HomeMy WebLinkAbout12-03-12J 1505611180
REV-1500 EX(02-11)(FI)
PA Department of Revenue Pennsylvania OFFICIAL USE ONLY
Bureau of Individual Taxes oevexn~exror nevExve County Code Year File Number
PO BOX 230601 INHERITANCE TAX RETURN
Hanisbum PA 17123-0801 ~ ~ '
RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW t
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
03012011 05131934
Decedent's Last Name Suffix Decedent's First Name MI
WOOD SHIRLEY
M
(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 BOXES BELOW
0 1. Original Retum Q 2. Supplemental Return Q 3. Remainder Retum (Date of Death
Q 4. Limited Estate Prior to 12-13-62)
Q 4a. Future Interest Compromise (date of Q 5. Federal Estate Tax Retum Required
tleaM after 12-12-32)
® 6. Decadent Dietl Testate
(Attach Copy of Will) Q 7. Decedent Maintained a Living Trust 6. Total Number of Sate Deposit Boxes
(Attach Copy of Trust)
® 9. Li3gation Proceeds Received Q 10. Spousal Poverty CredM (Date of Death ~ 11. Electlon to Tax untler Sec. 9113(A)
Between 12-31-81 and 1-1-93) (Attach Schedule O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL 7AX INFORMATION SHOULD BE DIRECTED T0:
Name
Daytime Telephone Number
ROBERT G. FREY 717235838 ~='
~
l3{37fER OF WIL~$ USEUttlla
W ~ r-~ ~~ ra
First Line of Address .~ r» r- •-~ ~~
5 S HANOVER ST I- ,.~ r•7 h"i r*1
~~~ ~' =''' ca `"' `'
Sewnd Line of Address ~.,:t :+t Q : S
~> a~ -'~ 'r1 '"~r
_..
~1 h.... ...: ,:7
_ -t 1--- ~ iYl
City Or Post Office State ZIP Code a DATE ED
_„_ "'1
CARLISLE PA 17013
Side 1
L 1505611180 1505611180 J
Correapondant'ae-mailaddresa: RFREY aFREYTILEY.COM
Under penalties of perjury, I deUare Mat I have examined this return. includinn a.•.•.,,...,a.,,,~.,,. a,.~,e....~e_ __. _._.____._ __.. ..
J 1505611280
REV-1500 EX (FI) Decedents Social Security Number
Decedent's Name: SHIRLEY M WOOD
RECAPITULATION
1. Real Estate (Schedule A) .......................................... 1. N 0 N E
2. Stocks and Bonds (Schedule B) ..................................... 2. N 0 N E
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... 3. N 0 N E
4. Mortgages and Notes Receivable (Schedule D) ......................... 4. N 0 N E
45O0U.~O
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) .... 5.
6. Jointly Owned Proparry (Schedule F) OSeparate Billing Requested ...... . 6. N 0 N E
Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
7
.
(Schedule G) Separate Billing Requested ...... . 7, NON E
8 4 5 0 00 . ~ 0
8. Total Grose Asseffi total Lines 1 throw h 7 ......................... .
.
9. Funeral Expenses and Administrative Costs (Schedule H) ............... .. 9. 4 2 5 6.00
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........... ..10. 2 4 7 6 3 . ~ D
11 29019 . C7~
11. Total Deductions (total Lines 9 and 10) ............................. .
.
12 159 81 . ~ 0
12. Net Value of Estate (Line 8 minus Line 11) ...................... . ... ..
.
Charitable and Governmental Bequests/Sec 9113 Trusts for which
13 0 . U 0
.
an election to tax has not been made (Schedule J) ..................... . 13.
14. Net Value Sub ect to Tax Line 12 minus Line 13 ..................... . 14. 15 9 81 . O ~
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable at
the spousal tax rate, or
transfers under Sec. 9116
0 15981.0
15. ~ , 0 0
(a)(t.2)X.o
16. Amount of Line 14 taxable 0 0
0
at lineal rateX.0 45 i6. .
