HomeMy WebLinkAbout04-23-13 ESTATE SETTLEMENT AGREEMENT
AGREEMENT made thisa�day of / 2013, by and
among Richard H. Cornman, Clifford Cornman and Mary A. Wright,
n
WITNESSETH.
rn
WHEREAS, Elaine E. Cornman died July 17, 2010, s mib v'
a Y $ich
rat+drn
Cn c
Cornman,Clifford Cornman and Mary A. Wright,and r.7 r, o C$
c° 'n Z3
WHEREAS, Letters of Testamentary were granted to Ricl4* 4i. Cofn nar�]the
r10 rn a
Register of Wills for Cumberland County on August 6, 2010; and
WHEREAS, the undersigned testamentary and intestate heirs of the decedent hereby
agree to settle the estate by settlement agreement rather than by a formal accounting;
NOW, THEREFORE, in consideration of the mutual covenants of the parties, all
parties intending to be legally bound hereby,it is agreed as follows:
1. An accounting of the receipts and expenditures in said estate is attached
hereto, along with a statement of inheritance tax allocations, pursuant to Order of the
Orphans' Court for Cumberland County.
2. Each of the undersigned has been fully advised of his or her rights
pertaining to the filing of an account and each does hereby waive any right which he or she
might have to compel a formal court accounting prior to distribution of the estate.
3. Each of the undersigned accepts and approves the attached accounting, and
each agrees that this agreement shall have the same force and effect as if formal accounting
had been filed with and confirmed by the Orphans'Court of Cumberland County.
4. Each of the undersigned agrees that distribution shall be in accordance with
the"conditions of distribution"set forth in the attached accounting.
r ,
5. We, Richard H. Cornman, Clifford Cornman and Mary A.Wright, and
each of us, do hereby release one another of and from any and all claims we have under the
law against the Estate of Elaine E. Cornman and against the Executor thereof.
6. This agreement may be executed in multiple counterparts, and,when so
executed, shall be binding upon all the parties and their respective heirs, next-of-kin,personal
representatives and assigns.
IN WITNESS WIIEREOF, we have hereunto set our hands and seals the day and
year first above appearing.
WITNESS:
,� z' fi 4�;-4
Richard H. Cornman/Individually and
Executor of the E tate of Elaine E. Cornman
AL)
Ccrnman
.r EAL)
Mary A'
INFORMAL ACCOUNTING FOR ELAINE E. CORNMAN
ESTATE
ASSETS:
Real Estate Located at 127 Glover Lane $218,900.00
Carlisle, Pennsylvania
DEBTS:
Bank of America 9.258.26
M&T Home Equity Loan 17,614.18
TOTAL DEBTS: $26,872.44
BILLS PAID BY RICHARD CORMAN
Funeral Bill plus probate fees $6845.17
Pa Inheritance Tax $7166.39
Real Estate Taxes $3329.39
Real Estate Taxes $3126.83
Real Estate Taxes $2652.35
West Minister Cemetery $1595.00
$24,715.13
BILLS PAID BY CLIFFORD CORNMAN
Real Estate Taxes $2,904.01
ADMINISTRATION COSTS:
Attorney's fees-Karl E.Rominger $10,900.00
Advertising-Cumberland Law Journal 75.00
Advertising-The Sentinel 225 .05
TOTAL ADMINISTRATION COSTS: $11,200.05
Distribution:
Mary Cornman Wright 164,080.81
Richard Cornman 24,715.13
