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HomeMy WebLinkAbout01-05-12 t 1505610143 __1 REV-1500 Ex (o1-10) ~ OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code rear File Numper Bureau of Individual Taxes °~°'"TA1EMTOPR~`rF""K Po sox.2eosot INHERITANCE TAX RETURN 21 11 0712 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 207 03 7830 06 19 2011 09 08 1912 Decedent's last Name SENSENIG Suffix Decedent's First Name PAUL (If Appticablej Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 1. Original Return ~ 2. Supplemental Retum 4. Limited Estate ~ 4a. Future Interest Compromise f (date o deatn a ttar 12-12-82) g Decedent Died Testate (Attach Copy of Will) ~ t e r~ 7~ ~qn~h GoMpy of~rusd)a Living Trust 9. Litigation Proceeds ReCRiVed ~ 1 p. Spousal Poveeny Credil~date of Death behveen 12-31-;11 and -1.95) 3. Remainder Return (date of death 11. Election to tax under Sec. 9113(A) (Attach Sch. O) MI M MI prior to 12-13-82) 5. Federal Estate Tax Return Required ~ 8. Total Number of Sate Deposit Boxes CORRESPONDENT -THIS SECTION MU37 BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number GEORGE F DOUGLAS III ESQ 717 249 6333 First line of address 354 ALEXANDER SPRING RO Second line of address City or Post Office State 21P Code CARLISLE PA 17015 REGISTER OFS USE ONLY c, ,_a i rt ~t)TL7 - ~~ i -r't 1 c~j ter. C.'Y _' ~ -~ ~ ~~ DA'1~ FILED c. "i ` Correspondent's a-mail address: gdouglas~salzmannhughes.com Under penalties of perjury, I declare that.l have examined this return, including accompanying schedules and statements, and to the pelf of my knowledge and belief, it is true, correct and compk:te. Dytilarabon of preparer other than the personal representative Is based on all information of which preparer has any knowledge. ADDRESS Pau! 2. -~-~.^ ~ ~,,,~ G, ~,Q/tQ a_~ George F Douglas, III Esq. /'~22- (( 1 354 Alexander Spring Road, Suite 1, Carlisle, PA Side 1 1505610143 1505610143 ~~ PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER Senaenig, Paul M. 21-11-0712 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 Name Carol Ann Senseni Address1 900 Bowling Green Trail Address2 City, State, Zip Chesapeake VA 23320 Date ~°?" .? lC- ~~ 1505610243 REV-1500 EX DecaOenrs Name: S®tlSettlg, Paul M. Decedent's Social Security Number 207 03 7830 RECAPITULATION 1. Real Estate (Schedule A) ..................................:................................................... . 1. 2. Stocks and Bonds (Schedule B) ........................................................................... .. 2. 234 , 640.83 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)........ . 3. 4. Mortgages & Notes Receivable (Schedule D) ....................................................... . 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. . 5. 316 , 8 8 6.90 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested........... . 6. 7. Inter-Vivos Transfers & Miscellaneous I~nq Probate Property (Schedule G) u Separate Billing Requested........... . 7, 8. Total Gross Assets (total Lines 1-7) ................................................................... .. 8. 551 , 527.73 9. Funeral Expenses S Administrative Costs (Schedule H) ....................................... 9. 31 , 2 63.55 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) .............................. 10. 1 , 473.96 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 32 , 737.51 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 518 , 790.22 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. $18 , 7 90.22 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 0 . 0 0 (a)(1.2) X .00 16. Amount of Line l4 taxable 518,790.22 1s. 23,345.56 at lineal rate X .045 17. Amount of Line 14 taxable 0. 0 0 17. 0. 0 0 at sibling rate X .12 18. Amount of Line 14 taxable 0 0 0 18. 0. 0 0 . at collateral rate x .15 19. Tax Due ................................................................................................................. . 