Loading...
HomeMy WebLinkAbout08-24-111505610105 EX (os-u) (FI) ~ OFFICIAL USE ONLY REV-1500 e p~„nsy~vari;a PA Department of Revenu County Code Year File Numb DEPAATMEr1T OF NEVENUE I Bureau of Individual Taxes INHERITANCE TAX RETURN ~ i PO BOX 280601 RESIDENT DECEDENT Harrisbur PA 1128-o6oi ENTER DECEDENT INFORMATION BELOW MMDDYYYY Date of Birth MMDDYYYY Social Security Number Date of Death 08/04/2010 10/11 /1919 204-03-4156 MI Suffix Decedent's First Name Decedent's Last Name ~ MARTHA SIEG (if Applicable) Enter Surviving Spouse's Information Below Suffix Spouse's First Name MI Spouse's Last Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW O 3, Remainder Retum (Date of Death (~ 1. Original Return O 2. Supplemental Return Prior to 12-13-82) Future Interest Compromise (date of O 5. Federal Estate Tax Return Required 4 O 4. Limited Estate O a. death after 12-12-82) O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes ~ 6. Decedent Died Testate (Attach Copy of Will) (Attach Copy of Trust.) r Sec. 9113(A) O 11 O 9. Litigation Proceeds Received O • Attach Schedule O) 10. SpousanP 2 3rry91 rand 1D1 t95)f Death Betwee ECTED T0: THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX Day RmeT CORRESPONDENT - Te ephone Numbe t Name Ronald P. Sieg 'REGISTER OF WILLS USE ONLY n ~ ... First Line of Address ~ ' -- y= '~? .. _, 3737 Sharon Street ' ~ y ~^- _`" ~ W C`~ `. ~' j.'a. ~..~r. .l f !, ~ ~ { ... Second Line of Address ~`" !-', ~~_ ~ _ ,, State ZIP Code - ~:.~ - _ , City or Post Office -~ Harrisburg PA 17111 -, --~ + {_ ,' { ..-_ : ~~ ;-~ Correspondent's a-mail address: r~sieg Verizon net Under penalties of perjury, I declare thattionaof ee areeother than the cperdsonat r p esentati a is based on alit nforrmation ofwhich preparemhas any knowledge.lief it is true, correct and complete. Declare ' F DATE SIGNATURE OF~RSON RESPONSI~ I~R FILING RET~ N _ J"_ ~ ~ 2-~ I i ..w _ O ~ ~(- Vi ~~C ADDRESS ' 3737 Sharon Street, Harrisburg, PA 17111 DATE SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number 204-03-4156 Decedent's Name: MARTHA L SIEG RECAPITULATION .... .... 1. ... 1. Real Estate(ScheduleA)..••••-••••••••••""""""'•• • 2. Stocks and Bonds (Schedule B) ...•••••••••••••••""""""'•••• .... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. • • • • • 276,264.33 . 4. Mortgages and Notes Receivable (Schedule D) ............. • • • • - • • • ..... 4. 81,416.37 Schedule E 5. Cash, Bank Deposits and Miscellaneous Personal Property ( )• 5• Jointly Owned Property (Schedule F) O Separate Billing Requested .. 6 ..... 6. . 7. Inter-Vivos Transfers 8~ Miscellaneous NoOn-P$epaaraterBillmg Requested... ..... 7. (Schedule G) 357,680.70 8. Total Gross Assets (total Lines 1 through 7) ........................ $ .... . 7,758.64 9. Funeral Expenses and Administrative Costs (Schedule H) ............. 9 ..... . 1,723.56 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule 1)........ 10. 9,482.20 Total Deductions (total Lines 9 and 10) ........................... 11 11. ..... . . 12 348,198.50 ...... Net Value of Estate (Line 8 minus Line 11) ................. . 12 ...... . Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 13 1,000.00 . e an e 50 198 347 14. Net Value Subject to Tax (Line 12 minus Line 13) ....................... . 14. . , TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0.00 15. 0.00 (a)(1.2) X .0 _ 398.93 15 16. Amount of Line 14 taxable 342,198.50 at lineal rate X .0 45 16. , 17. Amount of Line 14 taxable 5,000.00 17. 600.00 at sibling rate X .12 18. Amount of Line 14 taxable 18. at collateral rate X .15 15,998.93 ......... ... .19. 19. TAX DUE ............................................ ction to tax has not been made (Schedule J) .. • • • • • • • • • • l 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ Side 2 1505610205 1505610205 REV-1500 EX (FI) Page 3 Decedent's Complete Address: File Number Martha L. Sieg STREET ADDRESS Thomwald Home -- 442 Walnut Bottom Road_ -- TAT TAT E cITY ~ Carlisle Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments 18,400.00 A. Prior Payments 799.95 B. Discount 3. Interest (3) 3, 201.02 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Fill in oval on Page 2, Line 20 to request a refund. ine 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5. If L Make check payable to: REGISTER OF WILLS, AGENT. LOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS PLEASE ANSWER THE FOL Yes No 1. Did decedent make a transfer and: rty transferred ........................................................................... ^ a. retain the use or income of the prope . 