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HomeMy WebLinkAbout04-20-121505610140 REV-1500 EX ~°'-'°' OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes tY Po Box 28oso1 INHERITANCE TAX RETURN Harrisburg, PA 17128-OSOt RESIDENT DECEDENT 2 1 1 2 y ~~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 9 1 1 2 0 1 1 0 1 0 1 1 9 3 5 Decedent's Last Name Suffix Decedent's First Name MI Hen c h Pat r i c i a ~ (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Hen c h Wi I l i am M Spouse's Social Security Number REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^X 1. Original Return ~ , , 2. Supplemental Return ~ 3. Remainder Retum (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate [~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Way n e F S ha de Esq ui r e 71 7 243 0,220 n REGISTE~~,~IILLS US~'~ONLY ~- V 1 i,; First line of address i ` -' _-? ,-~ .,, ~ ~ ~ 5 3 West Po mf r e t St r eet ~ r~"~ ~ {~~ Second line of address _ - _ • "t ._ Cit Or Post Office y tate ZIP Code om ~ . DATE FILED _._ ___.___ __ f } _ Car l i s l a PA 1 7 0 1 3 Correspondents e-mail address: waynefshade(a~comcast.net unaer penalties of perjury, I deGare that I have examined this return, inGuding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. DeGaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. ~i~nA i rt r ERSON RESPO Sl E FOR FILI RETURN D E 47 Garland Drive Carlisle PA 17013 SIGN/j,TLyRE OF P~2EP/jgEF~9TH~7J~N REPRESENTATIVE nnu _ 53 West Pomfret Street Carlisle PA 17013 PLEASE USE ORIGINAL FORM ONLY 1505610140 Side 1 1505610140 J 1505610240 REV-1500 EX Decedent's Social Security Number Patricia J. Hench Decedent's Name: RECAPITULATION 1. Real Estate (Schedule A) ........................................... 1. 2. Stocks and Bonds (Schedule B) ...................................... 2• 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 6. Joint) Owned Pro rt Schedule F ~• 0 0 y pe y ( ) ^ Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property (Schedule G) ~ Separate Billing Requested ....... 7. 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 9. Funeral Expenses and Administrative Costs (Schedule H) .... ....... ..... .. 9• 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ...... ..... .. 10. 11. Total Deductions (total Lines 9 and 10) ................. ....... ..... .. 11. 12. Net Value of Estate (Line 8 minus Line 11) .............. ....... ..... .. 12. 0 • 0 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for whi ch an election to tax has not been made (Schedule J) ........ ....... ..... .. 13• 14. Net Value Subject to Tax (Line 12 minus Line 13) ........ ....... ..... .. 14. 0 • 0 0 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 16. Amount of Line 14 taxable 0 0 0 at lineal rate X .0 _ . 16. 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable ~ ~ 0 at collateral rate X .15 18. 19. TAX DUE ........................................ ....... ..... ..19. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610240 1505610240 REV-150A EX Page 3 File Number ,Decedent's Complete Address: 21 12 0 DECEDENTS NAME Patricia J. Hench - - STREETADDRESS __ - - - ---- -- -- 47 Garland Drive CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1• Tax Due (Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + g) (2) 0.00 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3) Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 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 : ...................................................................... ^ 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? ....................................................... ^ Q 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ^ 0 3. Did decedent own an "intrust for" or payable-upon-death bank account or security at his or her death? ......... ^ Q 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 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(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)]. Asibling 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-15;0 EX+ (08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY __ FILE NUMBER Patricia J. Hench 21 12 0 This schedule must be completed and filed 'rf the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENiAND THE DATE OF TRANSFER.ATTACHACOPYOFTHEDEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION praPwcAe~~ TAXABLE VALUE ~, wners ><p o t e~omt y-owne account at overevgn Bank,passed to the surviving spouse of the decedent by survivorship. The personal representative did not administer any property which is, was, or may have been subject to Pennsylvania Inheritance Tax. A copy of the Will of the decedent is attached. TOTAL (Also enter on Line 7 Recapitulation) I S If more space is needed, use additional sheets of paper of the same size. REV-1513~EX+ (Ot-10) Pennsylvania ~ SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Patricia J. Hench 21 > 2 ~ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include oufi' ht spousal distributions and transfers under Sec. 91'f6 (a) (1.2).j 1. William M. Hench Spousal 47 Garland Drive Carlisle, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ Ir more space Is needed, use additional sheets of paper of the same size. LAST WILL AND TESTAMENT I, PATRICIA J. HENCH, of the Borough of Carlisle, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and ,declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my decease. SECOND. