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-I REV-1500 1505610143
OFFICIAL USE ONLY
PA Department of Revenue pennsy ania county code veer Flie Number
Bureau of Individual Taxes °~""TM~NTOF1E1~""E
Po Box.28o60~ INHERITANCE TAX RETURN 21 11 0 7 9 0
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
209 28 7528 06 23 2011 06 17 1926
Decedent's Last Name Suffix Decedent's First Name Mi
DILLER GL$NN B
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
DILL$R VIRGINIA I
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Retum ^ 2. Supplemental Retum ^ 3. Remainder Retum (date of death
prior to 12-13.82)
^ 4. Limited Estate ^ qa, Future Interest Compromise ^ 5. Federal Estate Tax Retum Required
(date of death after 12-12-82)
^ g, Decedent Died Testate ^ 7, went Maintained a Living Trust ~ 8. Total Number of Safe Deposft Boxes
(Aftach copy of wn) ( Copy of Trust)
^ 9. Litlgation Proceeds Received ^ 10. ~~Po`!~~?'9~dt~d; t~e5~f death ^ 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
DAVID C MILL$R JR 717 939 9806
First line of address
1100 SPRING GARDEN DR
Second line of address
SUIT>3 A
City or Post Office State ZIP Code
MIDDL8T01PN PA 17057
REGISTER OF V~LLS USE OML~f
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Correspondent's e-mail address: davidcmillerjr~verizon.net
Under penaltles of per)ury, I declare that I have examined this return, including accomparrying schedules and statements, and to the best ~ my knowledge and belief,
h Is true, correct and complete. Declaration of preparer other than the personal represerrtative Is based on all Information of which prepare has any knowledge.
Virginia I. Diller
323 Belaire Drive,
PA 17011
DAVID C MILLER JR
1100 SPRING GARDEN DR., MIDDLETOWN, PA 17057
1505610143
Side 1
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1505610143
J 1505610243
REV-1500 EX
oe~ae~r$ Nana: D I L L S R, GLENN B.
Decedent's Social Security Number
209 28 7528
REGAPiTULATION
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 8~ Notes Receivable (Schedule D) ....................................................... 4.
5• Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) .............. 5.
6. Jointly Owned Properly (Schedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested............ 7,
8. Total Gross Aasets(total Lines 1-7} ............................._................................... 8,
9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... 9.
10. Debts of Decedent, Mortgage Liabilities, 8 Liens {Schedule I) ............................... 10.
11. Total Deductions (total Lines 9 & 10} ................................ ,,, 11
..............................
12. Net Value of Estate (Line 8 minus Line 11 } ......:.........................
.......................... 12.
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.
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(ax1.2)X.00 149, 535.50 15.
16. Amount of Line 14 taxable
at lineal rate X .045 1 g,
17. Amount of Line 14 taxable
at sibling rate X ,1Y 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18,
19. Tax Due ..............................._............................_..............................
....................
19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L 1505610243
22,359.00
140,674.31
163,033.31
13,497.81
13,497.81
149,535.50
149,535.50
0.00
0.00
1505610243 J
REV-1500 EX Page 3 File Number 21 - 11 - 0790
Decedent's Complete Address:
D[Iler, Gienn B.
STREET ADDRESS
323 Belaire Drive
CITY
Shiremanstown STATE
PA ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
(1)
0.00
2. Credits/Payments
A. Prior Payments
B. Discount
Total Credits (A + B) (2) 0.00
3. Interest
(3)
0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is 1heOVERPAYMENT. (q)
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE (5) ~ " ~ ~
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 properly transfer-ed :............................................................................. ^
b. retain the right to designate who shall use the property transferred or its income ::::::::.:::::::::::::::::::::::
c. retain a reversionary interest; oc
............................................................_............
