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HomeMy WebLinkAbout04-11-12 15D561D143 REV-1500 Ex `°'-'°' '' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes OEPMTI.ENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 11 00 962 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 07 26 2011 10 06 1919 Decedent's Last Name Suffix Decedent's First Name MI KERSTETTER ELBERT S (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 ~ 2. Supplemental Return ~~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~] 4a. Future Interest CompPromise ~ 5. Federal Estate Tax Return Required (dale ofpdeath after 12-12-82) g Decedent Died Testate ~ ~ Atta haC;oMainte'ned aLiving Trust ~ 8. Total Number of Safe De osit Boxes (Attach Copy of Wtll) py of 1`rust) P 9. Litigation Proceeds Received ~ 1 p. Spousel Poven Credit{date of death ~ 11. Election to tax under Sec. 9113(A) b8tween 12-31 ~Ji and -1-95) (Attach Sch. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number EDMUND G MYERS (717) 761 4540 First line of address 301 MARKET STREET Second line of address PO BOX 109 City or Post Office LEMOYNE State ZIP Code PA 17043 REGISTER O~~.S USE Q(V}Y r_• f1J "x7 ,: x. ---I _ ~°-r~'] .' ~ .:1 ~~ -.. ...,; ~..,3 ~, ~ _,...,r C~_a -'r~ ~;- _,. DAT~FILED °' ~~ ;~~ , °T'l C ~-~ '-~ Correspondent's a-mail address: egnl~Jd8W.COr1'1 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 oreoarer has env knowleriae C.~ .~ _t n ~ ~~ Keith S Kerstetter ~' ~ (~ ~ ,2(~f ;~ ADDRESS 443 White Rose Lane. York, PA 17402 SIGNAT OF PREPARER OTHER THAN REPRESENTATIVE DATE EDMUND G. MYERS ~, Z~~ 2 ADDRESS 301 MARKET STREET, Lemoyne, PA Side 1 15D561D143 15D561D143 J - ~~~. 15D561D243 REV-1500 EX Decedent's Social Security Number oe~de^~'SName: Kerstetter, ElbertS 207 07 8904 RECAPITULATION 1. Real Estate (Schedule A) ..................................................................................... .. 1. 2. Stocks and Bonds (Schedule B) ........................................................................... .. 2. 2 01, 912.31 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. 50 , 343.09 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested........... . 6. 7. Inter-Vivos Transfers & Miscellaneous I~oq Probate Property (Schedule G) LJ Separate Billing Requested........... . 7. 8. Total Gross Assets (total Lines 1-7) ................................................................... .. 8. 252 , 255.40 9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... . 9. 11 , 321.75 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. . 10. 11. Total Deductions (total Lines 9 & 10) .................................................................. . 11. 11 , 321.75 12. Net Value of Estate (Line 8 minus Line 11) ......................................................... . 12, 240 , 933.65 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) .............................................. . 1q, 2 40 , 933.6$ TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 240 933.65 (a)(1.2) X .00 ~ 15. 0.00 16. Amount of Line 14 taxable at lineal rate X .045 0.00 16. 0.00 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18. 0. 0 0 19. Tax Due ................................................................................................................. . 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 15D561D243 15D561D243 ^ REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-11-00962 DECEDENT'S NAME Kerstetter, Elbert S STREET ADDRESS CITY STATE PA ZIP Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 0.00 (1) 0.00 Total Credits (A + B) (2) 0.00 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 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Make Check Payable t©~ REGISTER OF WILLS, AGENT. (3) (4) (5) ~.~~ 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 :.................................. ^ ^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? .................................................................................................................. ^ 0 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. Rev-1503 EX+ (6.99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Kerstetter, Elbert S 21-11-00962 All property jolntlyownedwith right of survivorship must badisclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 903287704 2,441.733 shares of USAA Investment Trust -World Growth 20.16 49,225.34 Fund Date of Death Valuation is Attached 2 922908710 Vanguard Index Trust Fund Account No. 0540-09917067496 - 122.81 152,686.97 500 Index Fund Admin Date of Death Valuation is Attached TOTAL (Also enter on Line 2, Recapitulation) 201,912.31 tlr more space Is neeaea, addltlonal pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+(8-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Kerstetter, Elbert S 21-11-00962 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. (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+170.05) COM IN~~_, , DECED~RN ANIA SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Kerstetter, Elbert S 21-11-00962 ITEM DESCRIPTION AMOUNT N R A. FUNERAL EXPENSES: See continuation schedule(s) attached 7,778.15 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s) Commission paid 2. Attorney's Fees JOHNSON DUFFIE 2,800.00 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 373.