HomeMy WebLinkAbout09-21-12--~ REV-1500 Ex(°i_10' 1505610143
OFFICIAL USE ONLY
PA Department of Revenue penns~y vania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO 60X.280601 INHERITANCE TAX RETURN 2 1 ~ 013 6 3
Harrisburg, PA 17128-0601 RESIDENT DECEDENT ~~'/
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
165 26 6159 12 08 2011 03 04 1931
Decedent's Last Name Suffix Decedent's First Name MI
HARTMAN JANET W
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return
^ 4. Limited Estate
^ g Decedent Died Testate
(Attach Copy of Will)
^ 9. Litigation Proceeds Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
^ 2. Supplemental Return
^ 4a. Future Interest Compromise
(date of death after 12-12-82)
^ ~ Decedent Maintained a Living Trust
(Attach Copy of Trust)
^ 1 ~ Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
^ 3, Remainder Return (date of death
prior to 12-13-82)
^ 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
^ 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
SAMUEL L ANDES 717 761 5361
First line of address
525 NORTH 12TH STREET
Second line of address
City or Post Office State ZIP Code
LEMOYNE PA 17043
Correspondent's a-mail address: l a w a n d e s@ a o l. c o m
REGISTER S USE ONLY
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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 t , correct an complete. D tion of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGN URE OF P ON PONSI FO G RETURN DATE
~ __ Daniel J. Hartman -/
ADDRESS
127 outh 15th Street, Cam ill, PA 17011
SIGNA~E OF PREP RER OTHER T N I~E E ENTATIVE DATE
" Samuel L Andes ~ j ~` ~~ ~-~ ~ ~
ADDRESS
525 North 12th Street, Lemoyne, PA 17043
Side 1
L 1505610143 1505610143
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J
REV-1500 EX
Decedent's tvame: H A R T M A N, JANET W.
Decedent's Social Security Number
165 26 6159
RECAPITULATION
9 2 5, 3 0 0. 0 0
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 & Notes Receivable (Schedule D) .......................................................... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ................ 5. 1 5 3 , 2 8 4 . 5 8
6. Jointly Owned Properly (Schedule F) ^ Separate Billing Requested ............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested .............
7.
1 17 , 7 9 4 . 0 2
8. Total Gross Assets (total Lines 1-7) ....................................................................... 8, 1 , 19 6 , 3 7 8 . 6 0
9. Funeral Ex enses & Administrative Costs Schedule H g. 8 4 , 0 9 2 . 6 4
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 4 7 , 9 0 2 . 8 4
11. Total Deductions (total Lines 9 & 10) ...................................................................... 11. 13 1 , 9 9 5 . 4 8
12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 1 , 0 6 4 , 3 8 3.12
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................................................. 13.
14. Net Value Sub'ect to Tax Line 12 minus Line 13
1 ( ) ................................................ 14. 1 , 0 6 4 , 3 8 3.12
TAX COMPUTATION -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 .00 15.
16. Amount of Line 14 taxable
at lineal rate X .045 1, 0 6 4 , 3 8 3.12 16.
17. Amount of Line 14 taxable
at sibling rate X ,12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. Tax Due ..................................................................................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
1505610243
47,897.24
47,897.24
Side 2
1505610243 1505610243
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21 - 12 - 01363
Hartman, Janet W.
STREET ADDRESS
605 Allen Street
CITY
New Cumberland STATE
PA ZI P
17070
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) 47,897.24
2. Credits/Payments
A. Prior Payments 50,000.00
B. Discount 2,394.86
Total Credits (A + B) (2) 5 2 , 3 9 4.8 6
3. Interest (3) 0.0 0
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 4,497.62
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. (5)
Make Check Payable to: REGISTER OF WILLS, AGENT.
• ~~ ~+ ~fY'~" ~ • ~ -- ~' ~'°x'n^ x£~ -.. e xz. ._ .excasxi° -~aa~r°~,, s3 ._""':e~?m:~' r"'.. . •... :~q. ^'^."" ~~`
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PLEASE ANSWER THE FOLLOWING GIUESTIONS 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? .............................................................. ^ ^x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ....................................................................................................................... ^
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? ...................................................................................................................... ~ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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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. §91 j 6 (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) u)]. 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)1. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether bybloo or adoption.