17. Amount of Line 14
taxable at sibling rate X p ti tl 17 ~ , 0 ~
18. Amount of Line 14 taxable Q
~ ~
at collateral rate X ~ ~ tl 18. .
. 19.
~.~~
19. TAX DUE ...................................................... .
BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~
20. FILL IN THE
Side 2
L 15W561128O 1505611280
REV-1500 EX (FI) Page 3
Decedent's Complete Address:
21-11-0323
File Number
201-240454
DECEDENTS NAME
SHIRLEY M WOOD
STREET ADDRESS
201 TODD CIRCLE
CITY STATE ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Dismount
3. Interest
Total Credds (A + B )
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.
(1) 0.00
(2) 0.00
(3)
(4) 0.00
(5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT
~~~~sa~~~~~rt ~t~_? ', .. ~! ~1;~rS~r'a~a~'~~'~1~,~~~:. ~(~~§~~'"t`~'_.:~1`. "r'~?~~~`~;`~~ `F~ft~~~?~ ~~. ~' `~~~~
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? .............................................................. ...... ^ 1-1
'
N
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 foi" or payable-upon-death bank account or security at his or her death? ......
...... ^ i
~
~
iPl
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
montains 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.
";~~1~`~~"t~~+i~ii~a,r~~ya~~~~a'~fi`~`~'~~~a~ ~~~~iwk~E.~~!1~~~~~~~~~`~"eta('~~~~~"~°f.~~~;~~a~ia"~,:'`~?~~".'„u~d~~~~I,N;.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disGosure 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 Darent 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 d 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.
REV-1508 EX+(11-10) SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, 8~ MISC.
DEPARTMENT OF REVENUE PERSONAL PROPERTY
INHERITANCE TAX RETURN
ESTATE OF: FILE NUM6EN:
Shine M Wood 21-11-0323
If more space is needed, use additional sheets of paper or the same size.
REV-1511 EX t (10-09)
Pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
RESIDENT DECEDENTTURN ADMINISTRATNE COSTS
ESTATE OF FILE NUMBER
Shirley M Wood
DecsdenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
AMOUNT
A. FUNERAL EXPENSES:
1.
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Atltlress
city
Year(s) Commission Paid:
State ZIP
2. Attorney Fees: 4,000
3. Family Exemption: (It decedenCS address is not the same as claimant's, attach explanation.) ,
Claimant
Street Address
Ciry State ZIP
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. lax Return Preparer Fees:
7. Filing costs 256
TOTAL (Also enter on Line 9, Re
If more space is needed, use additional sheets of paper of the same size.
REV-1512 E%~ (12-OB)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES 8 LIENS
ESTATE OF ~ FILE NUMBER
Shine M Wood
REV-1513 EX+ (01-10)
Pennsylvania I SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN I BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF:
FILE NUMBER:
Shine M Wood
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not Llat Trustee(s) AMOUNT OR SHARE
OF ESTATE
TAXABLE DISTRIBUTIONS [IncluEe outright spousal tlistnbutions antl transfers antler
Sec. 9116 (a) (1.2).I
Richard S. Wood
1
57 Gladwyn Drive, Carlisle, PA 17013 Spouse 100% of Remainder
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUG H i6 OF REV-1500 COVER SH EET, AS APPROPRIATE.
II 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.
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET.
0.00
K more space is neetleC, use atltlitlonal sheets of paper or the same size.
OF
SHUtI,Ey M. WOOD
1, SHIRI.Ey M. WOOD, of 201 '!'odd Grele io the Borough of Carlide, Cumberland
County. Penmylvania, bring of sound end disposing mind, memory road uodersynding, do
hereby make. Publish road declare this as and for my I.au Will rood Testament, 6ercby revoking
and making void uy and NI Willa by rrre u any time heMOforc made,
I. 1 direct my 6ercinafter paned Executrix or Executors to pay alt of my just debts and
fnneyl expenses and NI costs of edmitdstradoo d my eayte as soon after my death u may be
found eoavetdent a do so.
