HomeMy WebLinkAbout12-05-11• y
1505610105
~ REV- i JOO ~ (~11) t~ ~ OFFIt;IAL USE ONLY
PA Department of Revenue P~nsYlvama County Code Year File Number
Bureau of Individual Taxes ~`~»'»E»T~ jNHERITANCE TAX RETURN
PO BOX 28o6oi ~ ,~ ~r d/oa 8
Harrisburg, PA a.~iz8-o6o1 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth INMDDYYYY
187-16-6880 09/23/2011 05/03/1923
Decedent's Last Name Suffix Decedent's First Narne MI
Rish Geraldine E
(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 OVALS BELOW
~ 1. Original Return O 2. Supplemental Retum O 3. Remainder Return (Date of Death
Prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O ;i. Federal Estate Tax Return Required
death after 12-12-82)
~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust i3. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date.of Death O 1 t. 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 T0:
Name Daytime Telephone Number
Michell J. Rish (717) 763-559 :~ : ~-'
T, -~ ,
First Line of Address
228 North 26th Street
Second Line of Address
City or Post Office
Camp Hill
State ZIP Code
PA 17011
REGISTER~~1,6St USE Y
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Correspondent's a-mail address: mSOdeft)erg@VerisOn.net
Under penames of perjury, I declare that 1 hav xa ed this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, corr~cl and complete. D~rati raper other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610105 :1505610105 J
J
1505610205
REV-1500 EX (FI) Decedent's Social Security Number
Decedent's Name: Geraldine E. Rish 1187-16-6880
RECAPITULATION
1. Real Estate (Schedule A) ............................................. 1. 0.00
2. Stocks and Bonds (Schedule B) ....................................... 2. 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00
4.
9 9e ( ) ...........................
Mort a sand Notes Receivable Schedule D 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 0.00
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 28,268.68
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7.
8.
( 9 ) .............................
Total Gross Assets total Lines 1 throw h 7 8. 28,268.68
9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 7,966.68
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 18.84
11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 7,985.52
12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 20,283.16
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ..................... ... 13.
14.
1 ( ) .....................
Net Value Sub'ect to Tax Line 12 minus Line 13 14.
... 20,283.16
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 .0_ 15.
16. Amount of Line 14 taxable
at lineal rate x .0 45 20,283.16
1g.
912.74
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE ......................................................... 19. 912.74
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
O
Side 2
1505610205 :1505610205
i
REV-1500 EX (FI) Page 3
rlnnn~lnn+~c ~'_Arrf1'1fp1fQ Of~f~PP_CS_
Flle Number OCQ~~- Q~~~ 8
DECEDENTS NAME
Geraldine E. Rish
STREET ADDRESS
228 North 26th Street
CITY
Camp Hill STATc
PA ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1)
2. CreditslPayments
A. Prior Payments
B. Discount 45.64
Total Credits (A + E'.) (2)
3. Interest
(3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX 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 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" orpayable-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? ................................................................................................................. ....... ^
912.74
45.64
0.00
867.10
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 k>y blood or adoption.
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n~~~J t C1"t Vh WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
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CERTIFICATE OF
GRANT OF LETTERS
No . 2011- 01028 PA No . 21- 11- 1028
Estate Of : GERALDINE E RISH
rFrsr, tirdaee, u~~
a/k/a : GERALD/NE ESTHER RISH
Late Of : CU BERLAND COUN~H/P
Deceased
Social Security No: t87-16-6880
WHEREAS, on the 29th day of September 2011 an instrument dated
December 4th 1987 was admitted to probate as the last will of
GERALDINE E RISH
(rte ~;aa*, usu
a/k/a GER.4LD/NE ESTHER RISH
late of LOWER ALLEN TOWNSHfP, CUMBERLAND County,
who died on the 23rd day of September 2011 an
WHEREAS, a true .copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi1Is in and
for CiTNIBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
MICHAEL J R/SH
who has duly qualified as EXECUTOR(R/X1
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HDUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hared and affixed the seal
of my office on the 29th day of September 2011.
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
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(~RALDIIJE E. RISH ' ~ r~ ~-~
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I, t~RAi.DINL S. RISH, of Derry Township, Dauphin Country, Pennsylvania, declare
this to be my last will and revoke any will previously made by me.
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ITEM! I. I direct that all my just debts and funeral expenses, including my
gravemarker and all expenses of my last illness, and any and all taxes and assessments
imposed by any governmental body as a result of my death, whether on property passing.
,under this will or otherwise, shall be paid from my residuary estate as soon as practi-
'...,cable after my decease as a part of the expense of the administration of my estate.