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 • •' within one ear of death 2. If death occurred after Dec. 12, 1982, did decedent transfer property Y ^ ^ without receiving adequate consideration? ........................................................................................... ' own an "in trust for" or payable-upon-death bank account or security at his or her death?........•.•••• ^ 3. Dld decedent 4. Did decedent own an individual retirement account, annuity or other non-probate property, which ^ ........................................ .............................. contains a beneficiary designation . ........................ • STIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. IF THE ANSWER TO ANY OF THE ABOVE QUE 11 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 For dates of death on or after Ju y , is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. 1995 the tax rate imposed on the net value of transfers to or for the use of tma t for d sclosure of assets and For dates of death on or after Jan. 1, , 2 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory require 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: 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 paren , an • The tax rate imposed adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]• nefiaaries 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 lineal be ercent 2 P.S. §9116(a)(1.3)]. Asibling is defined, • The tax rate imposed on the net value of transfers to or for the use of the n w th thte decedent, whether by b ood or adoption. under Section 9102, as an individual who has at least one parent In commo ZIP pq ~ 17013 (1) 15,998.93 Total Credits (A + B) (2) 19,199.95 REV-1507 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RFSinENT DECEDENT ESTATE OF . r,-r, ~ n Q I C (~ SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER 2010-00836 MHK t nn X71 L-~J All property joirrtly.owned with right of survivorship must be disclosed on Schedule VALUE AT DATE OF DEATH ITEM DESCRIPTION NUMBER 30,806.09 1 LOAN to son David L. Sieg. Loan of $20,000.00 at 6% interest made on 121412002. 127,587.54 2 LOAN 1 to son Dennis J. Sieg. Loan of $179,211.62 at 6% interest made on 811712003. 23,290.67 3 LOAN 2 to son Dennis J. Sieg. Loan of $54,166.83 at 6% interest made on 311512004. 47,279.49 4 LOAN 3 to son Dennis J. Sieg. Loan of $52,444.31 at 6% interest made on 31312009. ote Account 3500893270) of ADVANTA CORP, P 0 Box 15555, Wilmington, DE 19850 47,300.54 5 Investment N Note that Advanta Corp. is going through bankruptcy and a full recovery of the original value of this investment is unlikely. The amount shown is the recovery through the date of filing this return. I will submit a supplemental return when acjdifional amounts are recovered. 276,264.33 TOTAL (Also enter on line 4, Recapitulation) S REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ..-.-r, , ~ c~ ~ c r FILE NUMBER 2010-00836 M/1R 1 nn vow - Include the proceeds of litigation and the date the proceeds were receiv y All property jointly-owned with right of survivorship must be disclosed on 3cheduls F. ITEM DESCRIPTION NUMBER Checkin account 2331043442 at Sovereign Bank. 4251 Union Deposit Road, Harrisburg, PA 1 9 2 Money Market account 1054074992 at Sovereign Bank. 3 Checks on hand to be deposited. 4 Cash on hand. 5 Refund of Blue Shield MediGap policy. 6 Refund of Blue Shield Rx policy. 7 Rebate from Medicare (incentive program) g Weddinglengagementnngs. Not appraised and buried with decedent. Estimated value. ersonal Dods from nursing home that were sold at yard sale. (Chair, N and stand, pole lamp, misc.) 9 P 9 All other personal goods were given to Salvation Army or thrown away. PLEASE NOTE THAT THE CO-OWNERS OF RECORD FOR THE 2 BANKING ACCTS ABOVE HAVE RENOUNCED ALL RIGHTS TO THE MONEY. AMOUNTS SHOWN ARE TOTALS FOR ACCOUNTS. