HomeMy WebLinkAbout03-29-121505610143
~ REV-1500Ex(°'-'°'
~' OFFICIAL USE ONLY
PA Department of Revenue pennsy vania County Code Year File Number
Bureau of Individual Taxes DEPARTAENT OF REVENUE //
PO 60X.280601 INHERITANCE TAX RETURN 21 11 ~~~j~L"
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW Date of Birth
Social Security Number Date of Death
200 44 7176 03 15 2011 02 26 1952
Suffix Decedent's First Name MI
Decedent's Last Name R
STEVEN
RICE
(If Applicable) Enter Surviving Spouse's Information Below Suffix Spouse's First Name
Spouse's Last Name
MI
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW 3. Remainder Return (date of death
® 1. Original Return ^ 2. Supplemental Return ^ prior to 12-13-82)
qa. Future Interest Compromise ^ 5. Federal Estate Tax Return Required
^ 4. Limited Estate ^ (date of death after 12-12-82)
6 Decedent Died Testate ^ ~• ~ph~eCoPy Hof 7rust)a Living Trust 8. Total Number of Safe Deposit Boxes
® (Attach Copy of Will)
9. Litigation Proceeds Received 1 D, Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A)
^ ^ between 12-31-91 and i-1-95) (Attach SCh. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIALD yNmeFTelephone Numbe BE DIRECTED TO:
Name
717 243 6222
SEAN M SHULTZ
First line of address
26 W HIGH STREET
Second line of address
City or Post Office
CARLISLE
REGISTER OF WILLS USE ONLY
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State ZIP Code - ~ ~~
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PA 17013 ~ ~~ ``~~
Correspondent'se-mail address: dhockenberry@ssr-attorneys.com
It 18dtfU8 correct andecrromplete~DeGahation of preparer other than thelpersonal repesentative Iscbased on au Information~of wh ctihprepare~fhas any knowledge. belief,
DATE
SI TURE OF PE SON RESPONSIB ~R F-ICING RETURN ~ I ~ ~ ~ ~ L
~,_ ~~, :. ~ r=. \ ,c.,"r..~ ~ Lana Kaye Troutman
11 Smith Road, Gardners, PA 17324 DP,TE I
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~~ ~ (y y
~ ~/~ cep., M Chnlt~ X ` _
..c--~~ ~- v __
ADDRESS
26 W. High Street, Carlisle, PA 17013
Side 1
1505610143 1505610143
--~ , .~
~.._
J
REV-1500 EX
1505610243
oecedenc~sName: RICE STEVEN RALPH
RECAPITULATION
1. Real Estate (Schedule A) ..................................................................................... 1.
2. Stocks and Bonds (Schedule B) .......................................................................... 2.
• 3.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).........
• ....................... 4.
4. Mortgages & Notes Receivable (Schedule D) ................................
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non- Separate Bp ng Requested ............. 7.
(Schedule G) ^
g. Total Gross Assets (total Lines 1-7) ................................................................... 8.
9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................... 10
11. Total Deductions (total Lines 9 8~ 10) ................................................................. 11.
12• Net Value of Estate (Line 8 minus Line 11) ........................................................... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 13.
an election to tax has not been made (Schedule J) .............................. .
14. Net Value Subject to Tax(Line 12 minus Line 13) ............................................... 14.
Decedent's Social Security Number
200 44 7176
197,100.00
323.00
197,423.00
15,404.55
22,189.58
37,594.13
159,828.87
159,828.87
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116 15.
(a)(1.2) X .00
16. Amount of Line 14 taxable 16
at lineal rate X .045
17. Amount of Line 14 taxable 17
at sibling rate X .12
18. Amount of Line 14 taxable 1 5 9
8 2 8. 8 7 18.
,
at collateral rate X .15
19.
19. Tax Due ........................................................................................................... ....
20. FILL tN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
1505610243
Side 2
23,974.33
23,974.33
1505610243
REV-1500 EX Page 3
nprprlant's Complete Address:
File Number 21 - 11
Rice, Steven Ralph
STREET ADDRESS
910 Myerstown Road
I CITY
Gardners
'ATE ZIP
PA I 17324
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
Total Credits (A + B)
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
(1) 23,974.33
(2) 0.00
(3) 0.00
(4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE (5) 2 3 , 9 7 4.3 3
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
b. retain the right to des gnats who hall use the p operty transferred or its income :............................... ~~
d. race ve the promise fortffe of either payments, benefits or care?......•••• .i. hin•one...ear.of death without JI I X li
2. If death occurred after December 12, 1982, did decedent transfer property w t y - ,
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 ~- r_
contains a beneficiary designation? ............................................................................................................... ~ I_J
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETUR
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 ears 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) (y.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 bloo or adoption.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF Rice, Steven Ralph
FILE NUMBER
21 - 11
All real property owned solely or as a tenant in common must be reported at fair market valu~air market value is defined as the price
at which property would be exchanged between a willing buyer and a willing seller, neither bein~ compelled to buy or sell, both having
reasonable knowledge of the relevant facts.Real property which ~s jointly-owned with right o survivorship must be disclosed on
schedule F.
Attach a copy of the settlement sheet if the property has been sold.
