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HomeMy WebLinkAbout10-26-12 (2) 1505611185 REV-1500 EX (02-11 j (FI) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po Box 2sosol INHERITANCE TAX RETURN 21, ], ], D 8 4 2 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 149-1,6-D355 07262011, 0329],925 Decedent's Last Name Suffix Decedent's First Name M I RAAB BERNICE ~ (If Applicable) Enter Surviving Spous e's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE - - REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (Date of Death ^ 4 Limit d E t t Prior to 12-13-82) ^ 4 F I ^ . e s a e a. uture nterest Compromise (date of 5. Federal Estate Tax Return Required 6 Decedent Died Testate death after 12-12-82} ~ 7 D I d t M i i t d Li i T . . ece en a n a ne a v ng rust , 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 Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number DONNA ~1 • MULLIN, JD, CPA 71,7-762-721,^ First Line of Address BOYER & BITTER CPAS Second Line of Address 2], 1, HOUSE AVENUE City or Post Office CA~1P HILL State ZIP Code PA 1,7011 REGISTE$~IgIILLS USEr"C~1LY ~ ~ ~ ~ (` DATE FILED C.+J ~~~ Correspondent's a-mail address: D I'1 U L L I N a~ C P A B R• C O M 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 persona( representative is based on all information of which Rreoarer has anv knowledge. JII~NH U tUr NCKSUN 5F'UN~ Lt I-UK FILINU KLl-URN DATE y ADDR S .I SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE '~ ~ DATE BOYER 8~ BITTER, CPAS `~~c"l~-,.~/~ •~ ~C~~ /~•-~'z--1 Z 7 ADDRESS 21,1, HOUSE AVENUE CA~1P HILL, PA 1,7011, PLEASE USE ORIGINAL FORM ONLY - Side 1 1,50561,1185 1505611185 OM4647 3.000 CstatA a£ Bernice ~'~ . Raab F.xecut;or. ~ ~ Page I ) Mame Laurie R. K_ucher AtidresW 126 Ji de quarry L°'rive Clirs~on, PA 1503?.6--1ri4~ Name hlarzdy Raab Carson Address 11:1 Beasley give F'i:~tvbar•gh, PA 1238-25~.. flame Pfendy I{ . Rabb ins Adci ~~'e a s ~ 13 Broth Court Mechanwcs:~urg, PA :750-2596 3. t1~}- lfi-~J35`~ Multiple declarations and signatures are attached to accommodate the signatures of the three co-executrices. tjnder Aenaltios of perjury, I deelare 'hat I hsvrt axt~mtr•ed this return, uteiud~rt~ accomprsny~ng schedules and statements. anrt to the bcssC at my ~na~,itx2ge artd ocl:rr', it is true, correct an4 campleta fleclarattor. of prepare- otftet' ittatt rho pe~anal re~resentatl,re is Debed as aU 'ntomtaGOn of Lrttic-+ prw¢srer rtes ~y knc.~Ecdpe. ~1GNATt~ PtOhl REJPpt!1$1~3k:E FCC FiL1h1G RETt1RN (; r~ ~'t`t~~- ~ ~a.-arc- Ct~.~_~, - ~ --er~cc.~~R-~ ~, _ ~~ ~a- 3 ~ ~1~ Std address lisped above ~a~~ i~Fr~CI~ ~~~~ ~a~~r~ 1'FG:CSc~,.~-.~.~~..ra t~~~:"~r dC'<°i .~: i{Y i1 --.t'...T 3Li 73~~~~~5 11~ultip~e decara~~c~ns and sir~r~atu~~s are aftac~ad tQ a~cc~rr~rn~c~c~ate thy; ~gnature~ t~f the thr~ cc~-executrices. Under Penaitit~s of perjury, 1 tf~acttate'.hat t haves exarnlned fltfs re~fum, cra~iwtticm~ ornpenyn~ ~~rdutas ~ s~tern~nts, en~i t~ tis8 Cs~ssF a~a~sy:~ncosfge snd ~~i~A,,. it Fs brae, aotreai snd etttttplerbe. Recl~ratl®n o(pr~parsr att~~r tt~er~ the p~~cu?rtE re~Or~en~Siv~ is ~as~ri or: ~9i ?rs[c~iet~as~s srbwtikch ~r~r~~re,- hay any kt}c~°Ee~~e. """~"""' fee address listed above J 1505611285 REV-1500 EX (FI) Decedent's Name: B E R N T (" F Decedent's Social Security Number 1,49-1,6-D355 RECAPITULATION J -- 1 . Real Estate (Schedule A) 1 O • O O 2 . Stocks and Bonds (Schedule B) . . ........ 