennsylvania Transfer Inheritance Tax, and I further direct that none of
them shall be required to post any bond to secure the faithful performance
of his duties in the Commonwealth of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
my Last ~(~ill and Testament written on 3 pages this 8th day of April, 1981.
Ru A. Long SEAL)
Signed, sealed, published, and declared by RUTH A. LONG, the
Testatrix above named, as and for her Last Will and Testament, in our
presence, who, in her presence, at her request, and in the presence of each
other, have; hereunto subscribed our names as attesting witnesses.
Page 3 of 3 pages
Sovereign ~
~ Santander
Court Ordered Processing \ Decedents - MA1-MB3-02-10 - P. O. Boy 841005 -Boston, MA 02284
October 14, 2010
Robert G. Frey
Frey & Tiley
5 South Hanover Street
Carlisle, PA 17013
RE: Estate of Ruth A. Long
Date of Death: 07/29/2010
Dear Robert G. Frey:
Per your request, enclosed please find the account information as of the date of deat
for the above-named decedent. For your information, accrued interest is not includedh
the date of death balance. ,n
Please feel free to contact me if I can be of any further assistance.
Ve~ truly yours,
~ r ~ --.
~~,r~t
Nicole Jo
Specialist
617-533-1789
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #: Ruth A. Long
DATE OF DEATH: 197-40-6546
July 29, 2010
Account #: 1674061463 T e:
In the name of: Ruth A Long (Thelma Snyder POA)ey Market O en date:
P 9/6/2006
Date of Death Balance:
Int.(YTD) from $14,658.96
1/1/2010 to 7/23/2010
Accrued interest to date of death: $17.04
Other Info: Account closed on 10/04/2010 for $14,823.59.
Account #: 1691016802 T e:
In the name of: Ruth A Long yP Checking O en date
P
Date of Death Balance:
lnt.(YTD) from $626.35
1/1/2010 to 7/26/2010
Accrued interest to date of death:
Other Info: Account closed on 10/05/2010 for $626.00
Account #: 1675291999 Type:
In the name of: Ruth A Long or Thelma K Sn~
Date of Death Balance:
Int.(YTD) from 1/1/2010
to _
Accrued interest to date of death:
Cither Info: Account closed on 10/05/2010.
Account #: 1675292005
Type: _
In the name of: Ruth A Long or Faye L Hain
Date of Death Balance:
Int.(YTD) from 1/1/2010
to _
Accrued interest to date of death:
Other Info: Account closed on 10/07/2010.
Account#: 1695214153
In the name of: Ruth A Long or Maynand L Lc
Date of Death Balance:
Int.(YTD from 1/1/2010
to _
Accrued interest to date of death:
Other Info: Account closed on 10/04/2010.
1 /9/1984
CD
$10,000.00
6/30/2010
$11.01
CD
_ $0.10
-Open date: 8/29/2001
$66.49
Open date: 8/29/2001
1 0,000.00
6/30/2010
$11.01
CD
~-
Jr
$10, 0000 00
6/ 02/0 13 0
10.19
Page 1 of 2
• $66.49
Open date: 2/10/1986
• 61.54
Sovereign Bank
ESTATE OF
SOCIAL SECURI YT
DATE OF DEATH:
i y i-4U-6546
July 29, 2010
Account #: 1695214575
In the name of: Ruth A Long or J sse W Long CD
Date of Death Balance:
Int.(yTD) from $10,266.12
1/1/2010 to 6/30/2010
Accrued interest to date of death:
Other Info: Account closed on 10/04/2010. $10.46
Account#: 1695214583
In the name of: Ruth A Long or Jud PA Johnston CD
Date of Death Balance:
Int.(yTD) from 1/1/2010
Accrued interest to date of death:
Other Info:
~~ 6/30/2010 $63.17
$10.46
Account#: 1695215507
In the name of: Ruth A Long Type CD
Date of Death Balance: Account closed prior to death
Int.(yTD) from 1 /1 /2010
to 5/11/2010
Accrued interest to date of death:
Other Info: Account closed on 05/11/2010 for $10,000 00.
Ruth A.
Open date: 5/11/2010
X10,266.12
_ Open date: 5/23/1995
.• $63.17
Open date: 5/23/1995
$63.92
Page 2 of 2