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HomeMy WebLinkAbout02-11-13 REV-1500 EX `01-10' 1505610140 OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 2 1 1 2 0 2 4 1 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 6 7 3 8 6 5 8 4 0 2 1 2 2 0 1 2 0 3 1 9 1 9 5 2 Decedent's Last Name Suffix Decedent's First Name MI K I T N E R ROD N E Y W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI K I T N E R L I S A K Spouse's Social Security Number 1 6 6 4 8 9 7 4 1 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 0 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return (date of death prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise (date of ❑ 5. Federal Estate Tax Return Required death after 12-12-82) 0 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust 0 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 Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number J OEL R. Z U L L I N G E R r71 7 264029 C M 2FREGISTeR"VF W WS E ONLY ~ rn M c-.) rn G ) First line of address 17- M ~ t ` 1 rl 1 4 NORTH MA I N S T R E E T ° 711 - Second line of address C-> ED S U I T E 2 0 0 r l -I Cj*TE l. F-AECD City or Post Office State ZIP Code 3:. C H A M B E R S B U R G P A 1 7 2 0 1 Correspondent's e-mail address: 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 personal representative is based on all information of which preparer has any knowledge. SIGNATU E F PERS P FILING RETURN DATE c~ /7Z ADDR S 3 WATER STREET, P.O. BOX 123 NEWBURG PA 17240 =P OP R TER THAN REPRESENTATIVE DATE T1P D PybDIESS NORTH IN STR ET, SUITE 200 CHAMBERSBURG PA 17201 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 ,l' 1505610240 REV-1500 EX Decedent's Social Security Number DecedentsNarne: RODNEY KITNER 1 6 7 3 8 6 5 8 4 RECAPITULATION 1. Real Estate (Schedule A) 1 15858.73 2. Stocks and Bonds (Schedule B) 2• 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. ' 4. Mortgages and Notes Receivable (Schedule D) 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 6. Jointly Owned Property (Schedule F) ❑ Separate Billing Requested 6. ' 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested 7. 8. Total Gross Assets (total Lines 1 through 7) 8. 1 5 8 5 8 . 7 3 9. Funeral Expenses and Administrative Costs (Schedule H) 9. 4 6 1 . 5 0 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) 10. 11. Total Deductions (total Lines 9 and 10) 4 6 1 . 5 0 12. Net Value of Estate (Line 8 minus Line 11) 12. 1 5 3 9 7 . 2 3 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 5 3 9 7 . 2 3 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.00 1 5 3 8 7.2 3 15. 0. 0 0 16. Amount of Line 14 taxable 0 • 0 0 at lineal rate X .0_ 0- 0 0 16. 17. Amount of Line 14 taxable 0.0 0 17. 0 • 0 0 at sibling rate X .12 18. Amount of Line 14 taxable 0 • 0 0 at collateral rate X .15 0. 0 0 18. 19. TAX DUE 0. 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505610240 1505610240 J REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 12 0241 DECEDENTS NAME RODNEY KITNER STREET ADDRESS 3 Water Street CITY STATE ZIP Newburg PA 17240 Tax Payments and Credits: (1) o.oo 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + B) (2) 0.00 3. Interest (3) 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. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 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 : ❑ 191 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? ❑ 191 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? ❑ ❑ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ❑ ❑X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 1:1 lid i 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 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 by blood or adoption. REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RODNEY KITNER 21 12 0241 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 142.139 shares Capital World Growth and Income Fund-A @35.42 per share 5,034.56 2. 192.284 shares American Mutual Fund-A @27.26 per share 5,241.66 3. 287.758 shares American Balanced Fund-A @19.40 per share 5,582.51 TOTAL (Also enter on line 2, Recapitulation) $ 15,858.73 REV-1 11 FX+ (10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER RODNEY KITNER 21 12 0241 Decedenrs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 2. Attomey Fees: Joel R. Zullinger 375.00 3, Family Exemption: (If decedents address is not the same as claimants, attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: JCS fee - 23.50; automation 5.00; letters 20.00; short certificates 8.00; 86.50 will 15.00; filing return 15.00 5 Accountant Fees: 6. Tax Return Preparer Fees: 7. TOTAL (Also enter on Line 9, Recapitulation) $ 461.50 If more space is needed, use additional sheets of paper of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RODNEY KITNER 21 12 0241 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Lisa K. Kitner Spousal Three Water Street entire estate Newburg, PA 17240 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF 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: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. JRZ - 5.1 kitner.l July 8, 2011 ~~-4 1 n LAST WILL AND TESTAMENT v rj, I, Rodney W. Kitner, of Three Water Street, Newburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by me heretofore made. 1. I direct that