Include a copy of the deed showing decedent's interest if owned as tenant in common.
ITEM DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
1 1.46 acres on Myerstown Road, Gardners, PA (2010 County Assessment with 2011 common 39,000.00
level ratio of 1.00)
2 11.02 acres situate at 930 Myerstown Road, Gardners, PA (2010 County Assessment with 2011 I 158,100.00
common level ratio of 1.00)
--- -
TOTAL (Also enter on Line 1, Recapitulation) 197,100.00
'; SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
COMMON WEALTH OF PENNSriVANIA PERSONAL PROPER I I
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Rice, Steven Ralph 21 - 11
Include the proceeds of litigation and the date the proceeds were received by the estate411 property jointly-owned with the right of
survivorship must be disclosed on schedule F.
__. ----
ITEM DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
_ _ __ -__
1 1989 Chevrolet Celebrity Sedan 150.00
2 M&T Checking Account 173.00
-- _.__--
TOTAL (Also enter on Line 5, Recapitulation) 323.00
SCFEDULE H
FUNERAL D~ENSES ~
COMMONWEALTH OF PENNSYLVANIA ,'c T
INHERITANCE TAX RETURN A~N11~7 1 RA~ ~~
RESIDENT DECEDENT
ESTATE OF Rice, Steven Ralph
FILE NUMBER
21 - 11
Debts of decedent must be reported on Schedule I.
---
ITEM
NUMBER DESCRIPTION AMOUNT
~UNERAL EXPENSES:
r -_ __ - -
A. 1 i, Hollinger Funeral Home & Crematory, Inc. 3,299.27
B.
1
2.
3.
4.
5.
6.
7.
1
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees Saidis, Sullivan & Rogers 11,496.00
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip ~i
Relationship of Claimant to Decedent
Probate Fees to Register of Wills i 323.50
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
The Sentinel -advertise letters
210.78
TOTAL (Also enter on line 9, Recapitulation) 15,404.55
'~ Sca>ledule H
' Funeral E~erbes &
COMMONWEALTH OF PENNSYLVANIA A~~NM ^~
INHERITANCE TAX RETURN /~ 1 Y1 Y.7YAYV` VIJOL~
RESIDENT DECEDENT
ESTATE OF Rice, Steven Ralph
_ _~
2 Cumberland Law Journal -advertise letters
75.00
FILE NUMBER
21 - 11
Page 2 of Schedule H
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Rice, Steven Ralph 21 - 11
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM DESCRIPTION
NUMBER
_- _.__ _
1 Tax Claim Bureau -Unpaid 2010 real estate taxes for 930 Myerstown Road
2 Tax Claim Bureau -Unpaid 2010 real estate taxes for Myerstown Road
3 Discover Card Bill -settled with DCM Services
4 Ohio Casualty -Dwelling Fire Insurance
5 Robert C. Cairns, Tax Collector - 2011 Per Capita Tax
6 HBCS -Debt to Holy Spirit Hospital
7 Bank of America, N.A.
8 Tax Claim Bureau -Unpaid 2011 real estate taxes for 930 Myerstown Road
9 Tax Claim Bureau -Unpaid 2011 real estate taxes for Myerstown Road
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
486.48
745.53
4,900.00
192.25
5.50
7,180.75
5,687.96
2,354.57
636.54
22,189.58
REV-157 3 EX+ (~ 1-08)
SCHEDULE)
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN ~
RESIDENT DECEDENT
ESTATE OF Rice, Steven Ralph
RELATIONSHIP TO
NUMBER !I NAME AND ADDRESS OF PERSON(S) DECEDENT
RECEIVING PROPERTY Do Not List Trustee(s)
I• (TAXABLE DISTRIBUTIONS[include outright spousal
distributions, and transfers
i under Sec. 9116 (a) (1.2)]
1 I Lana Kaye Troutman friend
j 11 Smith Road
Gardners, PA 17324
friend
2 Steven Blake Troutman
11 Smith Road
' Gardners, PA 17324
FILE NUMBER
21 - 11
SHARE OF ESTATE ~ AMOUNT OF ESTATE
(Words) ($$$)
1/2 residue of estate
1/2 residue of estate
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
li
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
__~.. - --
LAST WILL AND TESTAMENT
OF
STEVEN RALPH RICE
I, STEVEN RALPH RICE, of 910 Myerstown Road, Gardners, Dickinson Township,
V~
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this to be my Last Will and Testament, hereby revoking and making
void all previous Wills and Codicils heretofore made by me.
1
I order and direct my personal representative hereinafter named to pay all of my just debts,
funeral expenses and expenses involved or connected with the administration of my estate as soon
after my death as is reasonably possible. However, my personal representative need not accelerate
and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more
advantageous to retain or renew and pay as they become due and payable. If I do not own a burial
plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or
its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to
expend sums from my estate for this purpose.
2
I give, devise and bequeath the rest, residue and remainder of my estate, together with all
insurance proceeds thereon of whatever nature and wheresoever situate in equal shares to STEVEN
BLAKE TROUTMAN and LANA KAYE TROUTMAN, of 11 Smith Road, Gardners,
Pennsylvania.
