HomeMy WebLinkAbout01-25-13
1505610105
REV-i5001:xtes.r r)trq ~.
PA Departntertt ~ Ftavatwe pennsytvan(a OFFICIAL USE ONLY
Bureau or lndlvidual Tuxes "...". •• °"~ County Cade Yeer FNe Number
INHERITANCE TAX RETURN
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Hurittburg. PA t7t28-0fiot ~ ~
RESIDENT DECEDENT
ENTER DECEDENT INFORMATNNI BELOW
Soda) Severity Number Data d Death L4A4DDYYYY Dato d ekth MAIDOYYYY
225.Ob-4323 05/02/2012 01f14l1815
Dec~enl's last Name Sulfix Decedent's First Name M_)
Nash eardara '
(If Appllcablo) En1u Surviving Spousek Inrormatlon aelow
Spouse's Last Namo SufSx Spouao's First Name MI
Spouse's Sadal Secunly Number
THIS RETURN MU&T Btc faLE01N OUpL(CATE 4VfTH THE
REGISTER OF WILLS
FILL 1N APPROPRUtTE OVAL8 BELOW
t~ f. OrigMal Return O 2. Supplemental Return O 3. Remainder Reurn (Oats d Death
Pdor to 12-13-52)
O 4. Umited Estate O 4a. Future Interest Canpromise (date of O 6. Federal Eatats Tex Return Required
death aRer 12.12.82)
O B. Decadonl Died Teatato O 7. Decedent tvlalMalned a Living Trust ~ 6. Total Numbor d Sera Deposit Boxes
(AUach Copy d WNI) (Attach Capy of Trust.(
r~ 9. Uligetion Proceeds Received O 10. Spousal Fbverty Gedit (Date al Death O 11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Sehedute O)
CORRESPONDENT - THIS SECTION MUST 9E COMPLETED. ALL CORRESPONDENCE ANO CONFNIENTIAL TAX INFORMATION SHOULD BE DNtECTEO TO:
Name Daytime Telephone Number
Taylor P. Andrews, Esq. (717) 243-0123
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First Line d Address rtt ~ C7 ~ ~
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78 W. Pomfret St 1
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Seoottd Lines of Addross .2:
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City or Post OKco State ZIP Codo
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Carlisle PA 17013 t' cr ~ '~9'1
Correspondent's a-mall addrosa: f eadrtaws stet
llraler penaNiee of poritay, I dedaro that 1 have exsmined Nxs roWm, Meludina yi achedWss and stet NmiMs, and tgthe boat d my luawledge end be9er.
it b We. correct and oanwbte. Oedarrolon of oroosror eUrer~llnn the is based on ~ asn o h oreoem has env knorrledea.
ADDRE88 - - - / • f
P.O. Box 60 rs rg 17201 19 White Oak Dr, Lafayette, CA 9454
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78 omfret Sl., Carlisle, PA 17013
PLEASE USB ORIGINAL FORM ONLY
Side 1
1505b10105 1505610105
J 1505610205
REV-1500 EX (FI)
Decedent's Social Security Number
Decedents name: Nash, Barbara 225-05-4323
RECAPITULATION
1. Real Estate (Schedule A) ............................................ . 1 0.00 '
2. Stocks and Bonds (Schedule B) ............................... .... . . 2. 0.00
3. Closely Held Cprporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. 0.00
4. Mortgages and Notes Receivable (Schedule D) .......................... . 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... _ . 5. 472,104.84
6. Jointly Owned property (Schedule F) O Separate Billing Requested ...... . 6. 0.00
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property v. -
0
00
(Schedule G) O Separate Billing Requested....... . 7, .
8. Total Gross Assets total Lines 1 throw h 7
( 9 ) ...........................
..
8. 472,104.84
9. Funeral Expenses and Administrative Costs (Schedule H) ........ ......... . 9. 39,566.71
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............. . . 10. 317.26
11. Total Deductions (total Lines 9 and 10) ............................... .. 11. 39,883.97 '
12. Net Value of Estate (Line 8 minus Line 11) ...................... ..... .. 12. 432,220.87
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ...................... .. 13. 0.00
14. Net Value SubJect to Tax (tine 12 minus Line 13) ...................... .. 14. 432,220.87 '
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_ 15.
16. Amount of Line 14 taxable ~ '
at lineal rate X .0 _ 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17.
_....
18. Amount of Line 14 taxable
432
220.87
64
833
13 ''
,
at couateral rate x .15 18 ,
.
