HomeMy WebLinkAbout06-20-121505610140
REV-1500 ~"°'-'°'
OFFICIAL USE ONLY
PA Department of Revenue Coun Code Year File Number
Bureau of Individual Taxes h
Po Box zsosol INHERITANCE TAX RETURN 2 1 1 2 0 3 2 6
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
Decedent's Last Name Suffix Decedent's First Name MI
S H A N K M A R Y 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 Retum ~ 2. Supplemental Retum ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ :'~. Federal Estate lax Return Required
death after 12-12-82)
^X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ fi. 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. 0)
CORRESPONDENT -THIS SECTION MUST 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TA% INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
S E T H T M O S E B E Y 7 1 7 2 4 3 3 3 4 1
First line of address
M A R T S O N L A W
Sewnd line of address
O F F I C E S
1 0 E A S T H I G H
City or Post Office
C A R L I S L E
Correspondent's a-mail address:
S T R E E T
State 21P Code
REGISTER OF WILLS USE ON~Lyj
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Under penalties o(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, wrrect and wmple[e. Declaration of preDarer other than [he personal representative is based on all information of which preparer has any knowledge.
L
326 PINE GROVE ROAD GARDNERS PA 17324
SIGN RE OF PRF„QARER HE HAN REPRESENTATIVE DATE
6/Isllz
ADDRES
10 EAST HIGH ST ET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140 1505610140 J
1505610240
REV-1500 EX Decedent's Social Secudty Number
Decedent's Name: MARY E• SHANK ]
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. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6.
7. Inter-Vivos Transfers & Miscellaneous 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.
13. Chadtable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................... ... 13.
2 8 5 D, 4 0
2 1 2 0, 1 8
4 9 7 0, 5 8
1 7 6 D. S D
2 3 4 8 9 7. 9 8
2 3 6 6 5 8. 4 8
- 2 3 1 6 8 7. 9 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ... ......... ... ..... .. 14. 2 3 1 6 8 7 . 9 D
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.o _ 0. 0 D 1s. 0. 0 0
i6. Amount of Line 14 taxable
at lineal rate X_ 0. 0 D 16. O. D D
17. Amount of Line 14 taxable
at sibling rate X .12 D D D 17. D. D D
18. Amount of Line 14 taxable
at collateral rate X .15 D. D D 18. D. D D
19. TAX DUE ...................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Slde 2
0• D D
L 1505610240 1505610240 J
REV-1500 EX Page 3
Decedent's Complete Address:
Flle Number
21 12 0326
DECEDENT'S NAME
MARY E. SHANK
STREET ADDRESS
770 SOUTH HANOVER STREET
CITY
CARLISLE STATE
PA ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
3. Interest
4. It 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.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Make check
(1)
Total Credits (A + Et) (2) 0.00
(3)
(4) 0.00
(5) 0.00
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 : ......................... ...... ^ ^X
c. retain a reversionary interest or .......................................................................................... ...... ^
d. receive the promise for life of either payments, benefits or rare? ................................................. ...... ^
2. If death occurred after December 12,1982, did decedent transfer propeny within one year of death
without receiving adequate consideration? .................................................................................. ...... ^ ^X
3. Did decedent own an 'intrust for' orpayable-upon-death bank account or security at his or her deaths? ... ...... ^ ^X
4. Did decedent own an individual retirement account, annuity or other non-probate propeny, which
contains a beneficiary designation? ............................................................................................ ...... ^
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 i;
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)j.
• 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 [7'2 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-1508 EXi (11-10)
pennsylvania ~ SCHEDULE E
DEPARTMENT OF REVENUE
CASH, BANK DEPOSITS, 8 MISC.
INHERITANCE TAX RETURN
RESIOEM DECEDEM PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
MARY E. SHANK 21 12 0326
Include the proceeds of litigation and the date the proceeds were received by the estate.
All orocerty polntN owned with rlaht of aurvlvorahlo must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
M&T Bank, Checking Account No.
2. ~ Chapel Pointe refund
TOTAL (Also enter on Line 5, Recapitulation) ~ S
281.70
more space is needed, insert additional sheets of paper of the same size
REV-1509 EXi (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEF
JOINTLY-OWNED PROPERTY
ESTATE OF: FILE. NUMBER:
MARY E. SHANK 21 12 0326
If an asset was made jointly owned within one year o} the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S)
A. Stephen L. Shank
e.