all my just debts and funeral expenses, including all expenses of my last illness, shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. I give, devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Lisa K. Kitner, providing she shall survive me by thirty days. III. Should my wife predecease me or die on or before the thirtieth day following my death I give, devise and bequeath the residue of my estate of every nature and wherever situate to my children, namely Katie M. Kitner and Sarah R. Kitner, in equal shares, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to my other then-living child, and in default of any such then- living child to Doris Jackson and Annette Ocker, in equal shares. IV. In the event that anyone entitled to a share of my estate shall be under the age of twenty-two years at the time for distribution to such beneficiary, I constitute and appoint Katie M. Kitner as trustee of any property which passes either under this will or otherwise to said beneficiary. Said trustee shall in the trustee's sole discretion and without order of court, use principal as well as income from time to time as may appear to be necessary for the beneficiary's welfare, comfort, medical care, recreation, support and education, without responsibility to the beneficiary or to any person taking care of the beneficiary; and the remaining balance in the hands of said trustee shall be distributed to said beneficiary when the beneficiary attains the age of twenty-two years. If such beneficiary dies prior to attaining the age of twenty-two years, said trustee is authorized in the trustee's discretion to pay part or all of the beneficiary' s funeral expenses and the remaining balance in the hands of said trustee shall be distributed to the beneficiary's personal representative. In the Page 2 event the funds held by the trustee for any beneficiary become in the opinion of the trustee too small for proper and efficient administration, the trustee, in the trustee's sole discretion, may deposit such funds in a savings account in the name of the beneficiary. V. Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of diversification of risk. B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. Page 3 D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. VI. be The interest of the beneficiaries hereunder shall not subject to anticipation or to voluntary or involuntary alienation; and the principal and income shall be paid by the trustee or guardian directly to or for the use of the beneficiary entitled thereto, without regard to any assignment, order, attachment or claim whatever. VII. I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. Page 4 VIII. I appoint my wife, Lisa K. Kitner, as executrix of this my will. Should my wife predecease me, fail to qualify or cease to act, I appoint Katie M. Kitner, my daughter, as executrix of this my will. IX. No bond shall be required of any fiduciary hereunder in any jurisdiction. X. I appoint Katie M. Kitner as guardian of the person of any minor child of mine. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of six typewritten pages, the first four of which bear my signature in the margin for the purpose o/l ay of of identification this d a ~C (SEAL) Signed, sealed, published and declared by the above-named testator as and for his last will and testament in our presence, Page 5 who in his presence, at his request and in the presence of each other have hereunto set our hands as attesting witnesses. Y LAO A." We, Rodney W. Kitner,}Q) 20 )~~Y2Ci2Y and the testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and testament and that he executed it as his free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testator signed the will as witnesses and to the best of their knowledge said signer was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Test r eitne;ss witness Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to before Te by the above-named witnesses this2 day of I Notary Publi COMMONWEALTIi OF PENNSYLVANIA Page 6 Notarial Seal Angela M. Sd►aeffer, Notary Public Shlppensburg Born, Cumberland county My Comm(sslon Expires Ma 15, 2015 MEMBER, PENNSYLVANIA ASSOCIATION OF NfnreorFr The right choice for the long term ® New Account American Funds' Confirmation PO Box 2280 February 24, 2012 Norfolk VA 23501-2280 Your financial adviser 249 NISSLEY I I I I' I l rl l l l l l l l l l l' I III' V-1111111". I. 111' I' 1 1 l' I I I' I"111111 c717) 249-0795 LISA K KITNER INVEST FINANCIAL CORPORATION PO BOX 123 1166 WALNUT BOTTOM RD NEWBURG PA 17240-0123 CARLISLE PA 17015-9160 Welcome to the American Funds For more account information We are delighted to have you as a new investor. Please carefully review ■ Call your financial adviser this statementto make sure your account is set up correctly. If you did ■ Automated information and services not receive a prospectus, please contact your financial adviser, down- Website - americanfunds.com load one from our website or callus. For account changes please notify American FundsLine ° - 800/325-3590 ■ Personal assistance - 8 a.m. to 8 p.m. Eastern time M-F yourfinancial adviser or callus at 800/421 0180. For any questions or concerns about your account, Foryour reference. The enclosed Welcome brochure will answer many please call Shareholder Services - 800/421-0180 of your questions about investing with us. Transactions Dollar Share Shares this Share Trade date Description amount price transaction balance . 