19. TAX DUE ....................................................... ..19. 64,833.13 ;
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~
Side 2
1505610205 1505610205
REV-1500 EX (FI) Page 3 Fife Number
Decedent's Complete Address:
ECEDENTS NAME
Barbara Nash
STREET ADDRESS J
210 Big Spring Road
CITE -'^- -STATE ZIP
Newviile PA 17241
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. CreditslPayments
A. Prior Payments ___..______ 61,750.00
_._. -- --
B. Discount 3,241.66
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval On Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
64,833.13
Total Credits (A + B) (2) 64,991.66
(3)
(4)
(5)
0.00
158.53
Make check payable to: REGISTER OF WILLS, AGENT.
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decadent 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 transfened 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 Vansfer 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? ............ .. ^
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? .................................... ^
IF THE ANSIMER 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 disdosure 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 benefidaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1 J].
• 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)J. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANIOUS PERSONAL PROPERTY
ESTATE OF
FILE NUMBER
Barbara Nash 21-12-0564
Include the proceeds of litigation and the date the proceeds were received 6y the estate
All property jointly-owned with Right of Survivorship must be disclosed on Schedule F
ITEM DESCRIPTION VALUE AT DATE
NUMBER nF nFnTu
BMW Bank 05568PBC0 $50,000.00
interest accrued at dod $1,004.38
BMW Bank05568PUD7 $45,000.00
interest accrued at dod $528.90
CAPITAL ONE 14041A3X5 $35,000.00
interest accrued at dod $586.85
CI'I' BANK 17284ATW8 $40,000.00
interest accrued at dod $319.89
CITIZENS STATE BANK 176688AR0 $60,000.00
interest accrued at dod $41.58
AGE MONEY BANK 36159SRV5 $50,000.00
interest accrued at dod $123.29
GE MONEY BANK 36159SW56 $30,000.00
interest accrued at dod $79.19
MIDFIRS"r BANK 59740M_SL2 $50,000.00
interest accrued at dod $252.88
MORGAN STANLEY BANK 61747MSC6 $30,OOO.U0
interest accrued at dod $ 110.96
UBS RANK 90348JAG5 $25,000.00
interest accrued at dod $q.14
Federated Prime Obligaton 10 $46,594.58
interest accrued at dod $0.24
SCHEDULE E page 2
CASH, BANK DEPOSITS AND
MISCELLANIOUS PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Barbara Nash 21-12-0564
Include the proceeds ot'litigation and the date the proceeds were received by the estate
All property jointly-owned with Rtght of Survivorship must be disclosed on Schedule F
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
Subtotal from page I of schedule E $464,646.88
Petty cash from Green Ridge Village $32b.82
April SS check $994.60
F&M Trust Co checking account $5,330.81
accrued interest $0.07
Mass Mutual annuty to dod $149.86
Auer Cremation Services -refund of prepayment $502.85
Yellow Breeches Ambulance refund $92.29
Replacement Check from Prudential $60.66
7 UTAL (also on line 5, Recapitulation) $472,104.84
SCHEDULE H
FUNERAL EXPENSES, ADMINISTRATIVE
COSTS AND MISCELLANEOUS EXPENSES
ESTATE OF FILE NUMBER
Barbara Nash 21-12-0564
Debts ofdecedent must be reported on Schedule 1.
ITEM DESCRIPTION AMOUNT
NUMBER
A. Funeral Expenses:
( Egger Funeral Home $2,946.00
2 Evergreen Cemetary $1,660.00
B. Administrative Costs:
1 Personal Representive Commissions $21,136.00
Name of Personal Representatives; F&M Trust Co
Social Security Number of Personal Representative:
Street Address: 20 S. Main St
City: Chambersburg State: PA Zip: 17201
Year(s) commissions paid: 2013
2 Attorney fees to Andrews & Johnson $11,955.00
3 Family Exemption NONE
4 Probate Fees to Register of Wills paid $459.50
5 Probate Fees to Register of Wills -anticipated $425.00
6 bank fees $238.81
7 Advertising fees
8 Cumberland Law Journal $75.00
9 The Sentinal $22 L40
10
11 Income tax preparation fees [fiduciary and personal returns] $450.00
12
13
14
15
16
17
18
19
TOTAL (also on line 9, Recapitulation) $39,566.71
SCHEDULE I
DEBTS OF DECEDENT
MORTGAGE LIABILITIES AND LIENS
ESTATE OF
Nash
as
FILE NUMBER
21-12-0564
SCHEDULEJ
BENEFICIARIES
ESTATE OF
Barbara Nash
FILE NUMBER
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ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY 6.r1-14-VJV•T
RELATIONSHIP AMOUNT OR SHARE
oo Not Ust Trustee(s) OF ESTATE
I TA%ABLE DISTRIBUTIONS IircbMc wnright spaisal distribnlions. and trerofna under Sec.'R 1[daNl ill
1 Nancy Johnson Niece I(3
1315 Saxon Dr., Nashville, TN 37215
2 Susan Rice Niece 1i3
52 Mattoon St., Springfield, MA Ol 105
3 J. Thomas Nash Nephew 1/3
24 7th St., Petaluma, CA 94952
lI NON-TAXABLE D15TRIBUTIONS'
A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX 1S NOT BEING MADE
TATa B. Charitable and Govermsxntal fltqueslx:
rvr~a r nvLL. NvU VV Y GRIV IYICIV I HL DCl1UCJ I J (31SO CRIer OR Ilfle IS, KCCaP1tUI0Il0t1) $'O
LAST WILL AND TESTAMENT
OF
BARBARA NASH
I, BARBARA NASH, of West Pennsboro Township, Cumberland County, Pennsylvania,
declare this to be my Last Will and Testament and revoke any and all wills and codicils heretofore
made by me.