2~ 1„1,97.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , . 3. O • D O 4. Mortgages and Notes Receivable (Schedule D) . ................ 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) . 5. 5 2 5 , 6 41, • O 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6 7. . . . Inter-Vivos Transfers & Miscellaneous Non-Probate Property 0.00 (Schedule G) ~ Separate Billing Requested 7. ], D , 6 7 7 , 5 2 D • O 0 8. Total Gross Assets (total Lines 1 through 7) g. 1,1 , 2 D 4 , ~ 61, • D D 9. Funeral Expenses and Administrative Costs (Schedule H). 9 . 2 8 2 , 9 2 9.O 0 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .10. 1, 7 , 0 6 4 •O 0 1 1. Total Deductions (total Lines 9 and 10) , 11. 2 9 9, 9 9 0• D 0 12. Net Value of Estate (Line 8 minus Line 11) 13. 12 Charitable and Governmental Bequests/Sec 9113 Trusts for which ~ D , 9 D 4 , 3 6 8 • D D an election to tax has not been made (Schedule J) , 13 . . 4 2 5 , 0 9 6 •O 0 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. ], O , 4 7 9 , 2 7 2.O D TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 (a)(1.2) x .o - 0 •0 0 15. 0.0 0 16. Amount of Line 14 t xable at linealratex o4~ 17. . 1,0,479,272.00 16. Amount of Line 14 taxable 4 71, ~ 5 6 7 O 0 at sibling rate X .12 D • D D 17. 0.00 18. Amount of Line 14 taxable at collateral rate X .15 O •0 0 18. 0• D O 19. TAX DUE 19. 471x, 567 • OD 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505611285 1505611285 OM4648 3.000 REV-1500 EX (FI) Page 3 File Number 3. Interest Total Credits (A + B) (2) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in 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. 448, 874 •00 (3) 0.00 (4) 0.00 (5) 22,693.00 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 ~ ^ b. retain the right to designate who shall use the property transferred or its income ~ ^ c. retain a reversionary interest ^ d. receive the promise for life of either payments, benefits or care? ^ 2. If death occurred after Dec. 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? ^ 0 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. 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)J. 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(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. OM4671 2.000 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 4 71, , 5 6 ? • D 0 2. Credits/Payments - A. Prior Payments 4 2 7, 5 0 0. 0 0 B. Discount 21, , 0 7 4. 0 0 REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Bernice J Raab 21 11 0842 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM -- NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1.29 Shares Met Life common stock 1,197 TOTAL (Also enter on line 2, Recapitulation) ~ $ 3 W4696 1.000 (If more space is needed, insert additional sheets of the same size) 1,197 REV-1507 EX+ (6-98) SCHEDULE D COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES INHERITANCE TAX RETURN RESIDENT DECEDENT RECEIVABLE ESTATE OF FILE NUMBER Bernice J Raab 21 11 0842 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALOUEDA~T DHTE None TOTAL (Also enter on line 4, Recapitulation) $ 3W46AC 1.000 (If more space is needed, insert additional sheets of same size) REV-1508 EX+ (11-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: Bernice J Raab SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER: 21 11 0842 Include the proceeds of litigation