19. 23, 345.56 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: FIIeNumber 21-11-0712 DECEDENT'S NAME Sensenig, Paul M. STREET ADDRESS 3 Ridge Lane CITY Newrville STATE PA ZIP 17241 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 20,000.00 1,052.63 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 23,345.56 21,052.63 (3) (4) 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property trarisferred :............................................................................... ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ^x 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. (1) Total Credits (A + B) (2) Rw-1503 E%~ (8•aa) COMMONWEALiN OF PENNSYLVANIA INHERITANCE TA%RETURN RESIDENT DECEDENT SCHEDULE B STOCKS 8 BONDS ESTATE OF FILE NUMBER Sensenig, Paul M. 21-11-0712 IUI property joindyowned with fight of survivorship moat 6e dlacloeed on Sehetlule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH Welts Fargo, Account No. 7568-5064 1 200 shares of Bank of America 10.635 2,127.00 2 4,460 shares of Dreyfus Strategic Municipal Bond Fund Inc. 7.8975 35,222.85 3 450 shares of Eaton Vance Tax-Managed Global 12.0275111 5,412.38 4 1,075 shares of Pimco High Yield Income Fd 12.77 13,727.75 5 8,952.551 shares of Pimco Total Return Admin 10.9999999 98,478.06 6 2,244.482 shares of Prudential High Yield Fund Inc, Class A 5.5199997 12,389.54 7 1,200.706 shares of RS Investment Trust Floating Rate Fund, 10.2650024 12,325.25 Class C 8 1,295 shares of Wells Fargo Advantage Utilities & High 11.4225019 14,792.14 Income Fd Wells Fargo, Account No. 7588-5064 9 55,000 FNMA 95 G3 EE - 7%; due 03125/2025 106.025 5,301.25 10 ;1,000 Westam Mtg Finl - 5.35%; due 06/26/2020 100 1,000.00 11 1,713.796 shares of Gas Utility Index Fund 19.76 33,864.61 TOTAL (Also enter on Line 2, Recapitulation) 234,640.83 (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 B (Rev. 6-98) Rev-1a0a F.%* (8.9e) SCHEDULE E CASH, BANK DEPOSITS, ~ MISC. PERSONAL PROPERTY COMMONWEALTHOF PENNSYLVANIA INHERITANCE TAX RETURN RESIDEM DECEDENT ESTATE OF FILE NUMBER Sensenig, Paul M. 21-11-0712 Include fire proceeds of litigation antl the date the proceeds were received h/ the estate. All property jointly-owned with ttRf right o} survivorship moat M disclosed on schsdWe F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 ACNE Bank, Classic Money Market Account No. 1595989 234,441.24 Accrued interest on Item 1 through date of death 18.31 2 ACNE Bank, Esteem Checking Account No. 2164159 18,937.52 Accrued interest on Item 2 through date of death 0.71 3 Wells Fargo, Money Market Asset Account No. 7568-5084 489.12 4 Presbyterian Homes, Inc. -refund 63,000.00 TOTAL (Also enter on Line 5, Recapitulation) I 316,888.90 (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•1151 EX• 110.05) COMM~EA~~OF~E~ANIA SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Sensenig, Paul M. 21-11-0712 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: See continuation schedule(s) attached B. I ADMINISTRATIVE COSTS: t. Personal Representative's Commissions Name of Personal Representative(s) 9,124.27 Street Address City State Zio Year/s) Commission paid 2. Attorney's Fees Salzmann Hughes, P.C. 20,300.00 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 523.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1,315.78 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 31,263.55 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 continues! ESTATE OF FILE NUMBER Sensenig, Paul M. 21-11-0712 ITEM NUMBER DESCRIPTION AMOUNT 1 Funeral Expenses Argana -funeral food 68.36 2 Egger Funeral Home, Inc. -funeral services 8,845.63 3 Kohl's -burial suit 210.28 H-A 9,124.27 4 Other Administrative Costs Register of Wilis -filing fees 30.00 5 Salzmann Hughes, P.C. -closing costs and final fees for income tax preparation, postage 1,000.00 and miscellaneous contingencies in order to administer the estate 6 Salzmann