Clifford Cornman 2904.01
Angela Blankenship 2,000.00
Eric Dengler 2,000.00
Hailey Dengler 2,000.00
Kathryn Cornman 2,000.00
Seth Cornman 2,000.00
Ryan Bonder 2,000.00
Robert Bonder 2,000.00
Nicole Bouder 2,000.00
TOTAL DISTRIBUTION: $218,900.00
1
Mary A.Wright needs to distribute $81,691.63
Credit for Estate Savings Account 1,032.46
Total to Distribute $80,659.17
+ � REV-'1500 EX (01-10' 1545610144 OFFICA&USE PA Department of Revenue ONLY
Bureau of Individual Taxes INHERITANCE TAX RETURN tf'Code Yew File Nwntw
PO BOX 280601
FlarrleburA,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
0 7 1 7 2 0 1 0 0 7 1 7 1 9 3 6
Decedent's Lest Name Suffix DecedeM's First Name MI
C o r n m a n E a n E
(if Applicable)Enter Surviving Spowe`s Information Below
Spouse's last Name Sufra Spouse's First Name MI
Spouse`s Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE YYITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1,Original Return ❑ 2.Supplemental Return E] 3.Remainder Return(date of death
prior to 12-13-02)
® 4.Limited Estate ❑ 4a.Future Interest Compromise(date of ❑ 5.Federal Estate Tax Return Required
death offer 12-12.82)
6.Decedent Died Testate n 7.Decedent Maintained a Living Trust _ S.Total Number of Safe Deposit Bodes
(Attach Copy of WN) (AHaci►Copy of Trust)
Q 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 MIST BE COfPLETE .ALL CORRESPONDENCE AND CONIVENii1AL TAX INFORMATION SHOULD BE DIMCTEO W.
Name Daytime Telephone Number
R chard Cor nman 717 243 9709
REGISTER 0tIN.I.S USE
s zt
First line of address mI�
414 Bur finer s Road _ -� 4'
r cr,�� c,� a..:
Second line of address
City or Post Office State ZIP CodeD r> j
G a r I i s I a P A 1 7 0 1 3
Corresponderft e-maR address:
Under parWAft w parjws ,I decine flat I have Qaami W dds mkm kiduov ao=roar"V sdradrdee and sta6mavoF,and b ft beet of nW krdm%c%s and b",
K is tme aaract and o xylo .Dadaraaon of prepwr oawsr then the peso"represndaars is based on as inbwwAm of which prepww has wW knawlsdge.
FOR Fa.INGMRN DATE
ABDRM
414 Buranem Road Carlisle PA 17013
SKWTURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORKUNAL FORM ONLY
Side 1
1505510140 1505610140
1505610240
REV-1500 EX
RECAPITULATION
1- Real Este(Schedule A) ...- ...... .......... 2 1 8 9 0 0. 0 0
2. Stodw and Bonds(Schedule 8) ... ..... .............. ..... ......... .. 1
3- Closely Held Corporation,Partnership or SoW411oprietorship(Schedule,C) ..... 3.
4. MorWVft and Notes Receivable(Schedule D) ......--.... .......... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5.
6. Job*Owned Property(Sdwxkft F) 0 Separate Billing Requested 6.
7. Inter-Vtvos Transfers&Miscellaneous -Probate Property
(Schedule G) L] Separate Billing Requested 7.
8. Total Gram Assets(total Urns I through 7) 8. 2 1 8 9 0 0 . 0 0
9. Funeral Expenses and Administrative Costs(Schedule H) .,................ 9. 1 8 0 4 5. 2 2
10. Debts of Decedent,Mortgage Liabilities,and wens(Schedule 1) ...... ...... 10. 4 2 9 9 9. 6 3
ii. Total Deductions(total ones 9 and 10) ..... . .... ....... ... ...... ..... 11. 6 1 0 4 4 . 8 5