and the date the proceeds were received by the estate. All property joint) owned with ri ht of survivorship must be disclosed on Schedule F ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~~ Citizen's Bank Checking Acct. #6100770265 valued per bank letter (Exhibit 1) Interest accrued to 7/26/2011 2,138 0 2 Citizen's Bank Checking Acct. No. 6225345330 valued per bank letter (Exhbit 1) Interest accrued to 7/26/2011 20,039 1 3 Citizen's Bank Checking Acct. #6100901483 valued per bank letter (Exhibit 1) Interest accrued to 7/26/2011 218,830 57 4 Bank of America Checking Acct. No. 0014 4393 0735 valued per bank letter (Exhibit 2) Interest accrued to 7/26/2011 19,020 0 5 M&T Bank Checking Acct. No. 9854010197 valued per bank letter (Exhibit 3) Interest accrued to 7/26/2011 71,056 8 6 M&T Bank Savings Acct. No. 15004225218228 valued per bank letter (Exhibit 3) Interest accrued to 7/26/2011 64,200 18 7 M&T Bank Checking Acct. No. 70097283 valued per bank letter (exhibit 3) 9,139 8 1998 Mercedes Benz SL500 per Appraisal (Exhibit 16) 12,000 9 2002 Mercedes Benz S500 Appraisal attached (Exhibit 17) 11 000 10 Personal Property per Appraisal (Exhibit 12) 5,845 11 Four ladies fur coats or pelts, per appraisals attached (Exhibit 18) 935 12 Reimbursement receivable Met Life Long Term Care Insurance, valued at amount paid on claim 20,928 13 Contents of Residence Ocean City New Jersey (Appraisal attached Exhibit 13) 7,090 Total from continuation schedules . TOTAL (Also enter nn line 5 oW46AD 2.000 If more space is needed, use additional sheets of paper of the same size. 63,337 525,641 Estate of: Bernice J Raab 21 11 0842 Schedule E (Page 2) Item No. Description Value at Date of Death 14 Claim for refund of overpaid US Individual Income Taxes per decedent's final return as filed 19,637 15 Contents of Florida Condominium personal residence (Appraisal attached Exhibit 14) 6,295 16 Claim for refund of overpaid Pennsylvania Individual Income Taxes per decedent's final return 683 17 Contents of Pennsylvania personal residence (Appraisal Attached Exhibit 15A) 17,250 18 Additional Contents PA Residence (per Appraisal Addendum attached as Exhibit 15B) 600 19 Final income distribution receivable from the WF Raab Irrevocable Trust dated 11-9-90, (copy attached, Exhibit E) payable to decedent's estate; decedent was not the grantor of the trust and held only an income interest as beneficiary 2,786 20 Final income distribution payable from the Walter F. Raab Family Trust, a subtrust of the Walter F. Raab Living Trust dated 12/7/1993 (copy attached, Exhibit D); decedent was income beneficiary only of this trust, the credit shelter trust of decedent's predeceased spouse 11,113 21 Final Annuity payment receivable from the Raab Charitable Trust (copy attached, Exhibit F), valued at prorated final monthly payment paid to the decedent's estate by the Trustee 2,617 22 Patriot News subscription refund 49 23 Blue Cross medical preimum refund 266 24 Accuquest refund for hearing aid 2,000 25 EZ Pass Refund 41 Total (Carry forward to main schedule) 63,337 REV-1510 EX + (08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDEfvT ESTATE OF Bernice J Raab ILE NUMBER 21 11 0842 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLLpETFEN4MEOFTFETRANSFEREE,TFEIRRELATIONSHPTODECEDENTArD DATE OF DEATH %OF DECD'S NUMBS TI-E DATE OF TRFVSFER ATiACHACOPY OF TFE DEED FOR REAL ESTATE. VALUE OF ASSET EXCLUSION TAXABLE INTEREST 1 IF APPLICABLE VALUE . Dominick & Dominick Brokerage Account #75H018147 titled in the name of the Bernice J. Raab Living Trust Dated 12/7/93 (Exhibit 4: Schedule of holdings, July 2011 Account Statement; Exhibit C, copy of Trust) 3,332,684 100.0000 0 3 332 684 Interest accrued to 7/26/2011 9 006 100 0000 , , , . 