Hughes, PC -reimbursement for payment to Cumberland Law Journal for legal 75.00 advertising 7 The Sentinel -Legal advertising 210.78 H-67 1,315.78 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) ReY•1812 EX+ (12.08) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8r LIENS COMMON W EALTN OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Sensenig, Paul M. 21-11-0712 Report detNe hteumd hY the decedent prior to death Nat remained unpaitl at the dots of deem, Induding unreimhuned medleal expanses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Green Ridge Village -final payment on Account #207037GRVIL 74.37 2 Green Ridge Village -final payment on Account #61257GRV 293.60 3 Green Ridge Village -final phone service payment 17.39 4 Green Ridge Village -donation, Walking Trail Endowment Fund 500.00 5 Green Ridge Village Fund -donation 500.00 6 Millennium Phcy. systems Mechanicst -prescription drugs 25.63 7 Miliennium Phcy. systems Mechanicst -prescription drugs 20.54 8 PPL -electric service 36.53 9 PPL Electric Utilities -final electric service 5.90 TOTAL (Also enter on Line 10, Recapitulation) I 1,473.96 (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-OB) REV-1573 EX~ (11.08) SCHEDULE J COMM~~oF~~yANIA BENEFICIARIES ESTATE OF I FILE NUMBER Sensenig. Paul M. 21-11-0712 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$S) I TAXABLE DISTRIBUTIONS [include outright spousal • dlstnbutlons, and transfers under Sec. 9116 a 1.2 1 Paul Terry Sensenig Son 112 Residue 250,682.61 115 Bobcat Road Carlisle, PA 17015 2 Carol Ann Sensenig Daughter 112 Residue 250,682.61 900 Bowling Green Trail Chesapeake, VA 23320 Total 501,365.22 Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 150 0 cover sheet as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE ANO GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI Copyright (c) 2009 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule J (Rev. 11-08) WILLS:SENSEN-P.WIL ~, O r~ ~'7 rrv LAST WILL AND TESTAMENT ~-r n- -= r^'~ ~-; r `~_i~ r , -;, PAUL M. SENSENIG ~~ /_ k ."-'~ T ~--1 ~ - C- ~`~ d . c C::'. T I, PAUL M. SENSENIG, of Newberry Township, York County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate, real and personal, of every nature and wherever situate, in equal shares to my children, PAUL TERRY 5ENSENIG and CAROL SENSENIG. Should either of my children predecease me, I devise and bequeath the share of such deceased child to his or her issue, per stirpes, living at the time of my death. Should either of my children leave no such issue living at the time of my death, I devise and bequeath the share of such deceased child to my issue, per stirpes, living at the time of my death. Should there be no issue of mine living at the time of my death, T devise and bequeath all of my estate, real and personal, of every nature and wherever situate, to the American Heart Association. ITEM II: I appoint my children, PAUL TERRY SENSENIG and CAROL SENSENIG, or the survivor of them, guardians of any property which passes, either under this will or other- wise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not super- -1- sede the right of any fiduciary in their discretion to distrib- ute a share where possible to the minor or to another for the minor's benefit. Such guardians shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsi- bility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM III: I appoint my children, PAUL TERRY SENSENIG and CAROL SENSENIG, or the survivor of them, executors of this my last will. ITEM IV: I direct that my executors, guardians, or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, PAUL M. SEN ~NIG, have hereunto set 4 ~ my hand and seal this ~~ day of ~~~' -+ , 1991. PAUL M. SENSENIG -2- SIGNED, SEALED, PUBLISHED and DECLARED by PAUL M. SENSENIG, the Testator above named, as and for his Last Will and Testament, and in the presence of us, who at his request, in his presence and in the