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my husband, WILLIAM M. HENCH, absolutely and in fee simple, if he survives me. THIRD. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. FOURTH. If my husband, WILLIAM M. HENCH, should fail to WAYNE F. SHADE Attorney at Law South Hanover Street lisle, Pennsylvania 17013 survive me, then and in that event, I give, devise and bequeath X11 of the said residue of my Estate unto my sons, WILLIAM M. TENCH, JR., BRADFORD L. HENCH, GREGORY L. HENCH, SCOTT S. HENCH land ERIC N. HENCH, absolutely and in fee simple, in equal (shares. If any of my said sons should fail to survive me, then and in that event, I give, devise and bequeath, absolutely and in fee simple, unto his surviving spouse if she should survive me and not have remarried prior to my date of death. If any of my said sons should:~fail to survive me and fail to leave an eligible spouse to survive me, then and in that event, I give, devise and bequeath his share of the residue of my Estate, absolutely and in fee simple, unto his issue, if any, in equal shares, per stirpes. If any of my said sons should fail to survive me and fail to leave an eligible spouse and issue to survive me, then and in that event, I give, devise and bequeath his share, absolutely and in fee simple, unto such of my sons who shall survive me, absolutely and in fee simple, in equal shares. FIFTH. I nominate, constitute and appoint FARMERS TRUST COMPANY, of Carlisle, Pennsylvania, its successors or assigns, to serve without bond as the Trustee of any property which shall pass, either under this my Last Will and Testament or otherwise to a minor or to a person who is then subject to any other legal disability whatsoever and with respect to whom I am authorized to appoint a Trustee and have not otherwise specifically done so; provided that this appointment of Trustee shall not supersede the right of any fiduciary in its discretion to distribute such share to the said minor or persons subject to other legal disability or to another for the benefit of the said minor or person subject to other legal disability. The said Trustee is hereby vested with power to sell, assign, transfer, pledge, mortgage, lease, _~ WAYNE F. SHADE Attorney at Law South Hanover Street isle, Pennsylvania 17013 manage, control, retain, invest and reinvest the corpus of said Trust in such securities and other property as shall be deemed prudent without being restricted to investments known as legal -2- WAYNE F. SHADE Attorney at Law South Hanover Street isle, Pennsylva¢i~a 1701°, 2 E s c F investments for fiduciaries under the laws of the Commonwealth of Pennsylvania. The Trustee shall have the power to manipulate the 'proceeds of the Trust in any manner that will guarantee maximum conservation of the Trust funds and the greatest production of income for the beneficiaries. I hereby authorize the said Trustee to expend any monies from principal or interest for the beneficiaries that in the sole discretion of the Trustee is deemed necessary for their care, health, education, maintenance and general welfare; the word "education" shall be construed to mean a pre-college course, high school education, college education and post-graduate education. I herewith specifically authorize any person nominated in this my Last Will and Testament and serving as Guardian of the person of any of the beneficiaries of this trust until he or she should reach the age of eighteen (18) years to utilize such funds from this Trust as are reasonably .necessary to offset any economic burdens occasioned to the Guardian by virtue of acting in such capacity. By way of illustration and not of limitation, I expressly authorize expenditure of funds from this Trust to expand, enlarge, or remodel the existing home of the Guardian or to purchase a larger come, if reasonably required, in order to permit all of the Beneficiaries of this trust while they are under the age of eighteen (18) years to reside with such Guardian in comfort. The seasonableness of the need to enlarge the Guardian's present home ~r to purchase a larger one, as the case may be, shall depend in art on the number and ages of children for whom the Guardian of -3- the person is required to care (including his or her own children) and the amount of the principal of this Trust. Funds from this Trust may also be utilized to pay any increases in living expenses occasioned by such Guardianship, including but not limited to increases in homeowners' fire and casualty insurance, property taxes