2. 1 direct that dl inheriyoa, transfer, estate, sureession and death rues which may be
payable oo aaount of my dual, inNuding iaterpt card penalties thereon. shall be paid from the
included 4 m estate rcgardleav of whether the assets upon which such rues are bared arc
y probate estate.
3. I give and bequeath dl of my hourehoid gouda and fumiahings and tangible personal
Property Saaerally, bu tat any automobile or motorized vehicle which 1 may own, in equd
shares to my three children who arc ROBERT S. WOOD, CHERYL L THOMPSON, and
VONDA K. MOON.
4. A11 of the rest, residue and remainder of my tsyte, real. person sad mixed, and
whercsoevw the soma may he dtttay, I give, dense rood bWueu6 to my herciaafler named
Trustees, Weir successors artd udgns, in Trwf, fa the usa and purposes hereinafter aN font.
which Trust ahdl be knows o the Residuary Trust.
This Residuary Tnyt shall be Geld and adminiatercd sad disposed of as follows:
a) My Trostw shill distribute ro or for We benefit of my 6naband RICHARD S.
WOOD, dl ~ We iowme of We Reddtyry Trull annually or at more frequent internla, u may
from rime to time be deemed appropriste or wnvenienL
b) Upoo tke dual of my hubud Richard S. Wood, or if be shNl have prcdeaased
me. my Tmatees sbdl divide the Tnyt property taro Wree (3) equd and separate shares so u to
provide one nhue for each child of mine living at the dme of my 6ttabaod'a deaW, my three
children being ROBERT S. WOOD, CHERYL L THOMPSON, and VONDA K. MOON.
Should uy child of mine hsve pralecearcd me, Wen the gyre which had been allocated fa such
deceased child slWi be divided equdly among tha issue of Wat deceased child, their heirs and
assigns, per slirpes. The share or portion of a share dlocatal to each child d mine shall
wttstituy rood 6e administered u a separate Tttut Separate books rood «eords shall be kept for
cub such tnyt The income and corpus of eacb tmrt shall be held. admidateral, cad disposed of
ss follows:
I) The Trustees shill distribute to or for We beaeftt of the benefiNary of each
trim all of We income u least annually, so long u We child of mine for whom that Tntst is held
shall live.
the wit shill rcmvnsrc and theme ~ We ehiki of urine for whom benefit aue6 trust is hNd
"le 'trmue issue" prineipd thereof shall be diatributal to the Wen living
& ~ u hereinafter defnal, their heirs and asdgns, of We child of mine for whose
beoelit We trust was hNd.
3) Whenever pursuant to the provisions of Wis Will all ar any pan of a
diaribudve share of a Residuary Tnyt shill 6e pyable ro s person, less than 21 years of age.
uric a We share of such patrons sbdl pan a him or Ger. bu the payment to him ar her of sue6
share or taw fund shill be deferral tmdl he or she ahdi strain We age of 2I years, and in We
incannme such share or trust fmd shall be held by We Trustees or a Court appointed Guardian, if
We Tmateea are unwilling ro assume meh responsibiGry, wtil auc6 person attafu We age of 21
years. The fiduciary holdfng such farad shall apply all w such pan of We iatome and prinripd as
Fun I oft
- - mainteoaaa of such person. The authori ~ may e~100 to tlK snort, eduuGon, and
b
w'uam' sY haPersonror tlo Prcventdth absolute veatin ~~ t e absolve ownershry of a hl
(then 21 yyraoi N ge, endd wlde~sheil be he1dN~ shall vest ia~ibwlute ow nhnlp ie a ~~ P
fiduciary tdWl Inve ail the powers as foM ~ such IWucisry audrmixed in tAts
to be exercised in the ref ~ Provis;oas of Paagraph Nop 8 ~ td Will
manner set forth in such Pa<agaph.