COMMONWEALTH OF PENNSYLVANIA
INHERfTANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
FILE NUMBER
ESTATE OF Hartman, Janet W. 21 - 12 - 01363
All real property owned sole)y or as a tenant in common must be reported at fair market value. Fair market value is defined as the price
at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of 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 VALUE AT DATE OF
NUMBER DESCRIPTION DEATH
1 Three-story office building located at 2101 Orchard Road, Lower Allen Township, Cumberland 749,000.00
County, Pennsylvania. Total value based upon Cumberland County tax assessment.
2 Single-family residence at 605 Allen Street, New Cumberland Borough, Cumberland County, 176,300.00
Pennsylvania. Total value based upon Cumberland County tax assessment.
~ TOTAL (Also enter on Line 1, Recapitulation) ~ 925,300.00
SCHEDULE E
C~4SH, BANK DEPOSITS, & MISC.
COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY
INHERRANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Hartman, Janet W. 21 - 12 - 01363
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.
ITEM VALUE AT DATE OF
NUMBER DESCRIPTION DEATH
1 Checking account No. 5006196422 at PNC Bank, N.A. (see letter attached). 6,707.96
2 Checking account No. 5140027144 at PNC Bank, N.A. (see letter attached). 14,059.93
3 Savings account No. 5004048186 at PNC Bank, N.A. (see letter attached). 29,144.67
4 Investment account No. 4100453120006 with Morgan Stanley Smith Barney (see letter dated 80,349.77
10 August 2012 attached)
5 Decedent's 1.3202 percent ownership interest in PetroNorth Partners Group. 100.00
6 Decedent's .37554 percent ownership interest in Hamilton Exploration Group. 5,000.00
NOTE: Items 5 and 6 are small interests in partnerships that have developed oil and gas wells
in Pennsylvania. The wells are substantially depleted and that accounts for the modest value
of Decedent's interest. Please see the letter from John Young, General Partner of both of
these entities, dated 12 August 2012, which is attached hereto).
7 ~ 2007 Lincoln Mark IV automobile. Value based upon arms-length sale to third party.
8 Miscellaneous items of household furnishings and personal effects. Value based upon sale at
public auction (see auction return from Haar's Auction attached).
16,000.00
1,922.25
TOTAL (Also enter on Line 5, Recapitulation) I 153,284.58
COMMONWEALTH OF PENNSYLVANIA SCHEDULE G
INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS &
RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY
ESTATE OF Hartman, Janet W.
FILE NUMBER
21 - 12 - 01363
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
include the name of the transferee, their relationship to decedent
and the date of transfer. Attach a copy of the deed for real estate. DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST EXCLUSION
(IF APPLICABLE) TAXABLE VALU E
1 Individual retirement account with Morgan Stanley 115,763.53 100% 115,763.53
Smith Barney (Account No. 410-027529-006) (see
statement attached)
2 Individual retirement account with Morgan Stanley 2,030.49 100% 2,030.49
Smith Barney (Account No. 410-027530-006) (see
statement attached)
TOTAL (Also enter on line 7, Recapitulation) I 117,794.02
SCHEDULE H
` FUNERAL DCPENSES &
COMMONWEALTH OF PENNSYLVANIA 'gy'p ~
INHERITANCE TAX RETURN ~n'Nh7 1 fIA~E C-VV t V
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Hartman, Janet W. 21 - 12 - 01363
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER FUNERAL EXPENSES:. DESCRIPTION AMOUNT
A. 1 Myers-Harner Funeral Home 4,357.00
2 Kanaga House (post-funeral reception) 1,500.00
3 Dinkledines Catering (post-funeral reception) 300.00
4 Johnson's Printing (funeral programs) 165.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
2.
3.