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY VALUE AT DATE nc nceTN 6,905.40 67,475.13 5,623.48 48.25 542.00 84.51 250.00 400.00 87.60 0.00 I 81,416.37 TOTAL (Also enter on line 5, Recapitulation) S REV-1511 EX+ (10-09; Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN nce7ncMT nF('FnENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS .~ ESTATE OF MARTHA SIEG Decedent's debts must be reported on Schedule i. ITEM DESCRIPTION NUMBER A. FUNERAL EXPENSES: 1 • Michael Shalonis Funeral Home (casket and burial) check 103 2 Frank Snyder and Sons (Update headstone) check 110 3 Family dinner after burial g, ~ ADMINISTRATIVE COSTS: FILE NUMBER 2010-00836 1, Personal Representative Commissions: Name(s) of Personal Representative(s) -~ Street Address - State ZIP _ City 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 State ZIP City Relationship of Claimant to Decedent 4, Probate Fees: 5, Accountant Fees: 6, Tax Return Preparer Fees: ~. Miscellaneous Expenses of settling estate: Cumberland Law Journal- estate notice -check 106 The Sentinal (Carlisle)- estate notice- check 107 Executor's direct out of pocket expenses TOTAL (Also enter on Line 9, Recapitulation) $ AMOUNT 6, 519.90 129.00 270.87 0.00 0.00 457.50 0.00 0.00 75.00 155.68 150.69 7,758.64 REV-1512 EX+ (12-08) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN oFCtnFNT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER ESTATE OF 2010-00836 MARTHA SIEG the decedent prior to death that remained unpaid at the date of death, Including unreimbursed medVALUE AT DATE Report debts incurred by OF DEATH ITEM DESCRIPTION NUMBER 943.83 1• Thomwald Home- nursing home care (check 101) 502.81 2 Millennium Pharmacy- prescriptions (~~ 102) 200.12 3 Millennium Pharmacy- prescriptions (~~ 108) 34.85 4 Thomwald Home- nursing home care (check 109) 41.95 5 American Home Medical- settle account for wheel chair (check 119) 1,723.56 TOTAL (Also enter on Line 10, Recapitulation) $ REV-1513 EX+ (01-10) lvania SCHEDULE ~ ~ pennsy DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN _ ___~ e~v`C11FIdT ESTATE OF: MARTHA SIEG NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY i TAXABLE DISTRIBUTIONS [Includeu9196t a) (152) jistributions and transfers under Se ( 1. Ms. Leah L. Hummel 128 S 15th St. Camp Hill, PA 17011 2 Mr. Harry H. Sieg 30 N. 15th St. Camp Hill, PA 17011 3 Mr. Donald C. Sieg 34 Junction Rd. Dillsburg, PA 17019 4 Mr. Ronald P. Sieg 3737 Sharon St. Harrisburg, PA 17111 5 Mr. Dennis J. Sieg 105 NW Cody Drive, Lees Summit, MO 64081 6 Mr. David L. Sieg 1104 42nd St. West Des Moines, IA 50266 RELATIONSHIP TO DECEDENT Do Not ust Trustee(s) Sister Son Son Son Son Son 5000.00 20% of balance 20% of balance 20% of balance 20% of balance 20% of balance NTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. ENTER DOLLAR AMOU 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. Holy Spirit Hospital (Gift Devekopment Office) 503 North 21st Street, Camp Hill, PA 1701 1000.00 FILE NUMBER: 2010-00836 AMOUNT OR SHARE nc GcTnTF TeTS~ OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ ACHMENT TO THE INHERITANCE TAX RETURN OF MARTHA L SIEG ATT SS 204-03-4156 FILE 2110- 0836 To whom this may concern: ' of information to help you review the various numbers shown on the I have included various bits articular issues. rious forms of this return. You can calf me at 717-564-1808 to discuss any p va ent of the estate is still not complete because of the continuing bankruphe have At this time the settlem So fart y in s of the Advanta Corp. Ms. Sieg had an investment note with this compu derstand that an proceed g ' off onl a small percentage of the amount due. That is the amount sho and I will submit a paid Y dditional tax will be due on any additional recovery of the investment note a Supplement to this return when that is appropriate. Ronald P. Sieg, Executor ~,~ ~ ~) DAVID'S LOAN Notes and misc. calculations: t for 2009 which was paid in 2010 as part of loan pay-off. 1683.94 Interes This had not been shown as paid or accrued on last year s tax n then. lance due at the end of 2009/start of 2010- Principal of loa 29,745.65 Ba 148.75 Simple interest for each month in 2010 r died _ Mothe 19.19 Interest for 4 days in August to day ust 129.56 Interest for remaining 27 daysbe Aug 49.58 Interest for 10 days in Septem _ Calculation of amount David owed: ' ' - edue at the end of 2009/start of 2010= Principal of loan then. 29,745.65 Balanc 1,190.00 Interest through end of August (8 months). 