shall 6e limited m a ~ X08 ~ "legitimate iuue" u used in this Last Will wd T
whether the child as childrca bom to a funds descendent of the T estanteat
tnoWu is married m the fisher of ash child or children, and sh~sUor rc>~dlen of
uhlrnatried to the amther eithuebef °dent of Teatamr where the father of such ehildlo children
mesnhtg of "child" or "ehihtrea" w "egf mru er' sly of We child a children. In any eau the
adopted child or childrcq ualw such ado as used herein shall NOT ioclnde arty
rime of Wopdon. it is b be anted this ALTON WOODx (~ Years ~ age or younger u the
daughter VONDA K MOON, and her husband, cad he is to be trarted as the~l~rtre easwe
mY daughter Vonda K Moon.
a in its S) No title. is say trust hereby created. ar in the iacome +cemiag therefrom,
war to
Po aarrsfer, eapgo. In Pate or eacumher~hh and no beneficiary shall have the right or
ffierefmm, prior to the sorrel distribution N her ioteteu in said trust, or the income
neither the iacome nor the priodpd of sdd orris ~ ~ Trustee to said beneficiary, Fuller,
of the Trustee. for the debts, cos shall be Udt1e io soy rrramer, in the Possession
traCtd ~ ealpgeaxots Of any of fhe benefiduiea
S• Any share or portion of • shoe of aay trust created hereunder. or my other
of mine this is not disposed of under any other provision of the Will, or deli proPertY
beneficiary, dull go and be distributed m my heirsat-law. gaation o!
Exeeumr of this my Last Will ~d Tt~ and aPP°i°t ary said Lusband. RICHARD S. WOOD. u
case serving u such. then in such evem It ao~but should he {aedecaye me or fill to qualify or
WOOD, as dternue a weoessor Exeamr, Hue. eonsdmte sad appoim my son. ROBERT S.
then in such event 1 ~ should he fail m qualify or caa serving u such
should she fail to ud~au~ conadtue and appoint my daughter VONDA K MOON, 6W
_ y dais ter.
atpoiot m g6q ~~f~y~ y ~MPSON, tea in such evem 1 nominate. caurottde and
his or her dud ~ them shsil be required to post say boa1Ga ~o ~ suetasor Execuor. 1 further
es in the Commonwealth ~ urc the faithful Perfomuna of
PonmYlvenia or in say othu jurisdiction.
of m 7dtra hereby rtominue, constittue and appoint my husband. RICHARD S. WOOD, sad all
MOON, as co.Tr~e sho ~ ROBERT S• WppQ L~ERYL L, THOMPSON, sad VONDA K
trttatee, the surviving Trustee arc anWorfud m Provided. Upon the death or reaignadon of any
serviog~s ~ rkaaud At soy time by dretge unia~i~~ Y Rava~ ment of the T ~sten
eomimtM by them aubc j~ ro aPProwl ~~ ePPoiated by Nam a ~y oMertTnrstee rmy be
~' Coon loving juriadrwon.
Executrix, Land Execuaus, end the~en ~~ by law. my hereinbeforc-osmed Troatees,
aecessors are empowered; , and my herelobeforc•aamed Guardians and their
a. To iaveat say part of the trust corpus in such sectrri6er, investaKnu, w other
Property u may be deemed adviaWe sad propu, irteapective of whether the same arc
audroriud for the iavanaaat d Host foods mMer the laws of my governing jurisdiction.
r^+Y be held, to vote in aro or y~mdon, the pocks, bonds, w older aeeuritiea of which
coasolidadoo or rcorgenitation ~ such ~ oa eaY sharer of amok; m conseu m the merger.