02/24/12 Transfer From ********004 287.758 287.758 02/24/12 Fundslink Redemption -$5,582.51 $19.40 -287.758 0.000 Account value': $0.00 at$19.40 per share (NA If) 'Account value. The accountvalue (above) is the share balance multiplied bythe netassetvalue (NAV) price. The NAV is the share price without any sales charges. Account information Fund information Personal information Fund American Balanced Fund-A To comply with federal regulations, information you provided on - -Fund number/symbol 11-tABALX) the app i. ationwill.be usedt.o,.ygrifyyouuri entity.. • . Account number 86611640 Type of fund Balanced . Dividends Reinvest Capital gains Reinvest 1111111111111111111111111IIIIIIIII The right choice for the long term ® New Account American Funds Confirmation PO Box 2280 February 24, 2012 Norfolk VA 23501-2280 Your financial adviser NISSLEY (717) 249-0795 LISA K KITNER INVEST FINANCIAL CORPORATION PO BOX 123 1166 WALNUT BOTTOM RD NEWBURG PA 17240-0123 CARLISLE PA 17015-9160 Welcome to the American Funds For more account information . We are delighted to have you as a new investor. Please carefully review m Call yourfinancial adviser this statementtomake sure your account is setup correctly. Ifyoudid ■ Automated information and services not receive a prospectus, please contact your financial adviser, down- Website - americanfunds.com American FundsLine ° - 800/325-359D load one from our website or callus. For account changes please notify m personal assistance - 8 a.m. to 8 p.m. Eastern time M-F your financial adviser or callus at 800/421-0180. For any questions or concerns about your account, For your reference. The enclosed Welcome brochure will answer many please call Shareholder Services - 8001421-0180 of your questions about investing with us. Transactions Dollar Share Shares this Share Trade date Description amount price transaction balance . 02/24/12 Transfer From ********004 192.284 192.284 02/24112 Fundslink Redemption -$5,241.66 $27.26 -192.284 0.000 Account value': $0.00 at$2726 pershare (NAV) 'Accountvalue.The account value (above) is the share balance multiplied by the net assetvalue (NAV) price. The NAV is the share price without any sales charges. Account information Fund information Personal information - Fund - American Mutual Fund-A To comply with federal regulations, information you provided on the a lication will be used to veri our ident Fund number/symbol 03 (AMRMX) PP --'-y - fi'' Account°number 86611640 Type of fund Growth and income Dividends Reinvest Capital gains Reinvest 111111 11111 lilll 111111 1111 1111 1111 = The right choice for the long term ® New Account American Funds' Confirmation Po Box 2280 February 24, 2012 Norfolk VA 23501-2280 Your financial adviser NESLEY (717) 249-0795 LISA K KITNER INVEST FINANCIAL CORPORATION PO BOX 123 1166 WALNUT BOTTOM RD NEWBURG PA 17240-0123 CARLISLE PA 17015-9160 welcome to the American Funds For more account information We are delighted to have you as a new investor. Please carefully review m Call your financial adviser this statement to make sure your account is set up correctly. If you did ■ Automated information and services not receive a prospectus, please contactyourfinancial adviser, down- Website - americanfunds. com American FundsLine 800/325-3590 load one from our website or callus. For account changes please notify m personal assistance - 8 a.m. to 8 p.m. Eastern time M-F your financial adviser or callus at 8D0/421-0180. For any questions or concerns about your account, For your reference. The enclosed Welcome brochure will answer many please call Shareholder Services - 800/421-0180 of your questions about investing with us. Transactions . Dollar Share Shares this Share , Trade date Description amount price transaction balance 02/24/12 Transfer From ********004 142.139 142.139 02/24112 Fundslink Redemption -$5,034.56 $35.42 -142.139 0.000 Account value': $0.00 at$35.42 pershare (NAV) 'Accountvalue.The account value (above) is the share balance multiplied by the net asset value (NAV) price. The NAV is the share price without any sales charges. 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F>Efiry:=` tipak: „ts 4`',',:I7,•tt• -`k, p,!'~,:1. ' ¢:_L_.-, eA a ,l;u , ;e :.3a- . a rzx ~*4,. a ;;i•!'z~....d:~;,...• ~'iy+~r:,..~ z Via':°, t..:'.3 LAW OFFICES OF ZULLNGERmDAVIS PROFESSIONAL CORPORATION JOEL R. ZULLINGER SUZANNE M. TRINH HAMILTON C. DAVIS jzullinger@zullinger-davis.com strinh@zullinger-davis.com hdavis(gzu11inger-davis.com 14 North Main Street, Suite 200 20 East Burd Street, P.O. Box 40 Chambersburg, PA 17201 Shippensburg, PA 17257 717-264-6029 717-532-5713 717-264-1884 (FAX) 717-530-5222 (FAX) February 8, 2013 Register of Wills Cumberland County Courthoue 1 Courthouse Square Carlisle, PA 17013 Dear Register: RE: Estate of Rodney W. Kitner File No. 21-12-0241 In connection with the above estate, enclosed for filing in your office are an original and one copy of the PA Inheritance Tax Return along with check in the amount of $15.00 for the filing fee. There is no tax due with the filing of the return. If you have any questions, please contact my Chambersburg office. Thank you. Very truly yours, oe R. Z reC Encls.