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Home My WebLink About09-21-12-.~ REV-1500 Ex(°1-10' 1 50561 01 43 OFFICIAL USE ONLY PA Department of Revenue pennsylvania county code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 80X.280601 INHERITANCE TAX RETURN 2 1 ~ 013 6 3 Harrisburg, PA 17128-0601 RESIDENT DECEDENT '~/ Social Security Number Date of Death 165 26 6159 12 08 2011 Decedent's Last Name Suffix HARTMAN (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Social Security Number Date of Birth 03 04 1931 Decedent's First Name MI JANET W Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of death after 12-12-82) ^ 6. Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust (Attach Copy of Trust) ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) State ZIP Code PA 17043 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 LEMOYNE Correspondent's a-mail address: l a w a n d e s@ a o l. c o m Under penalties of perjury, I declare that 1 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 1 _,_ .. / _ _ ~ Daniel J. Hartman ~ - //- l~ ADDRESS / ~ ~ ' 127 outh 15th Street, Cam~.,~lill, PA 17011 SIGNAE 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 ^ 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) REGISTER S USE ONLY . (3J -~ T ;~ Cs~ r ~ , r-". . ~ c'; _-,- ~ ._ c ~ - ...._ i _. , r ~ I Q ~ ~ D Mi ~ ~ f' i DATE FILED -- ~ >~ ;-~*~ ~- ~ t. ~~ r=:;': -- ti .,~: :~ n /,~~) J REV-1500 EX Decedents Name: 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 Property (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) ....................................................................... g, 1 , 19 6 , 3 7 8 . 6 0 9. Funeral Ex enses & Administrative Costs Schedule H p ( ) ......................................... 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. 1 3 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 Subject to Tax (Line 12 minus Line 13) ................................................. 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 ,j2 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. Side 2 1505610243 1505610243 47,897.24 47,897.24 1505610243 J 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. ~~ .:.. ~` a ;. <~~~~~~.. ~'~.~ ~~ ...',s,~~:;~.:.~,,.~ ,..~ .,.... ,..,,; ~~,,.. - ,w,.~.~ .....:....:.. ._._.....:,..._..:~. k.~.:.3~s• , -tt~3'~ e..:.~:t;.. K ~ .:::. ~.._.~ .d~+.: ~.. ,~. .xx~is:~~` ,. ...~.+.n ~r~; 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? .............................................................. ^ ^x 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 "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. .. uy~ ~ x. ' .: '.. .. ~. ' TP. t ...y R. ~ x'Y ~ f - For dates of death on or after Jul 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 ~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) n)]. 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 bybloo or adoption. ,. COMMONWEALTH OF PENNSYLVANIA INHERffANCE 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 wilting 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 CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERfTANCE 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 DESCRIPTION VALUE AT DATE OF NUMBER 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 t 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 VALUE 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 ` FUNEF;AL DCPOVSES & COMMONWEALTH OF PENNSYLVANIA ~'~ C~ INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Hartman, Janet W. 21 - 12 - 01363 Debts of decedent must be reported on Schedule 1. 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 Attorney's 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 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schedule H F E~q~~sPS & Administ~ve Coss continued ESTATE OF Hartman, Janet W. FILE NUMBER 21 -12-01363 Bonnie K. Miller, Tax Collector (taxes paid on office building) Carlisle Sentinel (advertising) 10,186.30 201.96 Cumberland Law Journal (advertising) ~ 75.00 Page 2 of Schedule H SCHEDULEI DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LI ENS INHERffANCETAX 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 DESCRIPTION AMOUNT NUMBER 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 I 47,312.67 death. See letter