I7.F.N! II. I give and bequeath all of my household goods, automobiles, jewelry, and
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all other articles of household and personal use, equipment and ornament, together with
all insurance thereon and relating thereto, to my husband, :RAYMOND M. RISH, provided he
survive my death by sixty (60) days. Should my said spouse predecease me or be
deceased on the sixty-first day after my death, I give, devise, and bequeath all such
items and insurance thereon in equal shares to such of my children, or the survivor of
them, who survive my death by sixty (60) days.
ITffirl III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to my husband, RAYMOND M.
RISH, provided he survive my death by sixty (60) days. Should my said spouse
predecease me or be deceased on the sixty-first day after my death, I give, devise, and
bequeath all the rest, residue, and remainder of my possessions and estate of every
1
mature and wherever situate in equal shares to such of my children, or the survivor of
them, who survive my death by sixty (60) days.
ITEM IY. I appoint my son, MICHAEL J. RISH, of Linglestown, Pennsylvania,
executor of this my last will. Should my son, Michael J. Ri.sh, fail to qualify or
cease to serve as executor, I appoint my daughter, VICTORIA L. RISH, of York,
Pennsylvania, executrix of this my last will.
IT@! Y. Although I have used the term "children" in this will, it is my specific
~ intent by the use of such word to refer specifically and exclusively to my son, MICHAEL
~ J. RISH, of Linglestown, Pennsylvania, and to my daughter, VICTORIA L. RISH, of York,
~ Pennsylvania, and to no one else.
ITEM VI. I direct that my personal representatives and fiduciaries shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN iTTl'NSSS , I have hereunto set my hand and seal this '~ day
of ~ .. ti..~~ k ~ Y'..1.. ~t ( ~ ~ ~~ • ~
V~MWYViiW ~• iWAJ
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The t,~~ fined, beinJ tie ri~c~se name is signed to the attached or
foregoing 1Tlstr~~~' ~iae~i~g beie.Q diaZp t~az- '~+~r1 ar~rri~r7;~ #0 33w, does 1}e~,ehy
aclmowledge that I signed aid e~ecuhed the int as my last wi11,
that I signed it ~ZY: and that I it as my free and wluntary act for
the purposes there~~ exptt~se~l.
Sworn or ~~;~ to and aclmawledged
befog .by the trzx above
this ~~"~ day offs a, ~'' ~~1987.
. _. ~ ~ ;
rotary ~ • ~
~.'ENDY K. STRAUB, Notary Public
', amcr~s,. Cumberland Co., Pa,
`y:y ~:!mmlSii~n ExpIC@S ~/ ~ ~~~
O~CNFI~ALTH ~' P~ISYLVANIA
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WE, C A. VALK~T, III, and MI(I~AII, L. HAri~S, the witnesses whose names are
signed too the attached or foregoing instnm~ent, being duly qualified according to
law, cb denoee and say that we were present and saw the testatrix sign and execute
the instrument as her last will; that she signed it willingly and that she executed
it as her free and wluntary act £cr the purposes therein expressed; that each of
us in the hearing and sight of the testatrix signed the will as witnesses; and that
to the best of our Imowledge, the testatrix was at that time 18 or mcre years of
age, of sound mind, and under r~o oonstxaint or undue influence.
Sfaorn or affinaed to and
a c~~leclged fore me this
L~' ~ '.. day of~~ (' ~ r~,~ ~j~ 1987.
Lary 'c
rk
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•'~NbY K. STRAUe, Notary
''°- fvmberland Co., Pa:
'~ 'a '' ~=" ; , • " Fxoi res May b. 1941
REV-isog EX+ (oi-io)
pennsytvania
fib DEPARTMENT OF REVENUE
SCNEpYLE F
]OINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Geraldine E. Rish 2011-01028
If an asset became joiirtly owned within one year of the decedent's date of death, it must be reported on Shcedule G.
SURVMNG JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Michael J. Rish 228 North 26th Street son
Camp Hill, PA 17011
B' Victoria Rish Apt. Y daughter
460 Conwago Creek Rd.
Manchester, PA 17345
C.
]OINTLY OWNED PROPERTY:
ITEM
NUMBER LErrER
FOR ]DINT
TENANT DATE
MADE
]DINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL BYSrlTUTION AND BANK ACCOUNT NUMBEIL OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE.
DATI: OF DEATH
VALUE OF ASSET % of
DECEDENT5
INIERESi DATE OF DEATN
VALUE OF
DECEDENTS INn3lEST
1. A. 08106/07 PNC Bank, Account #5003760850 19,783.00 50% 9,891.50
2. A. 04/14!08 Vanguard Life Strategy Ir~ome Fund, Account #0723.88026857893 55,131.53 1!3 18,377.18
B. 04/14/08 Vanguard Life Strategy Income Fund, Aocount~0723.88026857893 55,131.53 1!3
TOTAL (Also enter on line 6, Recapitulation) (# 28,268.68
If mare space is needed, use additional sheets of paper of the same size.