C.
JOINTLY-OWNED PROPERTY:
ADDRESS
326 Pine Grove Roar:
Gardners, PA 17324
TO DECEDENT
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOIM DESCRIPnON OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDEMIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET %OF
DECEDEM'S
IMEREST DATE OF DEATH
VALUE OF
DECEDENTSIMERESI
1. A. 2/7/08 M&T Bank, Checking Account No. 9843925570 4,240.35 50. 2,120.18
TOTAL (Also enter on Line 6, Rexapitulation)
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
pennsylVania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEOEM
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
MARY E. SHANK 21 12 0326
Decedent's debts must be reponetl on Schedule [.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s) Steven L. Shank
Street Address 326 Pine Grove Road
Ciry Gazdners State PA ZIP 17324
Year(s) Commission Paid: 2012
p. Attorney Fees: Maztson Law Offices
3. Famiy Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
SVeet Address
City State ZIP _
Relationship of Claimant to Decedent
4. Probate Fees: Register of Wills, Cumberland County
6 Accountant Fees:
6. Tax Return Preparer Fees:
7. ~ Register of Wills, filing fee for inheritance [ax return
TOTAL (Also enter on Line 9, Recapitulation) $
If more space is needed, use additlonal sheets of paper of the same size.
164.00
1,500.00
81.50
15.00
REV-1512 EX+ (12-08)
pennsylvania
DEPARTMENT OF REVENUE
INHEflITANCE TAX RETURN
RESIDENT DECEDEM
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF
MARY E. SHANK 21 12 0326
Report debts incurred by the decedent prior to death that remained unpaid at the data of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OP DEATH
of Public Welfaze, CIS No. 700164588
234,897.98
TOTAL (Also enter on Line 10, Recapitulation) $
space is needed, insen additional sheets of the same size.
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LAST WILL AND TESTAMENT RRH(ERK OF
I, MARY E. SHANK, of Dickinson Township, Cumberlan~~~j~P~~yPAania,
being of sound and disposing mind and memory, do hereby make, publish and declare
this to be my Last Will and Testament, hereby revoking any and all former Wills or
Codicils by me made.
1.
I direct that all my just debts, funeral expenses, testamentary expenses and all
inheritance taxes shall be paid from my residuary estate as soon as practicable after
my decease and as part of the administration of my estate.
2.
If my spouse shall survive me by thirty (30) days, then I give, devise and bequeath
all of my estate, both real and personal property, unto my husband, JOSEPH J.
SHANK, absolutely.
3.
In the event my said husband, JOSEPH J. SHANK, shall predecease or fail to
survive me by more than thirty (30) days, then I give, devise and bequeath all of my
estate, both real and personal property, unto my son, STIiPHEN L. SHANK.
4.
In the event my said son, STEPHEN L. SHANK, shall predecease or fail to
survive me, then I give, devise and bequeath all of my estate, both real and personal
property, unto my Trustee, in trust, for the following purposes:
(a) I direct that my Trustee shall hold, invest and reinvest the same, collect
LAW OFFICES
LLIAM F. MARTSON. P. C.
the income arising therefrom, and after paying alt expenses incident to the
management of the trust, to use and apply as much of the income and principal as may
be necessary in the sole discretion of my Trustee, in equal shares, for the support,
-1-
well-being and education of the issue of Stephen L. Shank, per stirpes. I direct that
the income arising from said trust shall be payable in equal shares directly to said
issue per stirpes as they attain the age of eighteen (18) years.
(b) I direct that each of said issue shall have 1:he right of withdrawal of the
principal of his or her share in the following manner: ane-third (1/3) thereof as each
attains the age of twenty-one (21) years and the remainder of said share as each
attains the age of twenty-five (25) years, however, in no event shall final distribution
be delayed hereunder longer than twenty (20) years after the death of the said Stephen
L. Shank.
(c) Prior to the distribution of the principal of any such share, my said Trustee
shall have the sole discretion to invade the principal e~f said share for the support,
maintenance and education of such issue of Stephen L. Shank, regardless of age.