49.58 Interest for 10 days in September_ 30,985.23 Amount due if paid on the 10th. _ _ - 30 985.23 Amount received from David on 9/9/10=Total repayment ~- Value of account for Estate tax return: glance due at the end of 2009/start of 2010= Principal of loan then. 29,745.65 B 1041.25 Interest accrued tilt beginning of August (7 months). 19.19 Interest for 4 days in August to day Mother died 30,806.09 Value of loan on day of death. _ Interest for Mother's personal tax retu n s.of Au ust (7 months). 1041.25 Interest accrued till beginn o da Mother died 19.19 Interest for 4 days in August t aid n 2010 as part of loan pay-off. 1683.94 Interest for 2009 which was p This had not been shown as paid or accrued on last year's tax return. 2744.38 Total interest paid in 2010 to personal account. Interest paid for Mother's Estate tax return. 129.56 Interest for remaining 27 days in A{g' loan pa 49.58 Interest for 10 days in Septembe 179.14 Total interest paid in 2010 to estate account. DENNIS LOAN 1 ~ _~ ~ For 1205/1207 Cottonwood Circle n amortization schedule. Numbers are taken from that. .This loan is covered by a Pa ments have been due on the 15th of the month. of Jul 15th. Y ment before Mother's death was payment The last pay All payments were made as scheduled. _ - j- -- 1 Interest paid to per~al account till date of death: Payment date 1/15/2010 2/15/2010 3/15/2010 4/15/2010 5/15/2010 6/15/201 7/15/201 Sum Interest part of payment taken from amortization sheet. 662.22 Notes and misc. calculations: 15 is 11 d July 15 to August 4 is 2_ 0 daYs• Aug 5 to Aug 658.51 Interest for month July 15 to August 15 is 635.89. 654.79 5 Interest portion for July 15 to August 4 is 41~.?5• 651.0 Interest portion for August 5 to August 15 is 225.6 . 647.29 0 643.5 0 639.7 410.25 Interest July 15 to August 4 date of death. _ _ 4967.31 Totai interest paid to personal account. 7 Value of account for Estate Tax calculation: _ I i rinci al amount of loan after payment of July 15 per schedu e. 127,177.29 P p Accrued interest due from July 15 to August 4 day of death. 410.25 127,587.54 Principal value on day of death. _ Interest paid to estate: 225.64 9/15/2010 632.05 10/15/2010 628.19 11/15/2010 624.32 12/15/2010 620.42 12/15 to 12/28 2_ 3010.76 Inte ser t Aug 4 to Aug 15 Note The loan was paid off on 12/29 via wire transfer. ~~- Summary 4967.31 Interest paid to personal account 3010.76 Interest paid to Estate _ 7978.07 Total interest paid on this loan. ~~ ~ ~i~t 733.83 OV. 7 133,915.41 $ 50 $669.58 91 $565 $1,403.41 $1,403.41 11/15/09 . ~1 Z /D- G lam' 12/15/09 ~ • '~ ! ~ ~ ~a~~~ l ~ 76 133,181.57 ~ 737 19 $741 , $662.22 1403.41 $ , 1/15/10 P , l7V3. - J I l-Z 1 "Z J~_~o ~ rem .--~--~ ~ I ~ 444.08 77 132, 78 131,702.89 . $7'44.89 58.51 ~ $1403.41 41 1 403 $ 15/10 0 3/15/10 ~ i 0 ~ 3 ~ ~ ~ ~$ 79 130,957.99 $748.62 36 $752 X54.79 $651.0 , . 1 403.41 ~ 4/15110 ~ 1~'+~~•~j t4'~~' ~~ 7 fo ~o '# I ~ 5' ~ 80 130,209.38 81 129,457.02 . $756.12 9 X7.2 1,403.41 41 403 $1 5115/10 0 6/15110 1 'f 0 ''~'f 0 1430 82 128,700.89 $759.90 $763.70 3 50 . $639.70 . , $1,403.41 7/15/10 0 i `I ~ ~f f .~ ~ Z i i~~i r g3 84 127,177.29 $767.52 35.89 $1,403.41 41 403 $1 8115/1 9115110 0 -~ . R ~ . ~t t ~ 85 5 638.41 86 12 . $771.36 $775.22 32.05 $628.19 . , $1,403.41 41 403 $1 10/15/10 ~, 1 0 11/15/10 ~ '~ c ~ 1Q .~t ~ ~ ~ ~ ~' ~j.87 124,863.19 779.09 $ 99 $782 $624.32 $620.42 . , $1,403.41 1 1 1 :t~ ~ Q 8 124,084.10 8 89 123,301.11 . $786.90 X16 403.41 $1 41 403 5/1 2115/11 90 122,514.21 $790.84 79 $794 .57 $612 $608.62 , . $1,403.41 3115/11 91 121,723.38 92 120,528.58 . $798.76 ~Q 1 403.41 $1 41 403 4115/11 5/15/11 93 120,129.82 $802.77 ~~ Q•6 X96 ~ , . $1,403.41 6115/11 94 119,327.06 95 118,520.29 $810.81 X9 403.41 41 403 $1 7!15/11 8115/11 96 117,709.48 $814.86 93 $818 8 55 $584.47 , , $1,403.41 9/15/11 97 116,894.62 gg 116,075.69 . $823.03 0 38 ~ $1,403.41 41 403 $1 10/15/11 115,252.66 99 X27.14 28 $831 $576.26 $572.13 . , $ 1 ti15/11 100 114,425.52 101 113,594.24 . $835.44 $567.97 1,403 41 41 403 $1 1 /15/12 2115/12 102 112,758.80 $839.61 81 $843 3 79 59,60 ~ . , $1,403.41 3115/12 103 111,919.19 104 111,075.37 . 