12. Not Value of E- I I i(Lane 8 minus Une 11) ..... ........... 12. 1 5 7 8 5 5. 1 5
13. Charitable and Governmental Sequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) ...... .......... . ..... 13.
14. Not V#Aue ftbod to Tax(Line 12 minus Line 13) ..... ................. 14. 1 5 7 8 5 6. 1 5
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
I& Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.O_ 0 . 0 0 15. 0. 0 0
16. Amount of Una 14 taxable
at lineal rate X-og- 1 5 7 8 5 5 . 1 5 16. 7 1 0 3 . 4 8
17, Amount of Une 14 taxable
at sb*V rate X.12 0 . 0 0 17. 0. 0 0
18. Amount of Una 14 taxable
at Collateral rate X.15 0 . 0 0 18, 0. 0 0
19. TAX DUE ............ ........ .... . ..... ............ 19. 7 1 0 3. 4 8
20 FK.L IN THE OVAL IF YOU AM REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
1505610240 1505610240
REV-1500 EX Pap 3 FRO Nu~
'DmWenire Complete Address: 0 0
DECEDENTS NAM
Elaine E.Comman
STREET ADMESS
CITY STATE
Tax Payments and Credits:
I. To(Due(Page Z line 19) (1) 7,103.48
2. CrediFslPayments
A.Prior Payments
B.Discount
Total Credits(A+B) (2) 0.00
3. Interest
(3)
4. 9 Lkw 2 is greater than Line I+Line 3,enter the difference.This is the OVERPAYMENT.
FIN In ovel on Pop 2,Lhw 20 to request a refund. (4) 0.00
5. N Line I+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE (5) 7,103.48
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 bws**; ..................................................................... ❑ i
b. retain the fighl:to designale who shelf use the pop"transferred or as irmne. ............................... ❑
c. retain a reversionary interest or ............. .................................................. ............................... 0
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑
2. 9 death occurred after December I Z 1982,did decedent transfer property within one year of death
without receiving adequate consideration? .....................................................................................
3. Did decedent own an'in trust fie 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?............................ ....................................... ................ ........... ❑ 0
F THE ANSWER TO ANY OF THE ABOVE QUEVn=18 YES,YOU MUST COMPLETE SCHEDULE G AND FILE rr AS PART OF THE RETURN.
For dates of death on or aft July 1,1994,and before Jan.1,1995,the tax rate imposed on the not value of transfers to or for the use of the surviving spouse is
3 perosint[72 P.S.§9116(a)(1.1)p)].
For dates of death on or afar Jan.1, 1995,the tax rate imposed on the net value of transient to or for the use of the survivi%spouse is 0 percent
V2 P.S.§9116(a)(1.1)(ii)).The statute does not exempt a transfer to a surviving spouse from W and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even W the surviving spouse is the only beneficiary.
For ddes of death on or aflisr 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
adopd"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 fineal 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 ft use of the decedents sib kW is 12 percent[72 P.S.§91 16(aXi.3)].A sbbV is defined,under
Section 9102,as an individual who has at feast one parent in common With the deoedeK whether by blood or adoption.
REV-1502 EX+(01-10)
pennsylvania SCHEDULE A
OFFAMIEM OF REVEMJE
REAL ESTATE
iralERliArICE TAX REruRN
RESIOEMT oECEMW
ESTATE OF: FILE NUMBER:
Elaine E. Comman 0 0
All real propwty owned oW*or as a Earant in cannon mud be rspontad at fir evrrinet value.Fair market value is defined as the price at which property
would be exchanged between a willing truyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
