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1505611180
---~ REV-1500 EX (02-11) (FI)
PA Department of Revenue Pennsylvania OFFICIAL USE ONLY
Bureau of Individual Taxes DEPARTMENT OF REVENUE County Code Year File Number
PO BOX 28060, INHERITANCE TAX RETURN l
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3
Harrisburg, PA 17128-0601 I
RESIDENT DECEDENT ,-~ ~ V ~~-
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
201-24-0454 03012011
Decedent's Last Name Suffix Decedent's First Name MI
WOOD SHIRLEY M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
Ox 1. Original Return 0 2. Supplemental Return Q 3. Remainder Return (Date of Death
Prior to 12-13-82)
Q 4. Limited Estate Q 4a. Future Interest Compromise (date of 0 5. Federal Estate Tax Retum Required
death after 12-12-82)
(~X 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
Q 9. Litigation Proceeds Received Q 10. Spousal Poverty Credit (Date of Death Q 11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
Robert G. Frey 7172435838
First Line of Address
5 South Hanover Stree
Second Line of Address
City or Post Office
Carlisle
State ZIP Code
PA 17013
Correspondent's a-mail address: R F R E Y a F R E Y T I L E Y. C O M
REGISTER OF WILLS USE ONLY
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief
it is true, corcect and complete. Declaration of preparer other than the pelsonal representative is based on all information of which preparer has any knowledge
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
57 Gladwyn Drive, Carlisle, PA 17015
ADDRESS
5 South Hanover Street.
1505611180
~a}~lisle, PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
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1505611180
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J
REV-1500 EX (FI)
~ecedent'sName: SHIRLEY M WOOD
RECAPITULATION
1505611280
Decedent's Social Security Number
201-24-0454
1. Real Estate (Schedule A) ....................................... .. 1. N 0 N E
2. Stocks and Bonds (Schedule B) .................................. .. 2. N 0 N E
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . .. 3. NON E
4. Mortgages and Notes Receivable (Schedule D) ...................... .. 4. NON E
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) .. .. 5. 3 4 5 8 . 0 O
6. Jointly Owned Property (Schedule F) Separate Billing Requested ..... .. 6. 5 ~ O O 1 . 5 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested ..... .. 7. NON E
8. Total Gross Assets (total Lines 1 through 7) a 6 0 4 5 9 5 0
9. Funeral Expenses and Administrative Costs (Schedule H) . . ............. . 9. N 0 N E
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........... . 10. NON E
11. Total Deductions (total Lines 9 and 10) ........................... . . 11. 0 . 0 0
12. Net Value of Estate (Line 8 minus Line 11) .......................... . 12. 6 O 4 5`1.5 0
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................... .. 13. 0 , O 0
14. Net Value Subject to Tax (Line 12 minus Line 13) 14 6 0 4 5 9 5 0
TAX CALCULATION -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 60459.50 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X .0 4 5_ 16. 0 . 0 0
17. Amount of Line 14
taxable at sibling rate X . 12 17. 0 , 0 0
18. Amount of Line 14 taxable
at collateral rate X . 15 18. 0 . 0 0
19. TAX DUE....... ............................................ . 19. 0 . 0 O
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
L 1505611280 1505611280
REV-1500 EX (FI) Page 3
Decedent's Complete Address:
File Number
201-24-0454
DECEDENT'S NAME
SHIRLEY M WOOD
STREET ADDRESS
201 TODD CIRCLE
CITY STATE ZI P
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
3. Interest
Total Credits (A + B )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund.
(1)
0.00
(2) 0.00
(3)
(4)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
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 ................................................................................ .......
b. retain the right to designate who shall use the property transferred or its income .................................... ......
c. retain a reversionary interest ................................................................................................................... .
..... ^
d. receive the promise for life of either payments, benefits or care? ............................................................ ......
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" 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? .....................................................................
......................................... ~+
......
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 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 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(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+(11-10) SCHEDULE E
Pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Shirley M Wood 21 11 0323
Include the proceeds of litigation and the date the proceeds were received by the estate.
Ir more space Is needed, use additional sheets of paper of the same size.