8 03 ~ - $555.38 $1,403.41 41 403 $1 4/15/12 5115/12 105 110,227.34 $852.27 53 56 ~ 51.14 ~ $546.88 . , $1,403.41 6/15/12 106 109,375.07 107 108,518.54 . $860.81 2 59 $53 $1,403.41 41 403 $1 7/15/12 8!15112 108 107,557.73 $865.12 g 44 ~ 8.29 $533.96 . , $1,403.41 9/15112 109 106,792.61 110 105,923.16 - $873.79 29 403.41 $1 41 403 10/15/12 11 /15/12 111 105,049.37 $878.16 55 $882 .25 $520.86 , . $1,403.41 12/15/12 112 104,171.21 113 103,288.66 . ~.~ ~ $516,44 $1,403.41 $1 4 1/15113 2/15113 114 102,401.69 $891.40 86 $895 $512.01 $507. ' 03 41 1 3/15113 115 101,510.29 116 100,614.44 . $900.34 5 ,403.41 41 403 $1 4115113 5115113 117 99,714.10 $904.84 36 $909 98,57 ~~' . , 403.41 6!15/13 118 98,809.27 119 97,899.90 . 48 $913 .50 $ $1,403.41 41 403 $1 7/15/13 8115113 120 96,985.00 . $918 07 $923 484.93 $480.34 . , 9/15!13 121 96,067.52 122 95,144.45 . $927.69 $475.72 $1, 03.41 4 403 $1 10/15/13 3 94,216.76 12 $932.32 $9~ $471.08 42 ~ . , $1,403.4 ~ 2/15113 124 93,284.44 45 347 92 .fi7 $941 $61.74 $1,403.41 1/15/14 . , 125 [...... Q ~. ~ /± r ~z pr ~7 DENNIS LOAN 2 ~ ~_ - For 9818 Potter Circle b an amortization schedule. Numbers are taken from that. This loan is covered y _ Payments have been due on the 15th of the month. of Jul 15th. The last payment before Mother's death was payment Y ___ - All payments were made as scheduled. _ - Interest paid to personal account till date of death: Payment date Interest part of 1/15/2010 _ 73 2/15/2010 130.39 3/15/2010 128.03 4/15/2010 125.66 5/15/2010 123.29 6/15/2010 120.9 7/15/2010 118.49 74.89 Sum __ 954.38 ent taken from amortization sheet. Notes and misc. calculationss Au 5 to Aug 15 is 11 days. July 15 to August 4 is 20 day ust 15 i 1s 16.08 Interest for month July 15 to Aug Interest portion for July 15 to August 4 is 74.89. 9 Interest portion for August 5 to August 1~ 41.1 Interest July 15 to August 4 date of death. Interest paid to personal account. Value of account for Estate Tax calculation: ment of July 15 per schedule. 23,215.78 Principal amount of loan after pay 74.89 Accrued interest due from July 15 to August 4 day of death. 23,290.67 Principal value on day of death. _ Interest paid to estate: -- 41.19 9/15/2010 113.65 10/15/2010 111.21 11/15/2010 108.76 12/15/2010 106.3 12/15 to 12/28 44.59 Sum 525.7 Interest Aug 4 to Aug 15 Note: The loan was paid off on 12/29 via wire transfer. - _-__ Interest paid to estate Summary 954.38 Interest to Mother's personal account 525.7 Interest paid to Estate account.__ 1480.08 Total interest paid on this loan. .`~ ~' 12/15109 I Z l(0 3 $48630 ~1~5i ~6 _ ~ 111 X11 t "Zf - I U ~1 i~' ~ ~~' ~ 70 27,012:1 $132= ~ ~ 545.83 x.63 .36 y15/10 ~ ~yl z-1o ~~~ J ~ ~ ~ 28,077.20 $470.98 $130.39 $601.38 3/15/10 ~ ~ " ® ~ `~ ~, ~ ~~~5 72 128.03 4115/10 ~ ..gyp") 0 ' ~ 73 25,606.22 $473.33 $125.66 $601.36 ~-IA~ j0 ,3~0 ~ 74 25,132.89 $475.70 123.29 $~1 •~ 5115110 ~Q~ $801.36 6/15/10 • 75 24,657.19 $478.08 $~~ 01. t9~ ~ 7+6 24,179.11 ~~ $118.49 $B09.38 . 711.5/10 ~ ~ .~' ~ ~ 5t 8/15/10 ~ 2 i ..~ j ~ 8~ i, 8" ~ 77 116.08 a 23,215.78 ~ $485.28 $ ~1 9/15110 ' 7 7 71 $113.65 $801.38 7 2,2,730.49 ~ ' 111.21 $801.36 10/15/10 i o L ~ ~ ~-~ Z~ ~ . g $490.15 $ $801.36 11/15110 '~ `: 80 ~ 108.76 0 81 21,752.63 $492.60 $ 12/15/10 21,260.03 $495.06 $108.30 X1.36 1/15111 pJp~ ~ $103.82 ~ - 83 20,764.97 $497.54 $601.38 2/15/11 20,287.43 $500.03 $1 ~ $601.36 3/15/11 84 85 19,767.41 $5D2.53 $96.32 $6Q1.36 4115/11 86 19,264.88 ~07.5~6 $93.80 $601.36 5/15/11 87 18,759.84 0.10 $91.26 $801.36 6115111 88 18,252.28 ~ 138 7/15/11 17,742.18 $512.65 $88.71 X1.36 8/15/11 ~ $515.22 $86.15 90 17,229.53 138 9115111 57 ~ 10/15/11 91 16,714.31 $517.79 ~-~ $1.36 92 16,198.52 $520.38 $6Q1•36 11/15/11 15,678.14 $522.98 $78.38 ~1 •~ 1 y15f11 93 $75,77 94 15,153.16 $525.60 1!15/12 14 627.58 ~~•~ $73.14 X1.36 2115/12 95 ~ X0.87 $70.50 ~ 3/15/12 9fi 