4
Street Address
City State Zip
Year(s) Commission paid
Attorneys Fees Samuel L. Andes
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
Probate Fees Register of Wills
5. Accountant's Fees Weideman & Douty
6. Tax Return Preparer's Fees
7, Other Administrative Costs
1 Costs to maintain residence and prepare residence for sale (see Attachment A)
40, 000.00
680.50
450.00
26,176.88
TOTAL (Also enter on line 9, Recapitulation) 84,092.64
Sc~iedule H
F~er~ E~ &
COMMONWEALTH OF PENNSYLVANIA ^~
INHERITANCE TAX RETURN ~'n~r~1V6 ~ COI'1ht1U@d
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Hartman, Janet W. 21 - 12 - 01363
2 Bonnie K. Miller, Tax Collector (taxes paid on office building) 10,186.30
3 ~ Carlisle Sentinel (advertising)
201.96
4 ~ Cumberland Law Journal (advertising) ~ 75.00
Page 2 of Schedule H
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LI ENS
INHERITANCE TAX RETURN ~
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Hartman, Janet W. 21 - 12 - 01363
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION AMOUNT
1 QVC (cable television purchases) 98.51
2 ~ Shop NBC (cable television purchases) ~ 99.61
3 ~ PA Water Co. (water bill) ~ 198.56
4 I Discover Credit Card I 19.72
5 ~ PPL (electric bill) ~ 173.77
6 I Mortgage owed to PNC Bank on Lower Allen Township office building. Balance as of date of ( 47,312.67
death. See letter attached.
TOTAL (Also enter on Line 10, Recapitulation) ~ 47,902.84
REV-1513 EX+(11-08)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hartman, Janet W.
21 - 12 - 01363
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee(s)
I~ TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)j
1 Kim M. Hartman Kelly Daughter one-half
914 Maplewood Lane
Enola, PA 17025
2 Daniel J. Hartman Son one-half
127 South 15th Street
Camp Hill, PA 17011
Enter dollar amounts for distributions shown above on lines 1 5 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
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I 0.00
~' ~
January 12, 2012
Daniel J Hartman
127 S 15th
Camp Hill, PA 17011
RE: Janet W Hartman
SSN: 165-26-6159
DOD: 12-08-2011
Dear Mr. Hartman:
In response to your request for Date of Death (DOD) balances for the customer noted above, our
records show the following:
Checking Account
Account # 5006196422 Established: 12-12-2008
JANET W HARTMAN DBA
HARTMAN PROPERTIES
DOD balance: $ 6,707.96 + 0.00 accrued interest
Account # 5140027144 Established: 10-01-1968
JANET W HARTMAN
DOD balance: $ 14,059.92 + 0.01 accrued interest
Savings Account
Account # 5004048186 Established: 09-OS-2003
JANET W HARTMAN
DOD balance: $ 29,144.51 + 0.16 accrued interest
Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
Page 1 of 2
4507 North Front Street
Suite 201
Harrisburg, PA 17110
tel 717 255 6666
fax 717 255 6651
toll free 800 676 0673
MorganStanley
SmithBarney
August 10, 2012
Samuel L. Andes
525 North 12th Street
PO BoY 168
Lemoyne, PA 17043
RE: Estate of Janet Hartman
Mr. Andes:
Per your request we are providing the date of death values as of December 8, 2011 for the
Estate of Janet Hartman.
Janet Hartman -Basic Securities
Account 410-045312=006
Date of Death
Description Symbol # of shares Value
Cash $4,126.52
RBS Cap Fund Trust VII 6.08% RBS.G 1000 $25,000.00
American Capital Income Builder CAIBX 657.797 $32,067.60
American Washington Mutual AWSHX 688.062 $19,155.65
Janet Hartman - IFcA Account ' 410-G27529=.006
Description
Cash
Ishares Barclay Short Treasury SHV 123
Ishares JP Morgan EM Bond Fund EMB 20
Ishares Russell 1000 GR Index IWF 354
Ishares Russell 100 Value Index IWD 219
Ishares Russell Midcap G Index IWP 41
(shares Russell Midcap V Index IWS 53
Spdr Barclays Capital High Yield JNK 29
Spdr Barclays Capital International BWX 193
Symbol # of shares
Date of Death
Value
$2,520.26
$13,558.70
$2,177.60
$20,478.90
$13,688.23
$2,265.66
$2,265.75
$1,099.78
$11, 390.86
Investments and services are offered through Morgan Stanley Smith Barney, LLC
Incorporated, member SIPC.
rdorgan Stanley Smith Barney LLC. Member SIPC.