presence of each other, have sub- s 'b d our names~~as witnesses. ~~ ~ -~ _ Wit e s ~'{ Wa.tnes~ Address ' ~J '~ ~~/ Address ~"' COMMONWEALTH OF PENNSYLVANIA: :SS: COUNTY OF CUMBERLAND I, PAUL M. SENSENIG, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instrument as my last will; that I signed it willingly and that I signed it as my free and volun- tary act for the purposes therein contained. ~ _y Ohl , ..1 ? v.L~yL`/ L.,L ' ` _ PA L M. SENSENIG ' Sworn to or affirmed to and acknowledged before me by PAUL M. SENSENIG, the Testator, this ~ ~~ day of - "'t-i',~_~ 19 91. /~~ L--<~ ~ Notary Publi~- -3- .._ PiY Lea ~'~~re s tr ~ - -- "9 ' c.A:D CO. COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF CUMBERLAND __..' ^ We, , (_s ~J ,.~ and / ~ ~ -~'~G'~~,~.,~_ 'r4 , the witnesses whose names are signed/ to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no constraint~j~u~ndue in/fluence. Witness Witness Sworn /t~~o~~ or~a/~ffirmed to and ac by CIJ~i~t~L~/ /7 ~t1' - and witnesses, this ~ ~ day of -4- edged befo//re me~/ , 1991. ~~ / Notary Public ~ `~ N^TR3I.4L SEA! r~ C:.,"i~f];; C"c L. K;. _I ~dt~~: Y Ft1ELIC ~rl C~il':I'ii JJIv~I ~nf aM1Ct •' 1•,r ~_1,~+ AUG. 19. 2011 10.20AM J .~ 7 t ~ ttipp O ~~ © M1 ~.. ~ Oi 'c v N ~ G a I i a E c e i t I ' 1 + ' ~O V1' 00. W ~Y, ~D~'~u1 a ~d , ' u'1~ O~N'.T~ N0 P 266 1 j0 W~. r1 N .. O r ~n . , N O .. r, tr N N N n ~ ~i~ ~ ~~~ .-+ ~ WO~ls FaTyO ~Vy30ls, I.l.C ~ N ~ N ^ ~ O N Throe Ll6OyII! DdV! i v ~ LlmoyuRPR17043 c ~n N r N ..-~ o T~L•717.761734{ M •~ r. .~ ^, N E ~: ~L~-~s•s4zs ~ TouF~!l:aoo~4se•a6as p} pp tq M W N 'r; O~ ~ ~Ny pp Q O P O r0', r O r .= N ' r r ~ p O O v ~ r r r r r r G~ pp ~~ y 8tD8N NQO Of ~gN ~ r W !G Y7 .- r cv_ r~aoa~ v a C G C E ~1 LL pQ ~~ uo r ~~ w }~ ~~ ~~ ~a ~~ ~~ ~, ,Q~ w S~ wo W ~ 4y1 h CI O pad W p( ~O lIIIIIYYYYYY > ~w p0 Ks ~~ ~~_ ~~ W~ ~~ V sys ~F F= ~~ f~~~ C d• W _~~ ~~sI~I~~Nl~l~l~~$! ~: Togerherwe'llgafar J( 4~r JI~~~dSg ~~II ~~FBR MUTUAL I=U~DS 6/28/2011 SALZMANN HUGHES, P.C. ATTN: GEORGE F. DOUGLAS 354 ALEXANDER SPRING ROAD, SUITE 1 CARLISLE, PA 17015 Reference id: L6SOOY Re: The FBR Funds Account No. 34-3524774 Dear Mr. Douglas: Please accept our condolences on the passing of Paul M. Sensening. We appreciated the opportunity to have Mr. Sensening as a shareholder. This letter is in reference to your recent request for a Verification of Deposit. The information is as follows: June 19`", 2011 $33,864.61 1,713.796 $19.7b In order to assist you with your request to re-register the account, please provide The FBR Funds the following materials, referencing task id #t11062800dh: • Medallion Signature Guaranteed Letter of Instruction signed by the Executors • New Account Application Please return the appropriate documents to The FBR Funds. Enclosed is a postage-paid envelope for your convenience. Should you have any questions, please feel free to contact The FBR Funds between the weekday hours of 8:30 a.m. and 7:00 p.m. Eastern Standard Time at 1.888.888.0025, and a Shareholder Services Representative will be available to assist you. Sincerely, The FBR Funds /i--z- CHRISTOPHER SCHWAB, SHLDR SVCS Encl.: Copy of Request, New Account Application FBR Mufuol Funds P.0. Box 5354 Cincinnati, Ohio 45201-5354 rrxw.fbrfunds.com ACNB BANK June 30, 2011 Salzmann Hughes, PC Attn: George F Douglas Ill, Esquire 354 Alexander Spring Rd Ste 1 Carlisle PA 17015 RE: Estate of Paul M Sensenig Dear Mr. Douglas: The following information is being provided as per your request: Acct. Type Account No. Balance at Accrued Ownership Date D.O.D. Interest to Opened/Joint D.O.D. Classic 1595989 $234,441.24 $18.31 Individual 10/2/02 Money Market Account Esteem 2164159 $18,937.52 $0.71 Individual 3/15/04 Checking Account Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at (717)339-5122. Sincerely, t ~ `' ,, Barbara J Warn ACNB Bank` Deposit Services Representative II ..- -_...._ ..~____ „~ »„ o,c, _ T..u G.vo t ntut ~'i4.ACN6 (2262)