d. receive the promise for life of either payments, benefits or care2 .......................................................... ^ 0
2. If death occxured after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration2 ................................................................................................................ ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ 0
4. Did decedent own an Individual Retirement Account
annuity
or other non-probate property which
,
,
contains a beneficiary designation2 ............................................................................................................... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS 13 YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETUR
For dates of death on or after Jul 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transf®rs to or for the use of the surviving
spouse is 3 percent [72 P.S. §916 (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
p2 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, aril the statutory requirements for disclosure of
assets and filing a tax rettuum 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 p2 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 benefiaaries 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)1. 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.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
XJHERRANCE TAX RETURN
~""""°~°~~`"^"'" PERSONAL PROPERTY
RESIDENTDECEDENT
ESTATE OF Diller, Glenn B. FILE NUMBER
21 -11 - 0790
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.
ITEM
NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
1 Sovereign Bank Account, Irrevocable Burial Account No. 1685548628 12,809.00
2 Vehicle - 2005 Ford Five Hundred -Kelley Blue Book Value 9,550.00
TOTAL (Also enter on L1ne 5, Recapitulation) I 22,359.00
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETAxRETURN JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF
Diller, Glenn B.
FILE NUMBER
21 -11 - 0790
ff an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
Virginia I. Diller 323 Belaire Drive Spouse
A Shiremanstown, PA 17011
JOINTLY OWNED PROPERTY:
LETTER DAT P
ITEM
NUMBER
FOR JOINT E
MADE Include name o~TinanC~al insfftu~on an
bahk account numbs DATE OF DEATH °~Q OF DATE OF DEATH
TENANT
JOINT r similar identifying number. Attach deed for jointly-held real VALUE OF ASSET DECD'S VALUE OF
estate INTERES DECEDENTS INTEREST
1 A 0
/
8
25/2005 Real Estate Located at 323 Belaire Drive, 200,000.00 50% 100
000
00
Shiremanstown, Cumberland County, PA ,
.
2 A 09/01/1999 Sovereign Bank Money Market Account No. 77,111.46 50% 38
555
73
1681734486 ,
.
3 A 09/01/1999 Sovereign Bank Check Account No. a,23~.1s 50% 2
118
58
1051137195 ,
.
rvTAt_ (Also enter on line 6, Recapitulation) I 140,674 31
corer~oNwEUTN of aENNSV~vnNw
INNERRANCE TA7C RETURN
RESIDENT DECEDENT
SCI-®IA.E H
wFI~FJ?AL. D~EIVSES 8~
FV~~IS~~71 EV'1~ V4h71 ~7
ESTATE OF Diller, Glenn B. FILE NUMBER
21 - 11 - n7gn
Debts of decedent must be reported on Schedule 1.
ITEM
NUMBER FUNERAL EXPENSES: DESCRIPTION
A. 1 Malpezzi Funeral Home
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission paid
2. Attorney's Fees Law Office of David C. Miller, Jr.
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills-Probate Fee
Short Certificate
Pa. Inh. Tax Return and Inventory
5. Acx:ountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1
AMOUNT
13,210.31
150.00
103.50
4.00
30.00
TOTAL (Also enter on line 9, Recapitulation) 13497.81
REV-1513 EX+ (17-08)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA
INHERrrANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF
Diller, Glenn B.
NAME AND ADDRESS OF PERSONS RELATIONSHIP TO
NUMBER RECEIVING PROPERTY () DECEDENT
Do Not Llst Trustee(s)
I~ TAXABLE DISTRIBUTIONS(indudenutright spousal
distributions and transfers
under Sec. 1116 (a) (1.2)]
1 Virginia I. Diller Spouse
323 Belaire Drive
Shiremanstown, PA 17011
FILE NUMBER
21 -11 - 0790
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
All of rest, residue
and remainder
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate.