incurred by remodeling or expansion of said Guardian's home or the purchase of a new home, utility bills and food bills. It is my intention that the foregoing powers may be exercised by the said Trustee without prior Court approval and without further responsibility to the beneficiaries, their parents or to any other person or persons taking care of the minor beneficiaries. The age of majority for all purposes concerning this my Last Will and Testament shall be deemed to be the age of twenty-one (21) years. If a beneficiary of this Trust should fail to survive to ultimate distribution of the Trust herein, then and in that event, I order and direct that the remainder of this Trust be distributed as part of my residuary =_state. SIXTH. Should my husband, WILLIAM M. HENCH, fail to survive ne, or at or after my death, be or become subject to any legal usability whatsoever, then and in that event, I nominate, constitute and appoint my son, SCOTT S. HENCH, as the Guardian of the persons of such of my children as defined herein, who being minors or subject to any other legal disability whatsoever at the time of my decease, shall survive me. If the said SCOTT S. HENCH should fail to qualify as such~Guardian or decline or cease so to WAYNE F. SHADE Attorney at Law - 4 - iSouth Hanover Street •licle, Peansylvani~a 19013 (serve, then and in that event, I nominate, constitute and appoint Amy son, GREGORY L. HENCH, as such Guardian. SEVENTH. In the event that I should, by reason of physical or mental disability, become unable to take part in decisions for ~~my own future by virtue of what is commonly known as "brain death", I order and direct that, where there is no reasonable expectation of my recovery from physical disability, I be permitted to die and that I not be kept alive by artificial means. It is my express desire that I not be permitted to suffer the indignities of deterioration, dependence and hopeless pain and that, therefore, medication be mercifully administered to me only to alleviate my suffering, even though this may hasten the moment of death. EIGHTH. My personal representative or representatives hereinafter named shall, in addition to the powers vested in them ~y law and by other provisions of this my Last Will and Testament nave, without the necessity of prior Court approval, the power to parry on alone or jointly with others any business in which I may lave an interest at my death for whatever period of time they may think proper, without personal liability for any operating v losses. In the operation of said business, they shall have the power to do any and all things they deem necessary or ppropriate, including the power to merge or incorporate the business, the power to borrow and to pledge assets contained in my estate as security for such borrowing, and the power to close nut, liquidate, or sell the business at such time and upon such WAYNE F. Attorney at Law terms as to them shall seem best. S South Hanover Street rliste, Pennsylvania 17013 -5- LASTLY. I nominate, constitute and appoint my husband, WILLIAM M. HENCH., to be the Executor of this my Last Will and Testament, but if, for any reason, he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my sons, WILLIAM M. HENCH, JR., BRADFORD L. HENCH, GREGORY L. HENCH, SCOTT S. HENCH and ERIC N. HENCH, as successive alternate personal representatives hereof, each to serve without bond. IN WITNESS WHEREOF, I, PATRICIA J. HENCH, have hereunto set my hand and seal to this, my Last Will and Testament which consists of seven (7) typewritten pages to each of which I have affixed my signature this 15th day of February A.D. One Thousand Nine Hundred Eighty-Nine (1989). -~~`~t~.C1C7- ~`~Y~ C~ ( SEAL ) Patricia J. Hench The preceding instrument, consisting of this and six (6) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by PATRICIA J. HENCH, the Testatrix, therein named, as her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. WAYNfi' F. SHADE Attorney at Law i South Hanover Street -lisle, Pennsylvaai~a 19013 -6- Acknowledgment COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND 1 I, PATRICIA J. HENCH, the person whose name is signed to the 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 and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by PATRICIA J. HENCH, this 15th day of Februarv 1989. .. ~l Patricia J. nch Notary Pub3" c Nat~riR'. ~~ Connie J. Trtt#, t4nts~'y ~u~11C Affidavit Ca!ssis, c~,,mbertana County My Commission cKpirss Oct. 5,1892 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND 1 We, Wayne F. Shade and Joan L. Ewing the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and, that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by _ Wayne F. Shade and Joan L. Ewing witnesses, this 15th day of e ruary 1989. tv~tali4t s~3f ~AY1vE F. SHAG ConniB J. Tri'Y,lvotary~Pu4tic C9fli~io, Cu:nbsrland County Attorney at Law My C~h1m:,;SfO ; cxp;rss Oci. 5, 1992 South Hanover Street lisle, Pennsylvania 17013 ~7- Notary Public