HomeMy WebLinkAbout09-22-111505610143
REV-1500 ~``°'-'°'
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania County Code Year File Number
Bureau of Individual Taxes ~^"Tr"Ear~~~
Po Box.2sosol INHERITANCE TAX RETURN 21 11 0732
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
159 24 9310 06 26 2011 11 27 1916
Decedent's Last Name Suffix Decedent's First Name MI
ANDERSON VANCE O
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL tN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return
4. Limited Estate n 4a. Future Interest Compromise
ra~~e ..r ae~~ti tee. ,o ,o am
8 Decedent Died Testate ~ ~ Decedent Maintained a Living Trust
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 1 p, Spousal Poverty Credit (date of death
between 12-31-J1 and T-1-95)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
MI
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
JOEL O SECHRIST ESQ 717 938 3396
First line of address
568 OLD YORK ROAD
Second line of address
City or Post Office
ETTERS
State ZIP Code
PA 17319
Correspondent's a-mail address: S@ChrlStlaWl~grT1a11.COm
REGISTER OF;iNI~S USE OfV~LY
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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 personal representative Is based on all information of which preparer has any knowledge.
SIGNATU OF PERSON R SPONSIB OR FILI RETURN DATE
~_ Dean R Anderson 9 ZO ~ ~
ADDRESS
2570 Stillmeadow Lane. York. PA 1740
SIGN OF PRE R O ER THAN REPRESENT
DATE
_ Joel O. Sechrist Esq. 2 o L
AD
5 Old York Road, Etters, PA
Side 1
1505610143 1505610143 J
PA Inheritance Tax Return
Signature of Additional Fiduciaries
ESTATE OF 1 21 11-07 26ER I
Anderson, Vance O
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, correct and complete. Declaration of preparer other than the personal representative is based on all
information of which preparer has any knowledge.
Signature #2 t\_)i~Qi ~ _ ~~~
Name
Address1
Address2
City, State, Zip
Date
900 Schoolhouse Lane
Lewisberry, PA 17339
o- -ao t ~
1505610243
REV-1500 EX
oe~~ae^rSNeme: Anderson, Vance O
Decedent's Social Security Number
159 24 9310
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 i;< Notes Receivable (Schedule D) ...................................................... .. 4. 9 , 03 9. 0 0
5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............. .. 5. 160 , 98 9.2 9
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested........... . 6.
7. Inter-Vivos Transfers & Miscellaneous inn; Probate Property
(Schedule G) U Separate Billing Requested........... . 7. 306 , 820.64
8. Total Gross Assets (total Lines 1-7) ................................................................... .. 8. 4 7 6 , 8 4 8.93
9. Funeral Expenses & Administrative Costs (Schedule H) ..................................... .. 9. 11 , 635.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................ .. 10. 9 , 42 9. 3 4
11. Total Deductions (total Lines 9 & 10) ................................................................. .. 11. 21 , 0 64.34
12. Net Value of Estate (Line 8 minus Line 11) ........................................................ .. 12, 455 , 7 84.5 9
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, 4 55 , 7 8 4 . 5 9
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 .00 15.
16. Amount of Line 14 taxable
at lineal rate X .045 455 784 .59
~ 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 . 0 0 18.
19. Tax Due ................................................. ................................................................ . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
0.00
20,510.31
0.00
0.00
20,510.31
Side 2
1505610243 1505610243 ,~
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-11-0732
DECEDENT'S NAME
Anderson, Vance O
STREET ADDRESS
Messiah Village
CITY
Mechanicsburg STATE
PA ZIP
17055
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
1,025.52
(1)
Total Credits (A + B) (2)
20,510.31
1,025.52
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
(3)
(4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 19,484.79
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 :............................................................................... ^ ^x
b. retain the right to designate who shall use the property transferred or its income :.................................. ^
c. retain a reversionary interest; or ............................................................................................................... ^ ^x
d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ^x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................................................................................................................... ^ ^
x
3. Did decedent own an "in trust for' or payable 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? .................................................................................................................. ^x ^
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 January 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 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)]. A
sibling 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-1507 FJC+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES 8~ NOTES
RECEIVABLE
ESTATE OF FILE NUMBER
Anderson, Vance O 21-11-0732
All property jointlyowned with right of survivorship must be disclosed on Schedule F.
~Ir more space Is neetletl, atltlitional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule D (Rev. 6-98)
Rev-1508 EX+ (g_98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Anderson, Vance O 21-11-0732
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
Rev-1510 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Anderson, Vance O 21-11-0732
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH ~ OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE THEIR RELATIONSHIP TO DECEDENT AND INTEREST (IF APPLICABLE)
THE DATE OF TRANSFER. ATTACK A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET VALUE
1 Edward Jones account -Divided equally among 256,708.35 256,708.35
Decedent's sons: David R. Anderson, Dean R.