14,099.34 $60 13568.47 $533.52 $67.84 1.36 4/15112 97 17 5115/12 98 13,034.95 $536.19 X2.49 $601.36 12,498.76 $538.87 1 ~ 6f15f12 ~ 11,959.89 $541.56 ~g•~ ~ 7115/12 100 $57.09 $601.36 101 11,418.33 $544.27 1 3 fi 8115/12 37 ~ ' 9/15/12 102 10,874.06 $548.99 $51.64 $801.36 103 10,327.46 $54.73 $601.36 10/15/12 104 9,777.34 $,552.48 $48.82 $601.36 11 /15/12 105 9,224.88 $555.24 $43.35 $601.36 12/15/12 108 8,669.62 $5/58.01 $801.36 1/15/13 8,111.61 x•80 $4Q.56 01.36 2115/13 107 ~g3.61 $37.75 01.36 3/15/13 108 7,550.80 ~ 109 6,987.19 $566.43 x•10 $601.36 4/15113 110 6,420.77 $569.26 $29.26 $601.36 5/15/13 111 5,851.51 $572.11 6115/13 1 38 74.97 x•40 ~ ~ 7/15/13 112 5,279.40 ~ $23.52 . $801.36 113 4,704.44 $577.84 63 $801.36 8/15/13 114 4,126.60 $584.73 ~.73 X01.36 9/15/13 115 3,545.87 :~ $14.81 $801.36 10/15f13 11 fi 2,982.23 ~~ .48 $11.88 $601.36 11 /15/13 117 2,375.68 ~ $8.93 $6Q1.36 12/15/13 118 1,786.20 $592.43 $601.38 1 /15/14 1,193.7? $595.39 $5.97 $60136 y15f14 119 598.37 $598.37 $2.99 120 ~ ~~ ~ ~ ~~ ~ ~ ~- ______ DENNIS LOAN 3 ~ I- ortization schedule. Numbers are taken from that• This loan is covered by a on tthe 15th of the month. Payments have been du other's death was payment of July 15th. The last payment before M All payments were made as scheduled. THIS LOAN WAS PAID OFF ON 9/14/10. i Brest aid to personal account till date of death: Int ~ pay date Interest part of 1/15/2010 247.53 2/15/2010 _ 245.86 3/15/2010 _ 244.17 4/15/2010 242.48 5/15/2010 240.78 6/15/2010 239.08 7/15/2010 237.36 152.03 1849.29 ent. 1 ~ - ~_~_ Notes and misc. calculations, Au 5 to Aug 15 is 11 days. July 15 to August 4 is 20 day u ust 15 is 235.64 Interest for month July 15 to A u ust 4 is 152.03 Interest portion for July 15 to A Au ust 15 is 83.61 Interest portion for August_5 to g __~______ Interest July 15 to August 4 date of death. Interest paid to personal account. - Value of account for Estate Tax calculation: mount of loan after payment of July 15 per schedule. 47,127.46 Principal a ust 4 day of death. 152.03 Accrued interest due from July 15 to Aug 47,279.49 Principal value on day of death. Interest paid to estate: Interest Aug 4 to Aug 15 83.61 9 15/2010 233.9 Paid off 9/14/10. / 317.51 Interest paid to estate in 2010. 1849.29 Interest paid to Mother s personal account Summary 317.51 Interest paid to Estate account. i 2166.8 Loan~+~~~ulator Eimer Values Loan Amount' $ 52,444.31 6.00 0016 Annual Interest Rate ! 10 Loan period in Years i 12 Number of Payn'-er~ts Per Year E 3115/20091 Start Date of Loan ~~___-----~ O tional Extra Pa ~~ H S~ for Martha L Si Lender Natrus: I Ha Pmt Payment Beginning No Date Balance --- . ___-- ~~ 1 4115/2009 $ 52,444.31 124.29 52 2 511512009 6/15/2009 , 51,802.67 3 4 7/15/2009 51,479.45 154,61 51 5 8/15/2009 , 50 828.14 6 9/1512009 10!15/2009 , 50,500.04 7 g 1111512009 50,170.30 eo st38.91 "'~pf`0 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 4 4 4 5 5 1115/2010 211512010 311512010 4115/2010 5!15/2010 6/15/2010 7/15/2010 8/15/2010 9115!2010 10/1512010 1111512010 1211512010 1115/2011 2/1512011 311512011 4/15/2011 5/15/2011 6/1512011 7/15/2011 8/1512011 9/1512011 10/15/2011 1 111 51201 1 1 211 51201 1 1 /15/2012 2115/2012 3!1512012 4115/2012 5115/2012 6/1512012 711512012 811512012 9115/2012 10/1512012 11/1512012 12!1512012 g 1115/2013 7 2/151201 g 3115/201 g 4/15/201 0 5/15/201 1 6115/201 2 7/15/201 53 8/15/201 54 9!15/201 55 10115/201 ~a 11I15/20'~ Scheduled Extra Total meat r~r"'°"' 320.02 f-- .--582.24 -- -~...__ _ -~ - t 321.62 582.24 $~~ *;'~ , ~ ~ ~~~ ~ 582.24 f 323.23 582,24~-~~ 1~ ",~' {(~p(p 582.24 582.24 ~ ~ ~ ~~~, 1 ~`~~ 582.24 ~ 324.84 582.24 t~ ~ `-~~~ 582.24 ~ 326.47 582.244p ~ ~~+ ~~, j-~~~,. 582.24 328.10 582.2 ~ 1'~~~ 582.24 329.74 2 24~~ $ Q•`~~~ 4r 331.39 58 . ~,~10~ tlh~ 582.2 582.24" ~ t 1 ~~.~-..582.____ 24! ._~-- ~ ~- 12 1G / ~ ~ t ~ 24~d• 24 582 2 - ~ ~ ~'~~ _. . i G 1~ ~ 42 ~[:~• ~,.zl' 82 ~ . 58 ~ . 5 24~1~°~r~ZrlO ~ ~~~ 82 41 . 5 582.24 ~+~r(~''~fl ~ ~ X10 ~ ~ 5822 24 582 ~ ~ 24~d• ~"'~ ~ 82 . 24 . 5 D 24~cr!'i 82 582. 4 ; ~~ 1~.~ . 5 24 ~•~p"'~ 82 582.2 4 . 5 582.24~.`~'~ ~-''~ ©~ 1Q ` ~ 582.2 582.24 1 1 ~+fl 582.24 ~d fey Z 582.24 582.24 ~ ~ ~ ~.~~ : ~L 24 ~ 82 582.24 4 ~ . 