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 110.00 7. Other Administrative Costs 260.10 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 11,321.75 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 continued ESTATE OF FILE NUMBER Kerstetter, Elbert S 21-11-00962 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex enses 1 Conklin Funeral Homes, Inc. 7,778.15 H-A 7,778.15 Other Administrative Costs 2 Cumberland County Register of Wills Office -Filing Fee for Inheritance Tax and Inventory 30.00 3 The Cumberland Law Journal -Notice of Estate Administration 75.00 4 The Patriot News -Notice of Estate Administration 155.10 H-B7 260.10 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) ESTATE OFELBERT S. KERSTETTER SCHEDULE OF EXHIBITS EXHIBIT A EXHIBIT B EXHIBIT C EXHIBIT D Last Will and Testament for Elbert S. Kerstetter signed and dated July I5, 2008. USAA Date of Death Value of Account Vanguard Date of Death Value of Account M&T Bank Certificate of Deposit Date of Death Value of Account 490624 ~. .. e ~ Last Will and Testament OF ELBERT S. KERSTETTER I, ELBERT S. KERSTETTER, of Monroe Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I DEBTS I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently maybe done. ARTICLE II TANGIBLE PERSONAL PROPERTY I give and bequeath my motor vehicle(s), my household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my wife, DOROTHY J. KERSTETTER, provided she survives me by thirty (30) days. Should my wife, DOROTHY J. KERSTETTER, not be living on the thirty-first (31St) day following my death, I give and bequeath unto those individuals who survive me who are designated on a list or memorandum signed by me which refers to this Will or is found with a copy thereof, those items beside their names; provided that no such list or memorandum shall be valid unless it is received by my Personal Representative within thirty (30) days of my Personal Representative's qualification. I give and bequeath the remainder of the items described in this Article II in as nearly equal shares as is practicable unto those of my children who survive me, to be divided among them as they may agree. I suggest, but do not require, that such tangible personal property be divided as follows: Each of my children may select one item, in rotation, in order to determined by lot, until such time at which the items chosen by that child reach his or her proportionate share of the total value, or until such time as the child wishes to make no further selections. Any items not selected by my children shall be sold and the net proceeds used to equalize shares. Any disputes concerning this or any other method of allocation shall be resolved in my Personal Representative's discretion. ARTICLE III SPECIFIC BEQUEST OF EQUIPMENT I give and bequeath the electronic equipment furnished to me by the Veterans' Administration for use in the Visor Program to THE VETERANS' ADMINISTRATION, Building 18, Fifth Floor, V. A. Medical Center, Lebanon, Pennsylvania; provided that if THE VETERANS' ADMINISTRATION is unable to accept this equipment, I give and bequeath the same unto THE TRI-COUNTY ASSOCIATION FOR THE BLIND, 1800 North Second Street, Harrisburg, Pennsylvania. ARTICLE IV REST, RESIDUE AND REMAINDER I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatsoever nature and wheresoever situate, unto wife, DOROTHY J. KERSTETTER, if she survives me. If my wife, DOROTHY J. KERSTETTER, predeceases me, I give, devise and bequeath all the rest, residue and remainder of my estate unto my then-living issue, per stirpes. 2 ARTICLE V UNIFORM TRUSTS FOR MINORS In the event that any beneficiary of my Will shall not have reached the age of twenty-five (25) years at the time for distribution of his or her share, distribution of said share may be made in the discretion of my Personal Representative after considering the age and needs of the beneficiary, either directly to the beneficiary or to a Custodian under the Pennsylvania Uniform. Transfers to Minors Act, 20 Pa. C.S.A § 5301 et seq., or the applicable .Uniform Gifts to Minors Act or Uniform Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My Personal Representative may designate as such Custodian any institution or person, including my Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in effect at the time such distribution is made. A receipt for any payment or distribution so made shall be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or be liable for, the application of such proceeds thereafter. ARTICLE VI PERSONAL REPRESENTATIVE I name, constitute and appoint my son, KEITH