9,006 2 Dominick & Dominick LLC Brokerage Account #75H020564 titled in the name of the Walter F Raab Survivors Trust GST Share Two Subtrust of the Walter F. Raab Living Trust (Copy attached Exhibit D) QTIP PROPERTY RECEIVED BY DECEDENT from predeceased spouse (Exhibit 5: Summary of Holdings and July 2011 Account Statement) 4,243,217 100.0000 0 4,243,217 Interest accrued to 7/26/2011 13,840 100.0000 13,840 3 Dominick & Dominick LLC Brokerage Account #75H018147 titled in the name of the Walter F Raab Survivors Trust GST Share One Subtrust of the Walter F. Raab Living Trust (Copy attached Exhibit D) QTIP PROPERTY RECEIVED BY THE DECEDENT from predeceased spouse (Exhibit 6: Summary of Holdings and July 2011 Account Statement) 469,202 100.0000 0 469,202 Interest accrued to 7/26/2011 158 100.0000 158 Total from continuation sched les 2,609,416 TOTAL (Also enter on line 7, Recapitulation) $ 10 677 523 If more space is needed, use additional sheets of paper of the same size. 9W46AF 2.000 Estate of: Bernice J Raab Schedule G (Page 2) Item DOD Value vo. Description of Asset $ Interest Exclusion 4 Dominick & Dominick Acct. No. 75H -075436 titled in the name of the Walter F. Raab Family Trust, the Federal Credit Shelter Trust for decedent's predeceased spouse for which and election to tax under PA Sec. 9113 (A) was not made at the time of death of Walter F. Raab (summary of holdings and values Exhibit Al & July 2011 account statement Exhibit A2, attached) Interest accrued to 7/26/2011 5 3,013.741 Shares T. Rowe Price Individual Retirement Account #540193439-8 holding shares of T. Rowe Price Growth Stock Fund, three daughters are equal beneficiaries of account (2011 Account Stmt attached as Exhibit 7) 6 23,239.14 Shares Fidelity IRA Acct No. 219-158291 Shares of Fidelity Independence Fund, beneficiaries are 3 daughters equally, (July 2011 Statement attached as Exhibit 8A and Account holdings Summary Exhibit 8B) 7 Fidelity IRA Acct. No. 219-158291, shares of Fidelity Cash Reserve, 3 daughters are equal beneficiaries (Exhibit 8A July 2011 Statement and Exhibit 8B Account Holdings Summary) 8 Cash Gift to Daughter Mandy Raab Carson 5/20/10 9 Cash gift to grandson Christopher Carson 11/1/10 10 Gift of Nutcracker to daughter Wendy Robbins 9/30/10 Total (Carry forward to main schedule) 908,123 100.0000 493 100.0000 104,999 100.0000 609,098 100.0000 38 100.0000 511 100.0000 300 100.0000 106 100.0000 0 0 0 21 11 0842 Taxable Value 908,123 493 104,999 609,098 0 38 0 511 300 0 106 0 1,623,262 Estate of: Bernice J Raab Schedule G (Page 3) Item DOD Value No. Description of Asset $ Interest Exclusion 11 Gift of Nutcracker to daughter Laurie Kucher 9/30/10 12 Gift of Nutcracker to daughter Mandy Raab Carson 9/30/10 13 Gift of dinner to daughter Wendy Robbins & son-in-law Jeff Robbins 10/30/10 14 Christmas gift to Daughter Laurie Kucher 11/14/10 15 Christmas gift to daughter Wendy Robbins 11/14/10 16 Christmas gift to daughter Mandy Raab Carson 11/14/10 17 Cash gift to daughter Mandy Raab Carson 11/29/10 18 Cash gift to son-in-law