-• ~~' PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE N0. 21 11-1028
BUREAU OF INDIVIDUAL TAXES
PD BDX z6U6B1
Pennsylvania
AND
AcN
11169525
HARRISBURG PA 17126-0601 pEPARTMENTOFREVENUE TAX P AY E R R E S P O N S E
DATE
10-24-2011
REV-1543 E% AFP (05-11)
TYPE OF ACCOUNT
EST. OF GERALDINE E RISH ~ SAVINGS
SSN 187-16-6880 ® CHECKING
DATE OF DEATH a~9-23-2011 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FCIRMS TD:
MICHAEL RI SH REGISTER OF WILLS
228 N 26TH ST 1 COURTHOUSE SQLIARE
CAMP HILL PA 17011-36 18 CARLISLE PA 11'013
P NC BANK NA provided the department with the information below, which was used in calculating the inheritance tax due.
Records indicate that at the death of the above named decedent, you were a joint owner/beneficiary of this account. If yoU are the SpoUSe Of the
deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must
notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2.
If you believe the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return
it to the above address. Please call 717-787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ---
Account No. 5003760850 Date 08-06-2007 To ensure proper credit to the account, two
Established Copies of this notice oust accompany
payment to the Register of Wills. Make check
Account Balance ~` 19,783.00 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are wade within three
Amount Sub.iect to Tax $ 9,891.50 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due $ 445.12 nine months after the date of death.
PART TAXPAYER RESPONSE
0 AIL T E MII LILT AN I3FF i7
~ o
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two covies of this notice to obtain
C H E C K a discount or avoid interest, or return this notice to the Register of Wills and
an official assessment will be issued by the PA Department of F;evenue.
C ONE
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
0 N L Y filed by the estate representative.
C. ~ The above inforoa ion is incorrect and/or debts and deductions were paid.
Complete PART ~2 and/or PART 3~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - CALCULATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 $
3 X
4
5
6
7 X
8
ICTAL IJS'Ei~Y" ~ U AAF
P.A DEPARTftENT'L3F REV£Nt~E
PAD.
1
2 --
4 =~
5 :.
S
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under p lties of perju ecla t t the facts I reported above are true.-,ycorrect and--7 G
comp o the o y owl e d belief. HOME (7~ ~) y~rr"r / /
WORK C '7 ) -3' 6 /v J ~/
TAX AY SIGNATU E TELEPHONE NUMBER TE
TOTAL CEnter on Line 5 of Tax Computation) S
Geraldine E Rish & Mict~aei J
Rich & Victoria Rich
JT TEN WR0.S
228 N 26th 3t
Camp Wit, t~14 1 701 1-36113
Total report value: 555,131.53
(Tcte! isport value includes any aaxued dividends.)
=. Number ~ .. Opened ~ Shares Share Value' Dividends..
_ ~ ._. _ ..
LiteStrategy Income Fund 0723-88026857893 04/14/2006 3,932349 S14.p2 555,131.53 -
. Totals = .. 555;131:53 i4-~
179528481411 /04/2011 09:31:36
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
--
ESTATE OF FILE NUMBER
Geraldine E. Rish 2011-01028
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
I' Hoover Funeral Home, Hershey (funeral service, casket) 7,319.00
2. Blooms by Vickery, Camp Hill (flowers for funeral) 199.18
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City _
Year{s) Commission Paid:
0.00
0.00
2. Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant`s, attach explanation.) 0.00
Claimant
Street Address
4.
5.
6.
~.
City _ State
Relationship of Claimant to Decedent
Probate Fees:
Accountant Fees:
Tax Retum Preparer Fees:
Federal Tax ID
State ___ ZIP
TOTAL (Also enter on Line S~, Recapitulation) I ~
If more space is needed, use additional sheets of paper of the same size.
ZIP
261.50
0.00
0.00
187.00
7,966.68
~ Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
__
ESTATE OF FILE NUMBER
Geraldine E. Rish 2011-01028
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
If more space is needed, insert additional sheets of the same size.
REV-1513 EX+ (O1-10)
Pennsylvania
DEPARTMENT OF gEVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE ~
BENEFICIARIES
ESTATE OF: FILE NUMBER:
Geraldine E. Rish 2011-01028
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not List Trusta(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).)
1. Michael J. Rish, 228 North 26th St., Camp Hill, PA 17011 Son 14134.34
2. Victoria Rish, Apt. Y, 460 Conewago Creek Rd, Manchester, PA 17345 Daughter 14134.34
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF 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:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBIIfIONS ON LINE 13 OF REV-1500 (:OVER SHEET. ~
If more space is needed, use additional sheets of paper of the same size.
0
0
28,268.68
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