RIM property that is pindipe ned wNh ripM of survivorship must be dbdoeed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a coW of the deed showing decedents interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
127 Clover Lane-Carlisle, PA 218,900.00
TOTAL(Also enter on Line 1,Recapitulation) $ 218 900.00
If mae VOW Is needed.use addlimal to*of peperof the same sine
REV-1503 EX+(8-98)
SCHEDULE B
COMMDNMALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Elaine E. Comman 0 0
AN ProPertY l M*4wnsd with dpht of swvkom*must be disclosed on Sd"b F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
TOTAL(Also enter on One 2,Recapihtlation) $
(N mac apace is needed,inert addfmW sheds of ft seems sae)
REV-1504 EX+(6.98)
SCHEDULE C
CLOSELY-HELD CORPORATION,
COMONINEALTH of PENNSYLVANA PARTNERSHIP OR
INHERITANCE TAX
RESIDENT D EDENTRN SOLE-PROPRIETORSHIP
ESTATE OF FILE MMER
Elaine E. Comman 0 0
Sdiedule C-1 or C-2(rd Wing al supporting nfam tbn)must be attached for each dose)4*W oorporalarlpabrershtp MMW Of the decedent,otm titan a
e WVDpMofship. See mslnxtlom for the supporting infonneim 6o be sulxrrtied for 3oWVmp*bmhlps.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
TOTAL Also ender on IN 3, $
(If more Specs 18 needed irrsert additional shook of the sane sine)
-REV-1505 EX+(648)
SCHEDULE C-1
COMONWEALTH OF PENNSYLVANIA CLOSELY-HELD CORPORATE
WeRITANCE TX RMRN
RESIDENT DEACEDENT STOCK INFORMATION REPORT
ESTATE OF FILE NUMBER
Ekdro E.Comman 0 0
1. Named Corporation State of Incorporation
Address Date of incorporation
City State zip code Total Number of Shareholders
2. Federal EmiJloysr ID.Number Business Reporting Year
3. Type of Business Product/Service
4. TYPE TOTAL NUNSIER OF NUMBER OF SHARES VALUE OF THE
STOCK PAR VALUE Y!%Mn:Lk" swummTAMM OWNED BY THE DECEDENT DECEDENT'S STOCK
Conmion $
PION.
Provide all rights and restrictions pertaining to each class of stock.
5. Was the decedent employed by the Corporatist?... ........ .......... .. .... .. .. .. ... . . . 1:1 Yes ❑ No
I Yes,Position Annual Salary $ Time Devoted to Business
6, Was the Corporation indebted to the decedent? .. . .. . . . . . . . .. . . . .... ........ .... ... . . . ❑ Yes ❑ No
N yes,provide amount of indebtedness $
7. Was there lie insurance payable to the ooMorAon upon the death of the decedent? . .. .. ...... Yes ❑ No
N yes,Cash Surrender Value $ Net proceeds payable $
Owner of the policy
8. Did die decedent ad or transfer stock in this company within one year prior to death or within two years
I the date of death was prior to 1231-82?
❑ yes ❑ No If yes, ❑ Transfer ❑ Sale Number of Shams
Transferee or Purchaser Consideration $ Data
Attach a separate street for additional hwders and/or sales.
9 Was them a written shareholders agreement m effect at the time of the decedents de*? ............ ❑ Yes ❑ No
N yes,provide a copy of the agreement.
10. Was the decadent's stock sold? . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . .❑ Yes ❑ No
If yes,provide a copy of to agreement of sale,etc-
1111. Was the corporation dissolved or lkiuklated after the decedents death? ...... . . . ❑ Yes ❑ No
If yes,prmAde a breakdown of distvibutions received by the estate,Including dales and amounts";';ti
12. Did the corporation have an irrierest in other corporations or partnerships? ..... . . ........ . ...... ❑ Yes ❑ No
N yes,report the necessary irdbanation on a separate sheet,including a Schedule C-1 or C-2 for each interest.
A. Detailed calculations used in the valuation of the decedent's stock.
B. Complete copies of 111nancial slaWnents or Federal Corporate Income Tax returns(Form 1124)for the year of death and 4 preceding yews.
C. 9 the corporation owned real estate,submit a list slvMng the complete addressles and estimated fair market value/s.If real estate appraisals have
been secured,Mach copies.