Jeffrey Robbins 12/13/10 19 Cash gift to daughter Mandy Raab Carson 12/13/10 20 Cash gift to daughter Wendy Robbins 12/13/10 21 Cash gift to grandson Christopher Carson 9/7/10 22 Cash gift to granddaughter Abigal Kucher 11/10/10 23 Cash gift to grandson Nicholas Kucher 11/10/10 24 Cash gift to granddaughter Christina Kucher 11/10/10 25 Cash gift to grandson Christopher Carson 11/10/10 26 Cash gift to granddaughter Christina Kucher 11/22/10 Total (Carry forward to main schedule) 106 100.0000 106 100.0000 160 100.0000 149 100.0000 149 100.0000 149 100.0000 3,500 100.0000 500 100.0000 1,000 100.0000 1,000 100.0000 1,291 100.0000 667 100.0000 667 100.0000 667 100.0000 500 100.0000 300 100.0000 106 0 160 149 149 0 3,000 500 0 1,000 1,291 667 667 667 500 300 21 11 0842 Taxable Value 0 106 0 0 0 149 500 0 1,000 0 0 0 0 0 0 0 1,755 Estate of: Bernice J Raab Schedule G (Page 4) Item DOD Value vo. Description of Asset $ Interest Exclusion 27 Cash gift to granddaughter Abigal Kucher 11/22/10 28 Cash gift to grandson Matthew Robbins 12/13/10 29 Cash gift to grandson David Robbins 12/13/10 30 Clothing gifted to grandson Matthew Robbins 12/13/10 31 Clothing gifted to Grandson Matthew Robbins 12/13/10 32 Clothing gifted to grandson David Robbins 12/13/10 33 Cash gift to granddaughter Abigal Kucher 12/13/10 34 Cash gift to grandson Nicholas Kucher 12/13/10 35 Cash gift to granddaughter Christina Kucher 12/13/10 36 Clothing gifted to Grandson Nicholas Kucher 12/13/10 37 Gift of bed to daughter Wendy Robbins 1/8/11 38 Gift of cash to daughter Wendy Robbins 2/28/11 39 Gift of cash to son-in-law Jeffrey Robbins 2/28/11 40 Gift of cash to daughter Laurie Kucher 3/14/11 41 Gift of cash to son-in-law Michael Kucher 3/14/11 42 Gift of cash to daughter Wendy Robbins 3/14/11 Total (Carry forward to main schedule) 300 100.0000 500 100.0000 500 100.0000 684 100.0000 225 100.0000 225 100.0000 333 100.0000 333 100.0000 333 100.0000 97 100.0000 4,133 100.0000 175 100.0000 10 100.0000 13,000 100.0000 13,000 100.0000 13,000 100.0000 300 500 500 684 225 225 333 333 333 97 0 0 0 3,000 3,000 3,000 21 11 0842 Taxable Value 0 0 0 0 0 0 0 0 0 0 4,133 175 10 10,000 10,000 10,000 34,318 21 11 0842 Estate of: Bernice J Raab Schedule G (Page 5) DOD Value Taxable Item vo. Description of Asset ~ Interest Exclusion Value 43 Gift of cash to son-in-law Jeffrey 00 000 3 000 10 Robbins 3/14/11 13,000 100.00 , , 44 Gift of cash to daughter Mandy 000 13 100.0000 3,000 10,000 Raab Carson 3/14/11 , 45 Gift of clothing to daughter Wendy 0 283 Robbins 5/20/11 283 100.0000 46 Gift of theater tickets to 0 345 daughter Wendy Robbins 5/27/11 345 100.0000 47 Gift of theater tickets to son-in 0 345 -law Jeffrey Robbins 5/27/11 345 100.0000 48 Gift of cash to daughter Wendy 0 500 Robbins 6/15/11 500 100.0000 4 9 Gift of cash to daughter Wendy 0 712 Robbins 7/22/11 712 100.0000 50 Gift of cash to son-in-law Jeffrey 0 200 1 Robbins 7/22/11 1,200 100.0000 , 51 Gift of cash to granddaughter 000 13 100.0000 3,000 10,000 Abigal Kucher 3/14/11 , 52 Gift of cash to grandson Nicholas 000 13 100.0000 3,000 10,000 Kucher 3/14/11 , 53 Gift of cash to granddaughter 3/14/11 h 13 000 ~ 100.0000 3,000 10,000 er Christina Kuc 54 Gift of cash to grandson David 000 13 100.0000 3,000 10,000 Robbins 3/14/11 , 55 Gift of cash to grandson Matthew 000 13 100.0000 3,000 10,000 Robbins 3/14/11 , 56 Gift of cash to grandson n 