4507 North Front Street
Suite 201
Harrisburg, PA 17110
teI 717 255 6666
fax 717 255 6651
toll free 800 676 0673
MorganStanley
SmithBarney
Description
Vanguard MSCI EAFE ETF
Vanguard Total Bond Market
Date of Death
Symbol # of shares Value
VEA 109 $3,458.93
B N D 513 $42, 862.86
-Janet Hartman -IRA Account 410-027530-006
Description
Cash
Symbol # of shares
Date of Death
Value
$2, 030.49
Should you require additional information, please contact our office.
Investments and services are offered through Morgan Stanley Smith Barney, LLC
Incorporated, member SIPC.
Morgan Stanley Smith Barney LLC. Member SIPC.
v°"Aug. 13. 2012" 4:20PM' ""HARTMAN & ASSOCIATES "~"" "~" No. 1530 P, 2/2'
To: ban ~arttnan, Executor
fie: E9tate of Janet I~artman
From: John Xoung, General Pax-tner
Date: ,August 12, 2012
near Dan,
,As zequested, hors's my appraisal of your mother's interests in our oil and gas production
partnerships in McKean County, Pennsylvania.
PetroN'orth ~'axtnera group (1.3202% ownership) -This partnership has been around a
longtime, and the only yells it has Iefl are gas wells on the old Helmer lease near port
Allegany, PA. Those wells were moderately profitable until recently when abundant gas
supplies f~ro~n new shale gas discoveries drove prices to record lor~vs. We're doing
everything vu's can do to avoid plugging these wells, but I doubt that any remaining value
these wells have exceeds the likely cost of plugging. We've actually had three or four
investors just hand back their shares recentl~r, both to avoid possible plugging liability
and to cut their tax preparation work.
This partnership paid oflf all the it~-tial investments some time ago and has been a great
little money-maker for years, but is essentially at oi• near the end of it's productive life. So
I would give this investment only a very nominal value ($X00.00) in calculating your
mother's estate.
1~amilton Exploration Group (0,3754% ownership) - On average these vd'ells are
somewhat ne'c~rer than the Helrr~.er wells, and include some decent oil producers. Xour
mother got disfi~'iburions in 20,11 that totaled $1,841 from this partnership, but under
cu~Tent market conditions, Y would estimate that a similar projection for the next 12
months would be closes' to $1,250. As the old rule of thumb for settled production is that
the value of the investment would be~~in the range of 3 to 5 times net annual revenues (to
reflect nattual decline etc), that would give this investment a current value of roughly
$s, ooo. oo.
This partnership has also paid offthe initial investments many times oven, but has been
hit hard by lower gas prices. We do have a plugging reserve to help fund the eve~atual
abandonment of these leases, but I doubt that it's large enough to cover the whole job at
present due to enhanced plugging requirements enacted since the reserve was funded.
The pat~nership does still have value, however, and 1 expect to be able to continue
making regular distributions here for some years.
If there's anything else we can do to help you with all this, please Iet me know, Thanks
again,
~,/o ~t. h yd ~ N G-
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Estate of Janet W. Hartman
File No. 21-12-01363
ATTACHMENT A
PNC Bank Installment payments on mortgage $13,834.56
Hitz Heating furnace replacement $3,969.75
Robin Gasperetti real estate taxes $2,555.70
Erie Insurance homeowners policy $616.00
New Cumberland Borough sewer and trash fees $365.72
Troy Schoppert clean and paint house $2,800.00
Troy Schoppert exterior maintenance $590.00
Interstate Waste
Management dumpster for house cleanout 1445.15
TOTAL $26,176.88
SEP-06-2012 10:33 From:PNC Camp Hill 7177317281 To:717 761 1435 P.2~3
~~NCBANK
August 8,ZOll
7n w110t71 It f713y COncern~
As of nt~c;~rt~bPr 8, 20.11 the current mortgage for Hartman Properties was 547,31.67. If you
sl~uld have rturther questions plP~se fPek free to contact inyself or David Leppo at (I17) 760-8102
Sincerely,
~~
~alir~ Minor
gr~nch ManaF;er
M~'~nh~yr vs r~,r: tyNC ~=~n~~ncfal Scrvftcs Group
•as3 N;,rH:el Sh'cGt C.7r:iN Hill ~'e~~:,;,ylv~in,l 17i7i I