REV-1509 EX+(01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEF
JOINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Shirley M Wood
If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A. Richard S. Wood
201 Todd Circle
Carlisle, PA 17013
use
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
VALUE OF ASSET % OF
DECEDENTS
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTEREST
Orrstown Bank Acct. No
106002321
1. A. 11!13/01 .
49,762.00 0
50.00 /0
24,881.00
Orrstown Bank Acct
No
106005198
2. A 6!12!09 .
.
41,456.00 a
50.00 /0
20,728.00
Orrstown Bank Acct
No
106005341
3. A 9118!09 .
.
22,785.00 0
50.00 /0
11,392.50
TOTAL (Also enter on Line 6, Recapitulation) I g 57 001 50
If more space is needed, use additional sheets of paper of the same size.
REV-1513 EX+(01-10)
Pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF:
FILE NUMBER:
Shirle M Wood
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AMOUNT OR SHARE
OF ESTATE
TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1 Richard M. Wood
57 Gladwyn Drive, Carlisle, PA 17015 spouse 1.00
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUG H 18 OF REV-1500 COVER SHE ET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET.
~~ ~~~~~e ,pace is neeaea, use aaainonal sheets of paper of the same size.
LAST WILL AND TESTAMENT
OF
SHIRLEY M. WOOD
I, SHIRLEY M. WOOD, of 201 Todd Circle in the Borough of Carlisle, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking
and making void any and all Wills by me at any time heretofore made.
].. I direct my hereinafter named Executrix or Executors to pay all of my just debts and
funeral expenses and all costs of administration of my estate as soon after my death as may be
found convenient to do so.
2l. I direct that all inheritance, transfer, estate, succession and death taxes which may be
payable on account of my death, including interest and penalties thereon, shall be paid from the
residue of my estate regardless of whether the assets upon which such taxes are based are
included in my probate estate.
3. I give and bequeath all of my household goods and furnishings and tangible personal
property generally, but not any automobile or motorized vehicle which I may own, in equal
shares to my three children who are ROBERT S. WOOD, CHERYL L. THOMPSON, and
V ONDA K. MOON.
4. All of the rest, residue and remainder of my estate, real, person and mixed, anel
wheresoever the same may be situate, I give, devise and bequeath to my hereinafter named
Trustees, their successors and assigns, in Trust, for the uses and purposes hereinafter set forth,
which Trust shall be known as the Residuary Trust.
This Residuary Trust shall be held and administered and disposed of as follows
a) My Trustees shall disVibute to or for the benefit of my husband, RICHARD S.
WOOD, all of the income of the Residuary Trust annually or at more frequent intervals, as may
from time to time be deemed appropriate or convenient.
b) Upon the death of my husband Richard S. Wood, or if he shall have predeceased
me, my Trustees shall divide the Trust property into three. (3) equal and separate shares so as to
providf; one share for each child of mine living at the time of my husband's death, my three
children being ROBERT S. WOOD, CHERYL L. THOMPSON, and VONDA K. MOON.
Should any child of mine have predeceased me, then the share which had been allocated for such
deceased child shall be divided equally among the issue of that deceased child, their heirs and
assigns, per stirpesa The share or portion of a share allocated to each child of mine shall
constitute and be administered as a separate Trust. Separate books and records shall be kept for
each such trust. The income and corpus of each trust shall be held, administered, and disposed of
as follows:
1) The Trustees shall distribute to or for the benefit of the beneficiary of each
trust all. of the income at least annually, so long as the child of mine for whom that Trust is held
shall live.
2) Upon the death of the child of mine for whose benefit such trust is held,
the trust shall terminate and the principal thereof shall be distributed to the then living
"legitimate issue" as hereinafter defined, their heirs and assigns, of the child of mine for whose
beuefit the trust was held.
3) Whenever pursuant to the provisions of this Will all or any part of a
distributive share of a Residuary Trust shall be payable to a person, less than 21 years of age,
title to the share of such person shall pass to him or her, but the payment to him or her of such
share or trust fund shall be deferred until he or she shall attain the age of 21 years, and in the
meantime such share or trust fund shall be held by the Trustees or a court appointed Guardian, if
the Trustees are unwilling to assume such responsibility, until such person attains the age of 21
years. The fiduciary holding such fund shall apply all or such part of the income and principal as
Page ! oj4
the fiduciary in his uncontrolled discretion may determine to the support, education, and
maintenance of such person. The authority conferred upon such fiduciary by this paragraph shall
be construed as a power only and shall not operate to suspend the absolute ownership of such
property by such person or to prevent the absolute vesting thereof in such person. With respect
to the administration of any such property which shall vest in absolute ownership in a person less
than 21 years of age, and which shall be held by such fiduciary authorized in this paragraph, such
fiduciary shall have all the powers set forth under the provisions of paragraph No. 8 of this Will
to be exercised in the manner set forth in such paragraph.