3/14/11 C 13,000 100.0000 3,000 10 , 000 arso Christopher 57 Gift of cash to grandson David 0 000 1 Robbins 4/21/11 1,000 100.0000 , 58 Gift of cash to grandson David 0 700 Robbins 7/22/11 700 100.0000 85,085 Total (Carry forward to main schedule) Estate of: Bernice J Raab Schedule G (Page 6) Item vo. Description 59 Real Estate situate at 1736 Crisswell Place, Camp Hill, Cumberland County, PA, 1/2 interest as tenant in common in the name of the Walter F. Raab Survivor's Trust GST Share Two, a subtrust of the Walter F. Raab Living Trust dated December 7, 1993 (Copy attached Exhibit D), QTIP PROPERTY RECEIVED BY DECEDENT, valued per sale price 6/25/12 (HUD-1 Attached as Exhibit 9A, deed attached as Exhibit 9B) 60 Real Estate situate at 1736 Crisswell Place, Camp Hill, Cumberland County, PA, 1/2 interest as tenant in common in the name of the Bernice J. Raab Living Trust dated December 7, 1993, valued per sale price 6/25/12 (HUD-1 attached as Exhibit 9A, deed attached as Exhibit 9B, Copy of Trust attached as Exhibit C) 61 Raab Charitable Trust dated January 24, 2003, a charitable remainder annuity trust which paid decedent an monthly annuity and paid the remainder to the Holy Spirit Hospital, valued per July 2011 investment statement (Exhibit 19A) and holdings summary (Exhibit 19B) - see related charitable deduction; Copy of Trust attached as Exhibit F. DOD Value of Asset ~ Interest 219,950 100.0000 219,950 100.0000 425,096 100.0000 Exclusion 0 0 0 21 11 0842 Taxable Value 219,950 219,950 425,096 864,996 Total (Carry forward to main schedule) REV-1511 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS LJ 1 !1 1 V v. Bernice J Raab 21 11 0842 Decedent's debts must be reported on Schedule I. ITEM AMOUNT NUMBER DESCRIPTION A. FUNERAL EXPENSES: 1, 2 31 ~ Tavern On the Hill - funeral luncheon 7,385 2 Parthemore Funeral Home Total from continuation schedules . B. 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City Year(s) Commission Paid: State ZIP 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) ~~„ .,. 4. 5. 6. 7. 1 9W46AG 2.000 .,,u,,.,~.... Street Address City State ZIP Relationship of Claimant to Decedent Probate Fees: Accountant Fees: Tax Return Preparer Fees: Real Estate Transfer Taxes - HUD-1 Sale of PA Real Estate by WFR Survivors GST Two Trust Total from continuation schedules TOTAL (Also enter on Line 9, Recapitulation) ~ $ If more space is needed, use additional sheets of paper of the same size. 1,201 125,000 428 75,000 2,200 70,484 282 , 929 Estate of: Bernice J Raab Schedule H Part 1 (Page 2) 21 11 0842 Item Amount No. Description 156 3 Staples etc - photos and other supplies for funeral 4 Weis Markets etc - additional food for funeral 210 guests 80 5 Dineldein Bakery - food for funeral 530 6 TF Royers/Stephensons - flowers 225 7 Rolling Green Cemetery - open tomb 1,201 Total (Carry forward to main schedule) Estate of: Bernice J Raab Schedule H Part 7 (Page 2) 21 11 0842 2 Real Estate Transfer Taxes - HUD-1 sale of PA Real 2,200 estate by BJ Raab Living Trust 3 Real Estate Broker Fees - HUD 1 Sale of PA Real 13,295 Estate by WFR Survivors GST Two Trust 4 Real Estate Broker Fees - HUD 1 Sale of PA Real 13,295 Estate by BJR Living Trust 5 Jack Gaughen Realtor - refund of deposit failed sale of PA Real Estate owned by WF Raab Survivors GST (2,500) Share Two 6 Jack Gaughen Realtor - refund of deposit failed settlement PA Real