ale of the property of any such corpondogs; to ~~ t° consent m the leasing. mongagieg or
such Hocks, bonds or other securida wy ~~u' exchange ur rubstiatdon of
as an ioeideat 'to the merger, consolidation or
ryel yri pp~~~~p~~
G"'w ~~•y 1°'j 'q's6d
reorgmiradon of such corporations; to qy all aaxaamenta, wbaeriprion and oNu wma of ~ ~--
money whicd may bt deemed wix asd expedient fw He proteedon and mairnnace of the
proportionate interest of the invesunent in wch eorpaation; ro exercix .ny option w privilege
which may be confeercd upon Ne holders of such stoclu, bonds, w otku securities of wch
corporcdon either fw He conversion of He acne isro other securities w fw Ne purchue of
additional sewritia, and ro make any sad all necessary gymeau which may be required in
connection NercwiN; and geaerclly ro have and exeroix as ro atl wch stocks, bonds sad other
securities, He powers of an individual owner who is under no trust obligatlon.
a To bold the truu corpus in one or more eossdidsted funds in which xgrcte
shares shall have undivided imerata
d. To xll at public w private sale for eaa6 or upon credit, w grtly for us6 and
partly on credit. and upon sue6 terms and waditlon u shall be deemed props, soy part w parts
of the trust elute, urd tro purchase u any such ode shall be bound to inquire inro Ne
expediency or propriety of any such sale or ro xe ro Ne application of the grchax moneys
arising Herefrom.
a. To keep on hand and uninvested wch monry a may 6e deemed proper and for
such gdod u may be found expedient.
E To eompromix, xwie or uatrate my claim w demand in favor of or against
the trust aura.
g. Aod authorized in He discharge d fiduciary duties, ro employ counsel and to
determine awd ro qy soak couwxl reasonable eompenution which shall be chuged agsinat Ne
prineigl w inwme of He trust fund and obeli fmthu be e~tled ro charge against He prinripel
or income strc6 othu reasonble espmxs and charges u my he necessary awd propu to incur
tw Ne progr dixhuge of fidociary dutla wd for He progr maaagement and administration o!
IkG tNR orate.
h. In making any division of progrty In[o shares for Ne purpme of any
diwibudon thereof directed by the provision of He true. to make wek division w distribution,
eitha in each w io kind, or partly in cash and partly in kind, es skill be deemed moat espedien~
sad in nuking any diviaiow or distributlon in kind may allot any specific stxurity w progrty or
say undivided iaurest Herein to any one w more of ouch shwa, and ro Nat end may appraix
wy or all of He property ao ro be allowed sad the judgmem es ro Ne propriety of swh allotment
utd a ro Ne relative value fw purpow of distributlon of the securities or property x ailoaed
shall be fleet and conclusive upon all grxn inurested is Ne trust w is He division or
distribution Hereof.
i. And authored ro register any shares of stock w otlter asxu of any trust in Heir
own Dames w in the name d a ocmitree.
j. To rcuin sad invest in shares of stock of my Trustee.
k To retain .ny invewnenu including muroal funds which I may own at He time
of my daH and in addition to invest any paw of Ne Trust corpn in web mutual fund or muted
funds u may be deemed advisable w proper, irteapeedve of whether Ne same arc authorized fw
He investment of trust funds under Ne Isws of any governing Jurisdiction
1. To determine from time to time wheNu all w wme portran of realized apiui
gain shall be treated u ordinary income for distdbttdon to a beneficiary w treated n princigl
ro be rcuined a put of the corpus, sod wch daigntlao need ow be consistent from owe year to
anoNu.
,~,dv/r,~-~ )Yom
r e aJI
IN W1TNffiS WI;EREOF,1 have bereuatn set my hud ad sal to this my Last WIII ud
Teshtttat, writ0en oa {our (q) pages this (6.~ dry of Daeember, 2D0g.
S}fl ~ M. OOD
Sigoed, wled, published ud declared by SHIlt1.EY M. WOOD, the Tesmtrix ahovo-
tumad, u and for her I.sat Will and Tettament, in our prcseaee, who, 7n 6er preseaa, at her
request. ud fo the presence of euh other. have hetewto txt our name u attesting witnesses.
Y~Gt.~~. ~-~
~a..~,