4) The meaning of "legitimate issue" as used in this Last Will and Testament
shall be limited to a child or children born to a female descendent of the Testator regardless of
whether the mother is married to the father of such child or children, and shall be limited to a
child or children born to a male descendent of Testator where the father of such child or children
is married to the mother either before or after the birth of the child or children. In any case the
meaning of "child" or "children" or "legitimate issue" as used herein shall NOT include any
adopted child or children, unless such adopted child was six (6) years of age or younger at the
time of adoption. It is to be noted that ALTON WOOD MOON is an adopted child of my
daughter VONDA K. MOON, and her husband, and he is to be treated as the legitimate issue of
my daughter Vonda K. Moon.
5) No title, in any trust hereby created, or in the income accruing therefrom,
or in its accumulation, shall vest in any beneficiary and no beneficiary shall have the right or
power to transfer, assign, anticipate or encumber his or her interest in said trust, or the income
therefrom, prior to the actual distribution thereof by the Trustee to said beneficiary. Further,
neither the income nor the principal of said trust shall be liable in any manner, in the possession
of the Trustee, for the debts, contracts or engagements of any of the beneficiaries.
S. Any share or portion of a share of any trust created hereunder, or any other property
of mine that is not disposed of under any other provision of the Will, or designation of
beneficiary, shall go and be distributed to my heirs-at-law.
6. I hereby nominate, constitute and appoint my said husband, RICHARD S. WOOD, as
Executor of this my Last Will and Testament but should he predecease me or fail to qualify or
cease serving as such, then in such event I nominate, constitute and appoint my son, ROBERT S.
WOOD, as alternate or successor Executor, but should he fail to qualify or cease serving as such
then in such event I nominate, constitute and appoint my daughter VONDA K. MOON, but
should she fail to qualify or cease serving as such then in such event I nominate, constitute and
appoint my daughter, CHERYL L. THOMPSON, as alternate or successor Executor. I further
direct that none of them shall be required to post any bond to secure the faithful performance of
his or :her duties in the Commonwealth of Pennsylvania or in any other jurisdiction.
7. I hereby nominate, constitute and appoint my husband, RICHARD S. WOOD, and all
of my three children who are ROBERT S. WOOD, CHERYL L. THOMPSON, and VONDA K.
MOON, as co-Trustees of the Trust herein before provided. Upon the death or resignation of any
trustee, the surviving Trustees are authorized to serve without any replacement of the Trustee
who resigned or became deceased. At any time by the unanimous approval of the Trustees then
serving, a successor corporate trustee may be appointed by them or any other Trustee may be
nominated by them subject to approval by the Orphans Court having jurisdiction.
8. In addition to the powers conferred by law, my hereinbefore-named Trustees,
Executrix, and Executors, and their successors, and my hereinbefore-named Guardians and their
successors are empowered:
a. To invest any part of the trust corpus in such securities, investments, or other
property as may be deemed advisable and proper, irrespective of whether the same are
authorized for the investment of trust funds under the laws of any governing jurisdiction.
b. With respect to any corporation, the stocks, bonds, or other securities of which
may be held, to vote in person or by proxy on any shares of stock; to consent to the merger,
consolidation or reorganization of such corporations; to consent to the leasing, mortgaging or
sale of the property of any such corporations; to make any surrender, exchange or substitution of
such stocks, bonds or other securities as an incident Ito the merger, consolidation or
Page 1 of 4
~~~ ~ ~~
reorganization of such corporations; to pay all assessments, subscriptions and other sums of
money which may be deemed wise and expedient for the protection and maintenance of the
proportionate interest of the investment in such corporations; to exercise any option or privilege
which may be conferred upon the holders of such stocks, bonds, or other securities of such
corporations either for the conversion of the same into other securities or for the purchase of
additional securities, and to make any and all necessary payments which may be required in
connection therewith; and generally to have and exercise as to all such stocks, bonds and other
securities, the powers of an individual owner who is under no trust obligation.