attached. TOTAL (Also enter on Line 10, Recapitulation) ~ 47,902.84 REV-1513 EX+ (11-OS) 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 Ltst Trustee(s) I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 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 0.00 ~~~ L 1~1GTHEWAY 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: 10-0 l -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 Box 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 - 1RA Account 4'(0-G27529=.006 Date of Death Description Symbol # of shares Value Cash $2,520.26 Ishares Barclay Short Treasury SHV 123 $13,558.70 Ishares JP Morgan EM Bond Fund EMB 20 $2,177.60 Ishares Russell 1000 GR Index IWF 354 $20,478.90 Ishares Russell 100 Value Index IWD 219 $13,688.23 Ishares Russell Midcap G Index IWP 41 $2,265.66 (shares Russell Midcap V Index IWS 53 $2,265.75 Spdr Barclays Capital High Yield JNK 29 $1,099.78 Spdr Barclays Capital International BWX 193 $11,390.86 Investments and services are offered through Morgan Stanley Smith Barney, LLC Incorporated, member SIPC. Adorgan Stanley Smith Barney LLC. Member SIPC. 4507 North Front Street Suite 201 Harrisburg, PA 17110 tel 717 255 6666 fax 717 255 6651 toll free 800 676 OG73 Description Vanguard MSCI EAFE ETF Vanguard Totai Bond Market MorganStanley SmithBarney 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 Symbol # of shares Date of Death Value $2,030.49 Cash Should you require additional information, please contact our office. ly, Lau en Reed CS to Joy Dougherty lnvestments and services are offered through Morgan Stanley Smith Barney, LLC Incorporated, member SIPC. Morgan Stanley Smith Barney LLC. Member SIPC. v°"Aug. 13. 2012" 4:20PM' ""HARTMAN & ASSOCIATES "~"" "~' No. 1530 P, 2/2' To: ban Gartman, Executor' lte: Esfatie of Janet Gartman ~r®m: John Xoung, General Pax-tnea• Date: ,August 12, 2012 Dear Dan, ,As zequested, here's my appraisal of your mother's interests in our oil and gas production partnerships in McKean County, Pennsylvania. ketrol~orfh ~'artners Group (I.~202% ownership) -This partnership has been around a longtime, and the only wells it has Ief~ are gas wells on the old Helmer lease near port Allegany, pA. Those wells were moderately profitable until recently when abundant gas supplies f~ronr~ new shale gas discoveries drove prices to record lows. We're doi~ag everything w'e can do to avoid plugging these wells, but I doubt that any remaining ~ralue these vtrells ha~re exceeds the likely cost of plugging. We've actually had three or Four investors just hand back their shares recently, both to avoid possible plugging liability and to cut their tex preparation work. This partnership paid off ail the at~itial investments some time ago and has been a great little money-maker for years, but is essentially at or near the end of it's productive life. So Y would give this investment only a very nominal value ($,~OD.OD) in calculating your mother's estate. ~amilfon Exploration G-~roup (0,3754% ownership) - On average these vv'ells are somewhat newer than the Helmer wells, and include some decent oil producers. `Sour mother got dist~'ibutions in 2011 that totaled $1,841 fi'om 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 xule of thumb for settledproduction is that the value of the investment would be~~in the xange of 3 to 5 times net annual revenues (to reflect natural decline etc), that would give this investment a current value of roughly ~s,ooo.00. This partnership has also paid offthe initial investments many times oven, but has Ueen hit hard by lower gas prices. We do have a plugging reserve to help fund the eventual 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~nezship does still have value, however, and 1 expect to be able to continue making regular distributions here for some years. 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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 ~PNCBANK Alagust 8,2012 7n whom it may concern' As of OeC~r»hPr 8, 20.11 the Current mori~age far Hartman Properties was 547,31Z.fi7. If you shuld have further questions please fee! free to contact inyseif or L~~vid Leppo at (I17) 760-8102 Sincerely, ~~ ~itir.~ Minor F3ranch Man~~;er M~~-nue~r at rho: PNC ~=~nancial 5arvfces Group ~•4f3 N;,rH:et SkIG~k ~•~,';'ip Hill r/tihii,ylv~iu,~ (7;11 I