5 ~ ~1 582.24 ~ *- j r~ i+p ~'~, 582.24 q ~.~ ~, l~ 582.2 582.24 582.24 t 582.24 t ~ ~ a 582.24 ""' -'~ ` 582.24 ~ }mot ~+ ~~~ 24 582.24 ~ ~ 582. 582.24 _ 582.24 582.24 _ 582.24 582.24 582.24 ~ ~ ~~_ ~ ~ ~ 582.24 582.24 582.24 582.24 ~ 1 ~ C~~ 582.24 _ 582.24 ~ 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 582.24 + 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 5$2.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 582.24 + 582.24 _ 582.24 582.24 _ 582.24 582.24 _ 582.24 582.24 582.24 49,505.87 49,171.16 48,834.78 48,496.71 48,156.95 47,815.50 47,472.34 47,127.46 46,780.86 45,730.62 45,377.03 45,021.68 44,664.55 44,305.63 43,944.92 43,582.41 43,218.08 42,851.93 42,483.95 42,114.13 41,742.46 41,368.93 40,993.54 40,616.27 40,237.11 39,856.06 39,473.10 39,088.22 38,701.42 38,312.69 37,922.02 37,529.39 37,134.79 36,738.23 36,339.68 3 ~ 35,939.14 3 35,536.60 3 35,132.04 3 34,725.46 3 34,316.85 3 33,906.19 3 33,493.49 3 33,078.71 3 32,661.87 ~ 32,242.94 „~.-, r" Loan aum.• ent $ 582.24 Scheduled Paym 120 Scheduled Number of Payments 120 Actual Number of Payments _ Total Early Payments $ 17 424 41 Totallnterest $ Interest Ending Balance 262 22 T $P_-~ 52,124.29 802.67 51 260.62 01'ft~' 9 , 51,479.45 . 25 257.4p,~~~~ 51,154.61 14 255.77 y `'~ 14 'l 254 50,828. ~ 50,500.04 . 252 50 '~0`~ 5 50,170.30 838.91 49 ~ 250.8 , 333 04 ~-.~_. =._..----~~- -- 247.53 -49,171.16 334.71 . 245'86 48,834.78 336.38 244.17 48,496.71 338.07 242.48 48,156.95 339.76 240.78 47,815.50 341.45 239.08 343.16 l~'= 237.36 47,127.46 .,,,, 344.88 235.64 346.60 233.90 46,432.52 348 ~ 232.16 46,082.45 350.08 230.41 45,730.62 351.83 228'65 45377.03 353.59 226.89 45,021.68 355.35 22511 44,664.55 357.13 223.32 44,305.63 358.92 221.53 43,944.92 360.71 219.72 43,582.41 362.51 91 217 43,218.08 364.33 ' 216.09 42,851.93 366.15 214.26 42,483.95 367.98 212.42 42,114.13 369.82 210.57 41,742.46 371.67 208.71 41,368.93 373.53 206.84 40,993.54 375.39 204 97 40,616.27 377.27 203.08 40,237.11 379.16 201.19 39,856.06 381.05 28 199 gg,473.10 382.96 . 37 197 39,088.22 384.87 . 195.44 38,701.42 386.80 51 183 38,312.69 388.73 . 191.56 37,922.02 390.68 189.61 37 , 529.39 392.63 187.65 37,134.79 394.59 185.67 36,738.23 396.57 183 69 36,339.68 398.55 , 181.70 35,939.14 . 400.54 179 70 35,536.60 402.54 177 68 35,132.04 404.56 66 175 34,725.46 406.58 . 173,63 34,316.85 408.61 171.58 33,906.19 410.66 169 53 33,493.49 412.71 167.47 33,078.71 414.17 165.39 32,661.87 416.85 31 163 32,242.94 418.93 . 161.21 31,821.91 421.02 Check No. Deposit TE CHECKING ACCOUNT- ALL TRANSACTS ESTA -- Description --- Date _ _____- Amt market acct. "" 8/17/2010 Initial deposit- close out of home charges) 8/24/2010 Thornwald Home (nursin ascriptions) 8/24/2010 Millennium Pharmacy ral Home (casket/burial) 8/24/2010 Michael Shalonisu I ayment of bequest -8/25/2010 Leah Hummel F alpFull Payment of bequest 8/25/2010 Holy Spirit Hosp~t - 8/26/2010 Rebate from Medicare ---- 2010 Cumberland Law Journal- run estate noeice 8/27/ run estate notic 8/27/2010 The Sentinel (Carlisleent from Dennis (3 loans) 9/8/2010 Normal loan Blue Shield Rx 9/8/2010 Refund from account 9/8/2010 Transfer in- close out old the artial distribution _____ ainst first p _--- 9/8/2010 To David- draw ag __ 9/8/2010 Bank fee for wire transfer out ______ ers loan 2010 David- wire transfer in- total payoff of old p 9/10/ ____-~_------ 9/10/2010 Bank fee for wire transfer in __-- 0 Millennium Pharmacy (prescriptions) _ 101 102 103 104 105 Deposit 106 107 Deposit Deposit Deposit Wire transfr Fee Deposit Fee _ -- 108 9/13/201 ______. e 8/31/2010 Bank charge for checkPa off on policy _---- Fe Deposit 9/16/2010 Prudential Insurance _____.___ 0 Normal loan repayment from Dennis (3 loans) Deposit 9/16/201 home charges) __---- 109 9/23/2010 Thornwald Home (nursing 9 23/2010 Refund from Blue Shield MediGap pld stribution ____.__.__.___. Deposit / ! --- fr 9/13/2010 To Dennis- draw against first partaa ---- Wire trans 9/13/2010 Bank fee for wire transfer ou off of loan 3 _______._ Fee it 9/14/2010 Dennis- wire transfer in- Bona Pay _---- Depos Fee __ 9/14/2010 Bank fee for wir atment from Dennis (2 Loans) ________ Deposit _ 10/25/2010 Normal loan rep Y headstone ______ 10/25/2010 Frank Snyder and Sons- update ceman a Tax _______.