(d) To the extent that the same is permitted by law, none of the beneficiaries
hereunder shall have any power to dispose of or to chari;e by way of anticipation any
interest given to such beneficiary; and all sums payable to such beneficiaries
hereunder shall be free and clear of the debts, contracts, alienations and anticipations
of the beneficiaries, and all liabilities for levies and attachments and proceedings of
whatsoever kind, at law or in equity.
5.
I nominate, constitute and appoint my husband, JOSEPH J. SHANK, as Executor
of my estate. In the event my husband, JOSEPH J. SHANK, shall be unable or
unwilling to serve in such capacity. then I appoint STEPIIEN L. SHANK to act in such
capacity. In the event STEPHEN L. SHANK shall be unable or unwilling to serve in
such capacity then I anoint ROXANNE D. SHANK to act in such capacity.
LAW OFFICES
ILLIAM F. MgRT50N, P. C.
-2
r.
I hereby nominate, constitute and appoint ROX.ANNE D. SHANK as Trustee
under the terms of this Last Will and Testament and I further appoint her as Guardians
of the persons of any minor children.
7.
I direct that neither my Executors nor my Trustee shall be required to file a bond
to secure the faithful performance of their duties in any jurisdiction.
8.
I authorize and empower my personal representatives and Trustee, in their sole
w
LAW OFFICES
/ILLIAM F. MARTSON. P. C.
and absolute discretion, to purchase or otherwise acquire and retain any investments
of which I die seized or any real or personal property of any nature; to sell, lease,
pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or
all property of any kind forming a part of my estate for' such terms and such prices as
they may deem advisable; to borrow money for any purposes connected with the
protection and preservation of my estate; to mortgage or pledge any real or personal
property forming a part of my estate or to join in or secure the partition of same; to
compromise any claims or demands on my estate against others or of others against
my estate; to make distribution in kind and to cause any share to be composed of cash,
property or undivided fractional shares in property different in kind from any other
share; and to execute and deliver such instruments as may be necessary to carry out
any of these powers.
I direct that my personal representatives shall have specific powers to comingle
other assets which they may receive for the beneficiaries of the Trust, including, but
not limited to, life insurance proceeds and savings accounts.
-8-
IN WITNESS WHEREOF I have hereunto set my hand and seal this Z.3 r~ day of
S~E!'/~/~l3E'IZ , 1982.
x'~ariLR. (SEAL)
Mary S nk
SIGNED, SEALED, PUBLISHED AND DECLARED t>y the above-named Testatrix,
as and for her Last Will and Testament, in the presence of us, who at her request, have
hereunto subscribed our names as witnesses thereto, in the presence of said Testatrix
and of each other.
c~_~-
~~
LAW OFFICES
YaLiAm F. MAHTSON. P. C.
-4-
COMMONWEALTH OP PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
I, Mary E. Shank, Testatrix, 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; that: I signed it willingly; and that
I signed it as my free and voluntary act for the purposes therein expressed.
.~
Sworn or affirmed to and acknowledged before me by Mary E. Shank, the
Testatrix, this 23'=t day of sEf'rEMaEk , 1982.
~`~~ ~ .~LL4Q
Notary Public WILLIAM L FARP, Notary Public
Carlisle, Cumberland Co., PA
COMMONWEALTH OF PENNSYLVANIA ) My Commission Fxpire~ AuA. 13, 1984
SS.
COUNTY OF CUMBERLAND )
We,ZVO V. OT1Z) ~ ~`~l i~i0M145 T, ipJ1~LIAMS
the witnesses whose names are signed to the attached or foregoing instrument, 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; that the Testatrix signed
willingly and that the Testatrix executed it as her free and voluntary act for 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 knowledge the Testatrix was
at that time 18 or more years of age, of sound mind and under no constraint or undue
influence.
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Address ~ ~k^.;~'
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"T'~-e~-w.•
Address { O
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Sworn or affirmed' to and subscribed before me this 23'~ day of
H.~c~ , 1982.
C`
Notary Public Y
WILLIAM L EARP, Nomry Public
Carlisle, Cumberlorld Co., PA
My Commission E~irei Aug, 13, 1984
LpW OFFICES
VILLIBM P. MpRT50N. P. C.
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