ITEM I: My personal representative shall pay from the residue of my estate the
expenses of my last illness, funeral and burial debts duly allowed against my estate, and all death
taxes (Pennsylvania inheritance tax and federal estate tax) occasioned by my death and incurred with
respect to aU property taxed to my estate regardless, of whether such property passes by this Will or
passes outside of this Will.
ITEM II: I bequeath those articles of my automobiles, personal effects,
~~
\ household goods, and other tangible personal property of like nature (not including cash or
securities), together with any existing insurance thereon, as set forth in a separate memorandum
which I shall place with my Will to the persons therein designated. If I shall leave no separate
memorandum, or with regard to my automobiles, personal effects, household goods, and other
tangible personal property of like nature (not including cash or securities) not referenced by such
memorandum, I bequeath such property to my nieces and nephew, NANCY JOHNSON, SUSAN
RICE, and J. THOMAS NASH to be divided among them by my Executors with due regard for
their personal preferences in as nearly equal shares as practical.
ITEM III: I devise and bequeath the residue of my estate, of every nature and
wherever situate, to my nieces and nephew, NANCY JOHNSON, SUSAN RICE, and J. THOMAS
NASH, and I direct that the share of any of these who shall predecease me shall be distributed to his
or her spouse, and if no spouse, then to his or her issue.
ITEM IV: I appoint my Grand Niece, KATHERINE SLIDING, of Irving, CA,
and FARMERS & MERCHANTS TRUST of Chambersburg, PA as Co-Executors of this my Last
Will and Testament. Should my Grand Niece fail to qualify or cease to act as Co-Executrix, I direct
that FARMERS & MERCHANTS TRUST shall serve as sole Executor.
TTEM V: I direct that my Executors shall not be required to give bond for the
faithful performance of his/her duties in this or any other jurisdiction.
IN WITNESS WHEREOF, I, BARBARA NASH, have hereunto set my hand and seal
3 j~
to this my Last Will and Testament, consisting of~ printed pages, each of which bears my
signature, this Sth day of June, 2005.
,,
~ 1 ~
S
BARBARA NASH, Testatrix r
Signed,. sealed, published and declared bytheabove-named Testatrix, BARBARA NASH, as
and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and
presence, and in the sight and presence of each other, have hereunto subscribed our names as
witnesses.
.~
COMMONWEALTH OF PENNSYLVANIA )
. SS.
COUNTY OF CUMBERLAND )
WE, BARBARA NASH, TAYLOR P. ANDREWS, and CLINTON W. MCDONALD,
the Testatrix and witnesses, respectively, whose Hones are signed to the foregoing or attached
instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix
signed and executed the instrument as and for her Last Will and Testament and that she signed
willingly and that she executed as her free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and heating of the Testatrix, signed the Will as witnesses
and that to the best of their knowledge the Testatrix was at the time eighteen (18) or more years of
age, of sound mind and under no constraint or undue influence.
Subscribed, sworn to and acknowledged before me by BAR
subscribed to and sworn or affirmed to before me by TAYLOR P.
MCDONALD, witnesses, this 8th day of June, 2005. ~},
NOTARIAL SEAL
SHELLY SEXTON, Notary Public
CsrNale Born, Cumberland County
My Commlesbn Exp(rea April 26, 2007
i, the Testatrix, and
and CLINTON W.
Clinton W. McDonald, Witness