Page 1 of 6
LAST WILL AND TESTAMENT OF STEVEN RALPH RICE
3
I grant my personal representative the following powers in addition to and not in limitation
(~
Vv
of such powers as my personal representative shall hold by law:
(a) To retain all property received including the stock of any corporate fiduciary acting
hereunder, provided such property remains productive.
(b) To join in any corporation, partnership, recapitalization, merger, reorganization or
voting trust plan; to delegate authority with respect thereto; to deposit investments
under agreements and pay assessments; and generally to exercise all rights of
investors, including but not limited to, the voting of shares.
(c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate
held or owned by my estate.
(d) To operate any business that I may own at my death.
(e) To invest any funds of my estate in any stocks, bonds, notes or other securities or
property, real or personal, without regard to the principle of diversification or any
other statute or general rule of law in his, her or its absolute discretion, it being my
intention to give my personal representative the broadest investment powers possible,
providing such investments do not unnecessarily prevent the prompt settlement of my
estate.
(f) To sell or otherwise dispose of any property, real or personal, tangible or intangible,
at any time forming a part of my estate in any manner and on such terms and
conditions as my personal representative shall see fit in his, her, or its absolute
discretion.
(g) To borrow money for the payment of taxes or for any other proper purposes in the
administration of my estate, and to mortgage or pledge estate assets as security.
Page 2 of 6
LAST WILL AND TESTAMENT OF STEVEN RALPH RICE
U/
(h) To compromise claims without court approval including, but not limited to, any
controversies with the United States of America or the Commonwealth of
Pennsylvania concerning estate and inheritance taxes on any interests that may pass
under this my Last Will and Testament.
(I) To distribute in cash or in kind upon any division or distribution of my estate.
(j) To undertake any and all acts deemed necessary and proper by my personal
representative for the proper, advantageous and prompt management of the
settlement of my estate.
(k) In general, to exercise all powers in the management of my estate which any
individual could exercise in the management of similar property owned in his own
right, upon such terms and conditions as to him, her or it may seem best and to
execute and deliver all instruments and to do all acts which he, she or it deems
necessary or proper to carry out the purposes of this, my Last Will and Testament.
4
No interest of any beneficiary of my estate, either in income or in principal, shall be subject
to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have
the power in any manner to charge or encumber his interest either in income or principal, nor shall
the interest of any beneficiary be liable or subject in any manner while in the possession of my
personal representative for the liability of such beneficiary.
5
I nominate, constitute and appoint LANA KAYE TROUTMAN, as Executrix of this my
Last Will and Testament. In the event LANA KAYE TROUTMAN, is deceased, unable or
unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and
STEVEN BLAKE TROUTMAN as Executor of this my Last Will and Testament. I direct that my
Page 3 of 6
LAST WILL AND TESTAMENT OF STEVEN RALPH RICE
personal representative shall not be required to give or post bond for the faithful performance of his,
her or its duties in this or any other jurisdiction.
6
I hereby declare it to be my express desire that my personal representative employ Knight &
Associates, P.C., of Cumberland County, Pennsylvania, for legal advice and assistance regarding this
my Last Will and Testament, they having considerable knowledge of my affairs, views and wishes
respecting any matters that may arise at the probate of this instrument, the administration of rr~y
estate, and the execution of the powers herein mentioned. Any mention of Knight & Associates,
P.C. in this my Last Will and Testament, is my free and voluntary act and through no influence by
any person.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament
this ~~ day of , ~~~$•
WITNESS: ~~-'~^
Steven .Rice
Page 4 of 6
LAST WILL AND TESTAMENT OF STEVEN RALPH RICE
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
WE, f-i S ~~~~ and ( ~oj~~e
1
U
witnesses whose names are attached to the foregoing document, being duly qualified according to
law, do depose and say that we were present and saw Steven R. Rice sign and execute the instrument
as his Last Will and Testament; that he signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and
sight of the Testator signed the Last Will and Testament as witnesses and that to the best of our
knowledge the Testator was at the time 18 or more years of age, of sound mind and under no
constraint or undue influence.
Sworn or affirmed and subscribed before~~m//e
~~ll~~t ~ ~ this 1.~.~-c
C MONVYEAL7H OF PENNgYLVANIA
Noted 9e81
DoNy M. HodcenberrY~ Nary Pubilc
Mix gyp., CurnBer~nd
-~y Cornmisslon E~ree se~st 24
Member Ponneylvenla Aerooledon ar N~rlee
F:\User Folder\Firm Docs\Wills\4269-1 Steven Rice\srr.will.wpd
Page 6 of 6
LAST WILL AND TESTAMENT OF STEVEN RALPH RICE
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, Steven R. Rice, 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 the
instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free
and voluntary act for the purposes therein expressed.
I
Ste en R. Rice
n~Sworn or affirmed and acknowiedged before me by Steven R. Rice, the Testator, this
~'~^ day of ~ , 2008.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Doty M. Hockenberry, Notary Public
RNddesex Twp., Qmberlend Courtly
My Canrr~sion Fires Sept 24.2010
Member, Pennsylvania Association of Notaries
Page 5 of 6