Anderson, Dennis R. Anderson and Doyle R.
Anderson
2 Everence financial annuity - DivFded~among 50.112.29 50,112.29
Decedent's sons: 40% to Dennis R. Anderson, 40% to
Dean R. Anderson, 10% to David R. Anderson and
10% to Doyle R. Anderson
TOTAL (Also enter on Line 7, Recapitulation) I 306,820.64
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc; Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+t10-oe- SCHEDULE H
COMINONEEWRREAgqLTCC~~{{EOFgqP~~ENEENggUUYLVANIA FUNERAL EXPENSES ~
RESIDENTDECEDENTR" ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Anderson, Vance O 21-11-0732
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
Beaver-Urich Funeral Home
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(s) Commission Daid
2. Attorney's Fees Joel O. Sechrist Esq.
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zio
Relationship of Claimant to Decedent
4. Probate Fees
See continuation schedule(s) attached
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
8,380.50
2,625.00
629.50
TOTAL (Also enter on line 9, Recapitulation) I 11,635.00
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Anderson, Vance O 21-11-0732
ITEM
NUMBER DESCRIPTION AMOUNT
Probate Fees
1 Carlisle Sentinel legal ads 200.00
2 Cumberland Law Journal legal ads 75.00
3 Register of Wills additional probate fee 125.00
4 Register of Wills File inheritance tax return 15.00
5 Register of Wills file Releases 20.00
6 Register of Wills probate fee 194.50
H-B4 629.50
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
Rev-7512 EX+(12-08)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMON WEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Anderson, Vance O 21-11-0732
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbureed medical expenses.
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
REV-1513 EX+ (t t-08)
R~ LN~E q~ ENT SCHEDULE J
COMM~HRESIDAENT DECEDEN~R~VANIA BENEFICIARIES
ESTATE OF
FILE NUMBER
Anaerson, vance ~ 21-11-0 732
NAME AND ADDRESS OF RELATIONSHIP TO
SHARE OF ESTATE
AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$)
I
' TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 a 1.2
David R Anderson Son one quarter of
522 Ellencroft Drive estate
Lewisberry, PA 17339
Dean R Anderson Son one quarter of
2570 Stillmeadow Lane estate
York, PA 17404
Dennis R Anderson Son one quarter of
132 Westbury Place estate
Columbia, SC 29212
Doyle R Anderson Son one quarter of
900 Schoolhouse Lane estate
Lewisberry, PA 17339
Total
Enter dollar amounts for distributions shown above on lines 1 5 throu h 18 on Rev 150 0 cover sheet, as a r o riate.
NON-TAXABLE DISTRIBUTIONS:
II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
?,~1.4? T~TILL 1!~!? i'SS? OF
VANCE O. ANDERSON
I, VANCE O. ANDERSON, of Fairview Township, York County,
Pennsylvania, being of sound mind and memory, do make, publish and
declare this my Last Will and Testament, hereby revoking and making
void any and all wills by me heretofore made.
FIRST: I order and direct that all of my just debts and
funeral expenses be paid by my hereinafter named Co-Executors as
soon after my death as may be found convenient.
---__ - -
SECOND: All the rest, residue and remainder `-of - my -bstate~;- "-- -
real, personal and mixed, of whatever nature and wheresoever
situate, which I may own or have the right to dispose of at the
time of my death I give, devise and bequeath as follows:
A. Twenty-Five (25~) percent to my son, DEAN R. ANDERSON, or
if he fails to survive me, to his issue per stirpes;
B. Twenty-Five (25$) percent to my son, DENNIS R. ANDERSON,
or if he fails to survive me, to his issue per stirpes;
C. Twenty-Five (25$) percent to my son, DAVID R. ANDERSON,
or if he fails to survive me, to his issue per stirpes;
D. Twenty-Five (25$) percent to my son, DOYLE R. ANDERSON,
or if he_fails to surYve_me,_ to his issue per stirpes; and
THIRD: I hereby nominate, constitute and appoint my said son,
DEAN R. ANDERSON, and my son, DOYLE R. ANDERSON, as Co-Executors of
this, my Last Will and Testament, and I do direct that no bond
shall be required of such Executors hereunder. My said Executors
shall have full power at their discretion to do any and all things
necessary for the complete administration of my estate, including
the power to sell at public or private sale and without order of
Court, any real or personal property belonging to my estate, and to
compound, compromise or otherwise to settle or adjust any and all
claims, charges, debts and demands, whatsoever, against or in favor
of my estate, as fully as I could do if living.
IN WITNESS WHEREOF, I have hereunto set my hand a/nd seal to
this my Last Will and Testament, this ~~-day of ~Pce~.bt~, 1995.