c. To hold the trust corpus in one or more consolidated funds in which separate
shares shall have undivided interests.
d. To sell at public or private sale for cash or upon credit, or partly for cash and
partly on credit, and upon such terms and conditions as shall be deemed proper, any part or parts
of the trust estate, and no purchaser at any such sale shall be bound to inquire into the
expediency or propriety of any such sale or to see to the application of the purchase moneys
arising therefrom.
e. To keep on hand and uninvested such money as may be deemed proper and for
such period as may be found expedient.
f. To compromise, settle or arbitrate any claim or demand in favor of or against
the trust estate
g. And authorized in the discharge of fiduciary duties, to employ counsel and to
determine and to pay such counsel reasonable compensation which shall be charged against the
principal or income of the trust fund, and shall further be entitled to charge against the principal
or income such other reasonable expenses and charges as may be necessary and proper to incur
for the proper discharge of fiduciary duties and for the proper management and administration of
the trtrst estate.
h. In making any division of property into shares for the purpose of any
distribution thereof directed by the provisions of the trust, to make such division or distribution,
either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient,
and itt making any division or distribution in kind may allot any specific security or property or
any undivided interest therein to any one or more of such shares, and to that end may appraise
any or all of the property so to be allotted and the judgment as to the propriety of such allotment
and as to the relative value for purposes of distribution of the securities or property so allotted
shall be final and conclusive upon all persons interested in the trust or in the division or
distribution thereof.
i. And authorized to register any shares of stock or other assets of any trust in their
own names or in the name of a nominee.
j. To retain and invest in shares of stock of my Trustee.
k. To retain any investments including mutual funds which I may own at the time
of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual
funds as may be deemed advisable or proper, irrespective of whether the same are authorized for
the investment of trust funds under the laws of any governing jurisdiction.
1. To determine from time to time whether all or some portion of realized capital
gains shall be treated as ordinary income for distribution to a beneficiary or treated as principal
to be retained as part of the corpus, and such designation need not be consistent from one year to
another.
Page 3 of -{
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
Testament, written on four (4) pages this ~'4.~ day of December, 2008.
~i}/J~~~g~ /~ ~1~~~-(SEAL)
SHI~R E1' M. WOOD
Signed, sealed, published and declared by SHIRLEY M. WOOD, 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 set our names as attesting witnesses.
Page 4 of 4
vxx~ 1 uw~
s~
A Tradition of Excellence
Robert G. Frey, Esq.
5 South Hanover Street
Carlisle, PA 17013
Fax SL43-6441
March 15, 2011
Re: Estate of Shirley M. Wood
Social Security Number 201-24-0454
Date of Death March 1, 2011
l7' IS HERERBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE
FOLLOWING ACCOUNTS WITH ORRSTOWN BANK:
CHECKING ACCOUNTS
Account No. -
Account Type -
Date Opened -
Joint Account (name/date) -
$alance -
Accrued Interest -
Accoun l• No. -
Account 7~pe -
Date Opened -
Joint Account (name/date) -
Balance -
Accrued Interest -
Account No. -
Account 'I~pe --
Date Opened -
Joint Accaunt (name/date) -
Balance -
Accrued Interest -
106002321
Reward Checking
11/13/01
Richard S. Wood 11/13/01
$49, 753.50
$8.72
106005195
Reward Checking
6/12/09
Richard S. Wood 6/ 12/09
$41,44$.33
$7.26
106005341
Reward Checking
9/18/09
Richard S. Wood 9/ 18/09
$22,783.47
$1.87
77 East King Sircet
RO. Box 250
Shippensburg, PA 17257
1.888.ORRSTOWN
www.ers5~~avn.c®cas
MRP-1 5-201 1 ('l.'E ~ ' c ~"
,Account No. -
Account 'I~rpe -
Date Opened -
Joint Account (name/date) -
Balance
Accrued Interest -
106005768
Free Checking
2/02/11
None
$2,727.93
None
Best Regards,
1~~, rt9-
Jill R. Worthington
Deposit Processing Clerk
2.
P.OCci0C2