Estate owned by BJ Raab Living (2,500) Trust 7 Real Estate Taxes Net - HUD-1 Sale of PA Real Estate 518 by WF Raab Survivors GST Share Two Trust $ Real Estate Taxes Net - HUD-1 - sale of PA Real 518 Estate by BJ Raab Living Trust 9 Wiring Fees - HUD-1 - Sale of PA Real Estate by WF 25 Raab Survivors GST Share Two Trust 10 Wiring Fees - HUD-1 - Sale of PA Real Estate by BJ 25 Raab Living Trust 11 Home Warranty to AHS - HUD 1 - sale of PA Real 300 Estate by WF Raab Survivors GST Share Two Trust 12 Home Warranty to AHS - HUD 1 - Sale of PA Real 300 Estate by BJ Raab Living Trust 13 Cliffs Homeowners Association net dues HUD-1 sale of PA Real Estate by WF Raab Survivors GST Share Two 242 Trust 14 Cliffs Homeowners Association net dues HUD-1 Sale of 242 PA Real Estate by BJ Raab Living Trust 44,524 15 See Continuation Schedule Attached 70,484 Total (Carry forward to main schedule) v o N m o o m o 0o N ~n o 0 0 00 ~-+ o N o w o u, N o c o o .-+ u~ oo .-~ o m r+ ~n o o m o w o 00 0~ o m m in ~ N o 00 0 00 lD N u~ ~ oo n o m o 0o n o 00 ~n m o m N o m o o m n N o0 o co m N o o n oo u', o0 o m o0 o a m a~ 7 ~ ~ N ~ O n W M O~ N ~ 00 ~D n L!1 L} ~ N O lD ON O n ~ ~ 00 n 00 O ~ C ON n 00 N .~-i ON .~-I l0 O~ lD ~ lD `""~ ~ '~ ~ ~ +J} ~ t/} Ll LET ~ N ~ N VT ~ ~ ~ ~/? ~ ~ ~ ~ '~/? i/'f N N ~ t/? 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Vl ~ ~ ~ G J w LL N ~ ~ ~ 7 J J J N ~ ~ ~ LL -+ O N ~ 00 00 n 0~0 N N N r-I l!1 N ~ ~ N N N .-i .--I O O m m 0 0 ~ ~ S = Q ~ ~ ~ ~ ~ U U O ~ ~ ++ C m 3 ~ o .n ~ o a Z v v > > ra ~ ~ ~, x x •y FJ ~ ~ U u Q) ~ x x v v _~ 0 0 v v ~ ~ Q 'a c c +~ +~ ~ ~ c c ~ ~o v v an no ~ ~ v v ~ ~ Q Q a a ~ c ~ o ~ c u v c m v ~ u a ~ ~ ca ~ O ~ U v E 'O O O m ~o m N ~- ~ '-i ~Il 2 N 7 C_ ~ 41 ~ ~ L ~ L u Y ~ O T a+ O1 'D ._ ~ Y C f0 3 ~ REV-1512 EX+ (12-OS) SCHEDULE pennsylvania DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT FILE NUMBER ESTATE OF 21 11 0842 Bernice J Raab Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. VALUE AT DATE ITEM OF DEATH NUMBER DESCRIPTION ~~ Bonnie Miller Tax Collector - Real Estate Taxes Camp Hill PA 2 Tax Collector Ocean City NJ - taxes due prior to death 3 Lois Copeland - bookkeeping services prior to death 4 Gallaher Mowing - services prior to death 5 Atlantic City Electric - final utility bill vacation home 6 Boyer & Ritter CPAs - outstanding balance lifetime accounting services 7 Swim-Mor - final payment on pool cover ordered prior to death 8 Laurie Kucher - reimbusement for lifetime personal expenses of decedent advanced 9 Bethany Village - Nursing Home Expense 10 Bonnie Miller Tax Collector - per capita tax 11 Mandy Raab - reimburse for lifetime personal expenses of decedent advanced 12 Bank of America - lifetime credit card balance 13 Continuing Care - nursing expenses 14 Jeffrey Robbins - Reinburse for lifetime car repair and OC NJ house expenses paid for decedent 15 Citibank/ATT - credit card balance due 16 Comcast - final OC NJ Cable bill TOTAL (Also enter on Line 10, Recapitulation 4,185 2,188 262 220 355 4,280 1,599 155 212 10 18 705 1,313 558 939 65 17,064 If more space is needed, insert additional sheets of the same size. 8W46AH 2.000 REV-1513 EX+(01-10) SCHEDULE J pennsylvania DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER: ESTATE OF: 21 11 0842 Bernice J Raab RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY ~ TAXABLE DISTRIBUTIONS [InSeCe 91t116h(a)p(1 2) ~ istributions and transfers under 1. Trust FBO Matthew Robbins (BJ Raab Living Trust Art 6, Sec 5)- currently unfunded, no EIN applied for yet 513 Brom Court Mechanicsburg, PA 17050 1 Article 6, Section 5 of Bernice J. Raab Living Trust, in trust FBO Matthew Robbins, grandson of decedent 250,000 GST Trust ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 ISee Attached 250,000 TOTAL OF PART II ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ 4 2 5 , 0 9 6 If more space is needed, use addltlonal sheets of paper of the same size 9W46AI 2.000 Estate of: Bernice J Raab Schedule J Part 1 (Page 2) Item No. Description 2 Laurie R. Kucher 126 Olde Quarry Drive Clinton, PA 15026-1546 General Bequests: 180,000 One Third of Residue: 3,256,424 3 Wendy R. Robbins 513 Brom Court Mechanicsburg, PA 17050-2596 General Bequests: 180,000 One Third of Residue: 3,256,424 4 Mandy Raab Carson 111 Bentley Drive Pittsburgh, PA 15238-2501 One Third of Residue: 3,256,424 5 Matthew Robbins 513 Brom Court Mechanicsburg, PA 17050 Article 6, Section 5 of Bernice J. Raab Living Trust 100,000 Relation Daughter Daughter Daughter Grandson 21 11 0842 Amount 3,436,424 3,436,424 3,256,424 100,000 Estate of: Bernice J Raab Schedule J Part 2B (Page 1) 21 11 0842 Item Amount No. Description 1 Holy Spirit Hospital 503 North 21st Street Camp Hill, PA 17011 Raab Charitable Trust dated January 24, 2003, a charitable remainder annuity trust which paid decedent an monthly annuity and paid the remainder to the Holy Spirit Hospital, valued per July 2011 investment statement (Exhibit 19A) and holdings summary (Exhibit 19B) - see related charitable deduction; Copy of Trust attached as Exhibit F. 425,096 Inventory Value: 425,096 Form 1500 Estate of Bernice J Raab: Exhibits A Will of Bernice J. Raab C Bernice J. Raab Living Trust dated December 7, 1993, as amended p Wafter F. Raab Living Trust dated December 7, 1993, as amended E W. F. Raab Irrevocable Trust dated December 9, 1990 & Executed Limited Power of Appointment F Raab Charitable Trust H Receipt PAIT Payment and check for final payment I Federal Form 706 with Exhibits 1 Citizen's Bank - 3 Accounts Valuation Letter 2 Bank of America -valuation letter 3 M&T Bank - 3 accounts -valuation letter 4A Dominick & Dominick Account #75H018147 Holdings Summary 4B Dominick & Dominick Account #75H018147 -July 2011 Statement 5A Dominick & Dominick Account #75H020564 -Holdings Summary 56 Dominick & Dominick Account #75H020564 -July 2011 Statement 6A Dominick &Domincik Account #75H018147 -Holdings Summary gg Dominick &Domincik Account #75H018147 -July 2011 Statement 7 T Rowe Price IRA Statement gA Fidelity IRA Statement 86 Fidelity IRA Holdings Summary gA HUD-1 Sale of PA Residence gg Deed to PA Residence 12 Personal Property Appraisal Dated 1/25/2012 as of DOD by Lynda K. Johnson, CAI 13 Appraisal of Contents of NJ Residence 14 Appraisal of Contents of FL Residence 15A Appraisal of Contents of PA Residence 15B Appraisal Addendum -Contents of PA Residence 16 Appraisal of 1998 Mercedes 17 Appraisal of 2002 Mercedes 1 g Appraisal of Furs 19A Raab Charitable Trust -July 2011 Investment Account Statement 1 gg Raab Charitable Trust -Holdings summary as of Date of Death (Exhibit numbers skipped relate to non-PA Assets on Federal Return) Above referenced exhibits are of a confidential nature and are being submitted directly to the PA Department of Revenue