HomeMy WebLinkAbout11-14-11 (2)
H~ ~~ LAW Estat,~ Planning • Elder Law • Special Needs Planning
~.: (71'~ 540-4332
2000 Linglestown Road Fax: (717) 540-4313
Suite 202 www.HazenElderLaw.com
Harrisburg, PA 17110
November 10, 2011
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Re: Estate of Barbara J. Boak :> ~ c-5 `n ~
File No.: 21-11-0226 r"
Inheritance Tax Return
To: The Register of Wills:
Enclosed for filing please find the original and one copy of the above-referenced
Inheritance Tax Return and Inventory, along with a copy of the first page of the
Inheritance Tax Return. Please date stamp the first page of the return and a copy of the
Inventory and return them to my office in the enclosed self-addressed envelope.
Also enclosed is a check for the filing fee in the amount of $30.00 and a check for
the additional tax due in the amount of $32,187.35.
If you have any questions or require any additional information, please do not
hesitate to contact me.
Sincerely,
C0~''z``P ~~ 0 - ~~°rsp
Corinne Eggers Woodhouse
Pazalegal
Enclosures
cc: Beth Perkins, Exec.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
PERKINS BETH R
415 CHESTNUT ST
MARYSVILLE, PA 17053
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: i72-32-1425
FILE NUMBER: 2111-0226
DECEDENT NAME: BOAK BARBARA J
DATE OF PAYMENT: 1 1 / 14/ 201 1
POSTMARK DATE: 1 1 /10/201 1
coUNTY: CUMBERLAND
DATE OF DEATH: 02/ 14/ 201 1
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 0992
REV-1162 EXI11-96)
NO. CD 015202
AMOUNT
101 ~ 532,187.35
TOTAL AMOUNT PAID:
INITIALS: HEA
RECEIVED BY:
532,187.35
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-11-0226
COUNTY OF Cumberland
Beth R. Perkins
Personal Representative(s) of the Estate of Barbara J. Boak
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~ ~, ~,vyr~
tory are true and correct. I understand that false state- Beth R. Perkins
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to '
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Marielle F Hazen, Esq.
(Supreme Court l.D. No.) 68003
Hazen Elder Law
2000 Linglestown Road, Harrisburg, PA _
717-540-4332
DATE OF DEATH LAST RESIDENCE 1100 Crandon Way
02114/2011 Mechanicsburg, P~
FIGURES MUST BE TOTALED
Personal Pro~rtv
Cash ....................................................
Personal Property ..............................
Stocks/Listed .....................................
StockslClosely Held ...............................
Bonds .............................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
DECEDENTS SOG. stc. nu.
172-32-1425
44,869.84
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3,753,578.49
545,000.00
a,z9s,57s.49
NOTE: IC@m but such figures shouldniot t1e extended ntomthe total of~heenventory.l (SeeY20 Pam. CS § 330 b))personal representative include the value of each
r-orm RW-09 Rey. ~a~3-zoos
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
DATE OF DEATH LAST RESIDENCE 1100 Crandon Way
02/1412011 Mechanicsbur PA 1
File Number 21-11-0226
DECEDENTS SOC. SEG. NV.
172-32-1425
~~
1st National Bank - Cking Acct. No. 346101 2,001.70
Allstate Indemnity Co. -refund of Homeowners insurance premium 450.00
Allstate Property & Casualty Ins. -refund of insurance premium 396.88
Cash -liquidation of Comcast stock before death, checks received after death 25,940.78
Emeritus Corp. - Loyalton Assisted Living -refund of balance of monthly fee 1,504.00
Mobile X-Ray Imaging -refund of payments 80'44
Plumbers 8 Pipefitters Local -death benefit -paid to decedent as beneficiary of 3,850.00
husband who died November 23, 2010
Range Rover sold before decedent died -check received after death 10,000.00
Verizon -refund of telephone credit 30.84
Wells Fargo Bank credit card -refund of credit balance 37'82
Wells Fargo Bank -refund of mortgage payment taken after settlement on AZ. Property 577.38
Total Cash 44,869.84
Stnnkc/Listed
1,096.27
233.0000 shares Alcatel-Lucent
10,779.4540 shares ATBT Inc. Dsp -Common Stock 305,813.11
2'268.21
49.0000 shares British Petroleum
70.6600 shares Chevron Corporation 6,806.24
Total Personal Property and Real Estate 4,298,578.49
(Attach additional sheets if necessary)
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 1100 Crandon Way
02/1412011 Mechanicsbur P~
File Number 21-11-0226
DECEDENTS SOG. 5t1:. nv.
172-32-1425
900.0000 shares Cisco Systems Common Stock (Cus)
108.5800 shares Del Monte Foods Company
5,348.0000 shares Duke Energy Corporation
23,511.7900 shares Exelon Corporation
39.2320 shares H.J. Heinz Company
115.0000 shares Host Hotels 8 Resorts Inc Common Stock
880.4810 shares IBM DSPP -Common Stock
498.4343 shares ITT Corporation
200.0000 shares Medco Health Solutions, tnc.
15,411.2900 shares Medtronic, Inc.
180.8540 shares Merck 8~ Co Inc.
100.0000 shares Molson Coons Brewing Co.
581.1371 shares Motors Liquidation Company Drip -Common Stock
200.0000 shares NCR Corporation
300.0000 shares Novell Inc
600.0000 shares Oracle Corporation
80.3526 shares Pepsico, Inc.
1,174.8900 shares Pinnacle West Capital Corporation
16,933.50
2,052.72
94,392.20
981,147.00
1,883.33
2,265.50
144,059.90
29,749.05
12,416.00
609,054.18
5,947.38
4,501.50
49.40
3,830.00
1,785.00
20,034.00
5,122.48
48,987.04
-2-
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
DATE OF DEATH LAST RESIDENCE 1100 Crandon Way
02114/2011 Mechanicsbur P~
41,547.6400 shares PPL Corporation
26.0000 shares Prudential Financial Inc Common Stock
1,028.1600 shares Qwest Communications International Inc.
481.3303 shares Rayonier Inc.
567.0000 shares Rite Aid Stock
6,435.0000 shares Riverview Financial Corp
112.4392 shares Southwest Gas Corp
2,560.1300 shares Spectra Energy Corp
185.0000 shares Stanwood Hotels 8~ Resorts Worldwide Inc.
761.3550 shares Supervalu Inc.
545.4494 shares The Hartford Financial Services Group, Inc.
78.7970 shares United States Steel Corporation
2,739.7878 shares Verizon Communications, Inc
1,126.2500 shares Vodafone Group PLC
49.1110 shares Walgreen Co.
124.6140 shares Wells Fargo 8 Company
Total StockslListed
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21-11-0226
DECEDENTS SOC. SEC. NO.
~~ 172-32-1425
1,023,318.37
1,672.06
7,628.95
29,580.15
810.81
98,133.75
4,303.61
66,332.97
11,993.55
6,208.85
16,104.39
4,718.76
98,728.25
32,683.78
2,081.32
4,215.07
3,708,708.65
-3-
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 1100 Crandon
02114/2011 Mechanicsbur PA 17055
Real Property -Asper Hill Rd. Parcel 003 -Per attached appraisal
Real Property -Asper Hill Rd. Parcel 013 -Per attached appraisal
Real Property -Asper Hill Rd. Parcel 014 -Per attached appraisal
Total Real Estate
COUNTY, PENNSYLVANIA
File Number 21-11-0226
DECEDENTS SOC. SEC. NO.
172-32-1425
210,000.00
125,000.00
210,000.00
545,000.00
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