____ 110 ant Est Inhe 111 11/3/2010 Register of Wills (~ ) a Out of Pocket Expenses Exec.)- Rep Y 112 11/3/2010 Ronald Sieg 11/16/2010 Normal loan rep_ ayment on 2 loans ___________---- Deposit ment of principal on Loan 1 Wire transfr 12/29/2010 Dennis=Final repayment of principal on L___oan ? _ Wire transfr 12/29/2010 Dennis 1e F pPartial Distribution 113 1/4/2011 Harry S g 4 1/4/2011 Donald Sieg- First Partial Distribution ____---- 11 First Partial Distribution 115 1/4/2011 Ronald Sieg- 2011 Dennis Sieg- Balance of First Partial Distribution_________ 116 1/4/ Balance of First Partial Distribution __________ 117 1/4/2011 David Sieg- _ ment of interest on loan Return overpay -- 118 1/4/2011 Dennis Sieg- _ - 12/29/2010 Bank fee for 2 wire transf settle account for Wheel Fee 119 2/17/2011 American Home Medical olicy payoff- Prudential _______ Deposit 3/14/2011 Another i ev nuee Estate tax return 120 3/28/2011 Pa Dea States Treasury- Estate tax return 121 3/2E/2011 Urnte Balance 475.13 67475.13 943.83 66531.30 502.81 66028.49 6519.9 59508.59 5000 54508.59 1000 53508.59 250 53758.59 75 53683.59 155.68 53527.91 2587,01 56114.92 84.51 56199.43 12405.12 68604.55 32000 36604.55 25 36579.55 30985.23 67564.78 13 67551.78 200.12 67351.66 23.75 67327.91 3414.74 70742.65 2587.01 73329.66 34.85 73294.81 542 73836.81 47000 26836.81 25 26811.81 46432.52 73244.33 13 73231.33 2004.77 75236.10 129 75107.10 18400 56707.10 784.78 55922.32 2004.77 57927.09 125004.7 182931.76 21414.35 204346.11 56000 148346.11 56000 92346.11 56000 36346.11 9000 27346.11 24000 3346.11 20.01 3326.10 26 3300.10 41.95 3258.15 4980.38 8238.53 124.11 8114.42 628 7486.42 Deposit 6/27/2011 Payment from Advanta a~ Distribution Second Part 122 6/27/2011 David Sieg- 2011 Dennis Sieg- Second Partial Distribution 123 6/27/ Second Partial Distribution __________- 124 6/27/2011 Donald Sieg- 2011 Harry Sieg- Secon_ iai Distribubtu on 125 6/27/ Second Partial Distr~ _____-- 126 6/27/2011 Ronald Sieg- enses 2011 Ronald Sieg- Executor's out of pocket exp 127 8/24/ -----------,- costs of 30.00 on 8/24 when return is feed 128 Antic~Mat~ 4730.54 54786.96 I~pp 44786.96 - lpppp 34786.96 1~pp 24786.96 -- 100pp 14786.96 - 1~pp 4786.96 64.28 4722.68 Executor's Out of Pocket Exp-~ e is at $.50 per mile. ---- Mileag VISA ut on my aid cash 10 270.87 After-Burial dinner at Dukes- p Certificates etc.- p 8/8/20 arking ___,____ 7.5 Fees at Courthouse for letters Testaomea ers,+ .50 p 8/13/2010 42 to courthouse f p P 8 13/2010 26.5 53 miles round tri ost-it notes, paper 8/19/2010 10.04 Staples- fol nd tr'p to Staples 2 4 miles rou ---- 9/19/2010 a sale' sign at Home Depot 8/20/2010 3.17 Garag - 8.8 Stamps at post office- Swatara 8/25/2010 to ost office ----------- 8 25/2010 2 4 miles round trip P / ecial item 8/26/2010 0.61 Mail sp 2 4 miles round trip to post office 8/26/2010 ost office 10 1.22 Mail special item from Swatara p 9/8/20 envelopes at Gant a estimated inheritance tax 9/17/2010 3.07 Buy to courthouse- p Y 11/3/2010 26.5 53 miles round tripourthouse 11/3/2010 0.5 Parking meter or on 11/3/10 - 784•78 Paid to Execut ax return the 427.50 above is included ~n t fore as the family Dinner. There NOTE: On the Schedule H of Inh`evrn as an individual entry ainin is probate fees. The 270.87 is sho the 86.41 rem g ed from the total of 784.78 above and onelow. they are subtract enses. More details b _ used to calculate Executor's exp _ EES OF 457.50 ON INHERITANCE TAX RETURN NOTE REGARDING THE PROBATE F _ This amount shown is basedd when papers were granted at courthouse 427 5 Pa fee when return is filed on 8/24/2011 15 filing - 15 fee for 3 renunciations filed with return - -- 457.5 Total shown __ ____ Executor's expenses after the ones listed above. _ 3/20 2% 00 1 8.8 Stamps - - -------- 1.15 Mail tax returns 3/29/2011 27.83 Mail pictures back to David ax return to courthouse 7/ 9% 11 g % 011 26.5 Mileage- Take Inh k 127Ce -- ~ ----- aid 8/21/11 chec 64.28 p own on Schedule H as Executor's expenses is NOTE_ The amount of 150.69 sh e above plus 64.28 from the list immediately above. 86.41 from the nit