II. NON-TAXABLE DISTRIBUTIONS:
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 0.00
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LAST WILL AND TESTAMENT ~~'
_,
OF
GLENN 8. DILLER
I, GLENN B. DILLER, of Fairview Township, York County,
Pennsylvania, make, publish and declare this as and for my Last
Will and Testament, hereby revoking all other Wills and Codicils
heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, unto my wife,
VIRGINIA I. DILLER, provided she survives me by sixty (60) days.
SECOND: Should my wife, VIRGINIA I. DTLLER, predecease
me or die on or before the sixty-first (61st) day following my
death, I devise and bequeath all the rest, residue and remainder
of my estate of whatever nature and wherever situate, including
any property over which I hold power of appointment and together
with any insurance policies thereon, as follows:
(A) I bequeath such of my tangible personal property
as is set forth in a separate dated and signed Memorandum, which
dated and signed Memorandum shall be placed with or attached to
this, my Last Will and Testament, to the individuals designated
therein. It is my intent that the last dated and signed Memoran-
dum shall control. If there is no Memorandum, it is my intent
that all of my tangible personal property shall be and become a
part of my residuary estate.
(B) I devise and bequeath all the rest, residue .and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, in equal shares, to
my children, JOANNE YOHE, RONALD L. DILLER, and BONNIE L.
WILLIAMS. Should JOANNE YOHE predecease me, I give and bequeath
her share, in equal shares, to her children, NANCY E. YORE HUGHES
and JENNIFER L. YOHE SCHADE. Should RONALD L. DILLER predecease
me, I give and bequeath his share, in equal shares, to his
children, ELIZABETH R. DILLER and LAUREN R. DILLER. Should
BONNIE L. WILLIAMS predecease me, I give and bequeath her share,
in equal shares, to my grandchildren, NANCY E. YORE HUGHES,
JENNIFER L. YOHE SCHADE, ELIZABETH R. DILLER and LAUREN R,
DILLER.
THIRD: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, or to lease,
for any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
` stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
2
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I direct that all inheritance, estate,
transfer, succession and death taxes, of any kind whatsoever,
which may be payable by reason of my death, whether or not with
respect to property passing under this Will, shall be paid out of
the principal of my residuary estate.
FIFTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
able, shall not be subject to attachment, execution or sequestra-
tion for any debt, contract, obligation or liability of any
beneficiary, and furthermore, shall not be subject to pledge,
assignment, conveyance or anticipation.
8I8TH: I nominate and appoint my wife, VIRGINIA I.
DILLER, Executrix of this, my Last Will and Testament. In the
event of the death, resignation or inability to serve for any
reason whatsoever of the said VIRGINIA I. DILLER, I nominate and
appoint JOANNE YOHE, RONALD L. DILLER and BONNIE L. WILLIAMS, Co-
Executors of this, my Last Will and Testament. I direct that my
Co-Executors, and their successors, shall not be required to post
security or a bond for the performance of their duties in any
jurisdiction.
3
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this ~~- day of F~--
1997.
/E/~~ ~i~~~ ~ (SEAL)
GLENN B. DILLER
Signed, sealed, published and declared by the above-
named Testator as and for his Last Will and Testament in our
presence, who, at his request, in his presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
Address
._ ..~ /J
f~ 4
4
MEMORANDUM
In accordance with the provisions of Clause SECOND (A)
of my Last Will and Testament, dated ~„~f,- ~ ~ , 1997, I
direct that the following described personal property be given
outright to those individuals so designated:
TO JOANNE YORE:
High Chair, old oval China Closet
TO RONALD L. DILLER:
410 Gauge Winchester Pump, 22 Pump Gun with aluminum
barrel, Square Black Stand from family of Glenn B.
Diller.
TO BONNIE L. WILLIAMS:
Small table and chair set, Ladden Lamps, small 22
Winchester Rifle, Chicken Collection and Cabinet,
Sewing Machine.
Date : ~~-- ~~ ..S X99 ~' ~. ~ ~~,y,~ (SEAL)
GLENN B. DILLS-R ~~/