S. KERSTETTER, Executor of this my last Will and Testament. Should my son, KEITH S. KERSTETTER, fail to qualify or cease to so act, I name, constitute and appoint my daughter-in-law, JUDY KERSTETTER, alternate Executrix to complete the administration of my Estate, and should my daughter-in-law, JUDY KERSTETTER, also fail to qualify or cease to so act, I name, constitute and appoint my son, KENT S. KERSTETTER, alternate Executor to complete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful performance of the duties required in any jurisdiction 3 ARTICLE VII POWERS OF PERSONAL REPRESENTATIVE My Personal Representative(s) shall have the following powers in addition to those vested in them by law and by other provisions of my Will applicable to all property, whether principal or income, including property held for minors, exercisable without court approval and effective until actual distribution of all property: A. T'o make distribution in cash or in kind, or partly in cash and partly in kind, and. in such manner as they may determine. B. To retain any or all of the assets of my estate, real or personal, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. C. To invest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. D. To sell at public or private sale, to exchange, 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 or conditions as they deem proper. E. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. F. To compromise any claim or controversy. 4 IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ' ~ day of 2008 (SEALI ELBERT S. KERSTETTER Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. _~ti~~,~ ~~ 5 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND We, ELBERT S. KERSTETTER, C ~ ~ ~/~C=T`t~ ~,S/U v ~~~fe and ~ ~ ~'1 u ~J~ ~' IY-`/~~S the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrtunent as his Last Will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ G~G~~ ~~ ELBERT S. KERSTETTER Witness Witness Subscribed, sworn to and acknowledged before me by ELBERT S. KERSTETTER, Testator, and ~ L l ~f}-~~~/~ ~CJ L~~/~ and ~~i'I i /~f ~f1~ G° • /~ y~i~'S , witnesses, this f.~~ day of i,~G-f , 2008. ~ ~, __~~. :338364 CL7~A41t~iQf~Y4rEA~CH OF PEf~NSYLVAD Notarial Seal AAargaret E. Ruff, Notary Public 6 Lemoyne t3aro, Cumberland County My Commission Expires May 30, 2011 SuiemUer, Pennsylvania Association of Nota ~t ---_ ~,) ~l;iUn '; r~ clr~ -icksbu 7 Road ~~- San A~ii~~ni<~, Texa; 7S2SS USAA® 02350..DLFJ.JSS269100887.01.01.13 EST OF ELBERT S KERSTETTER C,!O KEITH S KERSTETTER 301 MARKET STREET PO BOX 109 LEMOYNE PA 17043-0109 November 4, 2011 Dear Kerstetter: USAA is committed to providing excellent service to its members. As you requested, I am providing the following information for the account of the late Elbert S Kerstetter. USAA ##: 50 24 29 Fund name: World Growth Fund Account # ending in: 4699 The account value on July 26, 2011 was: Share Accrued Account Shares Price Dividends Value 2,441.733 $20.16 NA ° $49,225.34 *Fund does not accrue daily dividends. If you have questions, please call a USAA member service representative at 1-800-531-USAA (8722). Thank you, USAA Shareholder Account Services 50 24 29-49215-54719-DM02350-SAS-SAS45 58126-0108 Elbert S. Kerstetter 207 Fairway Dr Mechanicsburg, PA 17055-5712 Elbert S. Kerstetter -Individual Account ~ V attguard Report for 07/26/2011 Voyager Services: 800-284-7245 Page > 1 of 1 Total report value: $152,686.97 (Total report value includes any accrued dividends.) Account value summary Name Fund & Account Date !Price Per Number Opened I Shares Share Value" 500 Index Fund Adm 0540-09917067496 j 11/19/2010 1,243.278 ~ $122.81 ! $152,686.97 Totals $152,686.97 _... _ . _. _. 'Doesn't include accrued dividends. - - - - -- NOV 14 ?ill Accrued Dividends $0.00 1173166914 11 /04/2011 09:51:19 ©M&TBank 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Johnson and Duffie POBox109 Lemoyne, PA 1'7043-0109 Re: Estate of Elbert S Kerstetter Social Security: 207-07-8904 Date of Death: July 26 2011 Phone 888-502-4349 F ax (302) 934-2955 October 26, 2011 Dear Sir or Madam: Per your inquiry on October 5, 2011, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 51034271 Ownership (Names ofl Elbert S Kerstener Dorothy J Kerstetter Kent S Kerstetter (POA) Opening Date 08/x8/64 Balance on Date of Death $6, 703.89 Accrued Interest $ .00 Total -------------__._..-.-.---------- ----- $6,703.89 2. Type of Account Certificate of Deposit Account Number 3100392020178 Ownership (Names o, fl Elbert S Kerstetter Opening Date 12/08/10 Balance on Date of Death $S0, 000.00 Accrued Interest $ 343.09 Total --- -------------..-..---...------ --._ __ . $50,343.09 cat ~ Q ~ ~ { t,{) ~ iv cn C'~ n P ~ ~ ti sm ~'~ ~ ~ ~ ~ 'a ~ ~~ ^~ N V. ^~ +.+ L ~ G L ~ p O O ai' ~ M .-~ ~ ~ ~ O r°nP+~~ ~~ ~ /L",',',',~~ ~ l ) F~~ ~ ~../ w R ~r w 11 1~~~ o 4 ~( M""~'1 W C/> O F- ~_ U ~ LL U ~ o ~~~, -i ~ W O ~ ~ ? ti U _~ o z a W ~ ~ J O c~i~ m U w ~ z ~ U O U O ~-