(J~J9,L _ ~ o~ ,e_ .,-~~, ( SEAL )
Vance O. Anderson
Signed, sealed, published and declared by the above named
Testator as and for his Last Will and Testament, in the presence of
us, who at his request and in his presence and in the presence of
each other have hereunto subscribed our names as witnesses.
~>~
Sepbernber ~, 2011
Joel t} Sechrist Esq.
568 Old York Rd
Ettexs, l'A 17319
RE: VaDCe €l And
SSN: 159-24-9310
I)OI): D6-2Ei-2011
Dear Mr. Sechrist:
I~ .~ ~ yu~a ~ for Date of l~akh {DOD) balanc for the +customer noted above, our
records shQV~ the follov;~ing:
Checking A.coaunt
A.ccotttxt # S004b18193 Established: 0?-01-2005
V.ANCE O ,ANI?ERSC}~T
DOD balance: $ 7,29Ei.$8 + 0.33 accrued interest
Interest mid 0l -0I -2011 thru 06-26-20I 1 $ O.ZO Y'I'D
Please note that this office p~vides date of death balances fcxr depC+sit ~ (IRAs, CDs, Checking and
Savings). We da Bat prn any fisaae~rl ~ or p artatt~me~. 1f yuu
any of these items, please calf 1-888 PNC-BAND (1-888-762 2265} ar strap by Ytiur local PNC Bank branch
affce.
sincerely,
National Fi~ncial Spices Cdr
PNC Bank, N.A.
Member FD1C
7~ris mRessage is ir~terd ft~r thre srse of the irrdrviat~ad txr entity to which it is addressed and mrry
contain infarnurtion that is privileged cQr~desitial and exer,~pt from disclo~,sra~e under a~alicable law,
If the reader of this message is not the i~eruled recipient or the emplo}+ee or agent responsible for
delivering this message to the intended recipient you are hereby ~t fixed t3r~rt any disseminatiar~
distribution ar copying of this canfmunicatians is strictly prohibited If you have received Etas
commtoricatipn in error, please notify me immediately by reply or by telephone at SDO-762-1 T75 and
immediately destroy this faxed da~currtent_
Exhibit to Schedule E
Page 1 of 1
"t"L'
BICF
Brethren in Christ
FOUNDATION
POST OFFICE BOX 290
431 GRANTHAM ROAD
GRANTHAM, PA 17027
Joel O. Sechrist, Esquire
568 Old York Road
Etters, PA 17319
H~i«ri~cirzl Sc~rvir~cs /i~r Hrur1~/ul Shst~ai•~c
August 30, 2011
Dear Mr. Sechrist:
Bel^~=~ -- ~ find the information that you requested for the investments that Vance O. Anderson h.ad
with the Brethren in Christ Foundation as of the date of his death, June 26, 201 1. All of these
investi~-ients were solely in Mr. Anderson's name.
Investment Date-of--Death
Balance Accrued
Interest Total Date-of-
Death Value Interest Y-T-D
at Death
Special TAP #3618 73,500.00 75.21 73,575.21 578.95
Certificate #13696 25,000.00 33.90 25,033.90 238.67
Certificate #13706 30,000.00 40.68 30,040.68 286.42
Certificate #13792 25,000.00 42.29 25,042.29 252.10
Totals 153,500.00 192.08 153,692.08 1,356.14
If I can be of further assistance, please do not hesitate to contact me at 717-796-4788, x 5420, or at
klel~man!c~.bicfoundation. or<~.
Sincerely,
K~ ~ _
Kimberly J. Le an
Account Officer
KJL/kj 1
Exhibit to Schedule E
Phone: (717) 796-4788 Fax: (717) 697-7714 E-mail: info@bicfoundation.org
®v~ Everence
August 4, 2011
Dean Anderson
2570 STILLMEADOW LN
YORK PA 17404-1235
Everence Financial
1110 North Main Street
Post Office Box 483
Goshen, IN 46527
vrww.everence.com
Toll-free: (800) 348-7468
T: (574) 533-9511
Dear Dean:
As requested, I have listed below the information related to your father, Vance O
Anderson's Everence (formerly MMA) annuity.
Agreement Number 5440666
Type of Annuity Non-Qualified Annuity
Annuitant/Owner Vance O Anderson
Date of Death Value (06/26/11) $50,112.29
Cost Basis $50,000:00
Taxable Amount $ 112.29
I hope this information has been helpful, if you have questions or need further assistance
please contact our office at (800) 348-7468 or (574) 533-9511 extension 3233.
Sincerely,
Gloria Yoder
Client Services Representative -
Everence Association Inc., a fraternal benefit society
Exhibit to Schedule G
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