D. Ust of principal stockholders at the date of death,nuntw of sham hold and their**Mt*)to the decedent.
E. Ust of officers,their salaries,bonuses and any odw baneft received from the corporation,
F. Std~of dividends paid each year.List those declared and unpaid.
G. Any other Inliormatiori relating to the valuation d the decedent's stock.
(IfinorespWeis in N Inswadellikind the# offtsemesize)
REV-1506 EX+(9.00)
+ SCHEDULE C-2
COMMONWEALTH OF PEN NMVANU► PARTNERSHIP
'"" DEN""T DECEDENT INFORMATION REPORT
ESTATE OF FILE NUMBER
Elaine E. Cornman 0 D
1. Name of Partnership Date Business Commenced
Address Business Reporting Year
Ci(y State Zip Code
2, Federal Employer I.D.Number
3. Type of Business product/service
4. Decedent was a ❑ General ❑ Urrited partner.ff decedent was a limited partner,provide tai Inveshnent $
5. PARTNER tfAlE PERCENT PERCENT MANGE OF
OF INCOME OF OWNERSHIP CAPFFAL,ACCOUNT
A.
B.
C.
D.
6. Value of the decedents interest $
7. Was the Partnership indebted to the decedent? ............. . .. .......... ...... ❑ Yes ❑ No
ff pas,provide amcurrt of i $
8. Was there IN insurance payable to the partnership upon the death of the decedent? .. . . . . . . ❑ Yes ❑ No
if yes,Cash Surrender Value $ Not proceeds pay" $
Owner of the policy
9. Did the decedent sell or trader an interest in this partnership within one year prior to death or within two years I the data of death was
prior to 12-31-82?
❑ Yes ❑ No ff yes,❑ Transfer ❑ Sale Percentage transferred/sold
Transferee or purchaser CaWder stion $ Data
Attach a separate sheet for additional transfers and/or sales.
10. Was there a wry partnership agreement in effect at the time of the decedent's deh?.. ...... ❑ Yes ❑ No
ff yes,provide a copy of the agreement.
11. Was the decedents partnership interest sold?.... .......... .......... .......... ❑ Yes ❑ No
ff yes,povid5 a copy of the agreement of sale,at.
12. Was the partnership dissolved or liquidated after the decedents death? ....... .. ...... .. ❑ Yes ❑ No
If yes,provide a breakdown of distributions received by the elate, %dates and amounts received.
13. Was the decedent related to any of the partners?... . . . .. . . . . .. . .. . . . .. . .. . .. . . . . ❑ Yes ❑ No
N yes,exph
14. Did the paMerehip have an interest in other corporations or partnerships?.. . . .. . . ❑ Yes ❑ No
If yea,report the necessary infomrador►on a separate sheet,including a Schedule C-1 or C-2 for each interest.
A. Detailed calculations used in the vaktation of the decedents pa tnership interest.
B. Complete copies of financial st Ooments or Federal Partnership Income Taut retums(Form 1085)for the year of death and 4 preceding years.
C. If the partnership owned real estate,subrnit a 19 showing the complete address/es and estimated fair market vakrels.If real estate appraisals have
been secured,attach capes.
D. Any other inkrmallon relating to the valuation of the decedent's partnership interest.
REV-1507 EX+(6-W)
SCHEDULE D
COMAONWEALTH of PENNSYLVANIA MORTGAGES&NOTES
RMRN
ro EI)EiT RECEIVABLE
ESTATE OF FILE NUMBER
Elaine E.Comman 0 0
All property johd Owned with dw rIW of sundvom*must be dbidmW on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
TOTAL Also enter on Ow 4, f
(If mare space is needed,kowt addiwial atwNs of fie same elae)
REV-1508 EX+(8-98)
SCHEDULE E
COrGaNINEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, &MISC.
RESIDENT D EDENTRN PERSONAL PROPERTY
ESTATE OF FLE NUMBER
Elaine E. Comman 0 0
lode the paweda of I pft and the dale die proceeds were medMed by the edo.
AM joYdl,WMW wkh Z aNlit;be dMdoud on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
TOTAL(Also enter on line 5,Reca*lagm) S
(If mae space le needed.MW addNfo W ftft of ft same stm)
REV-15M EX+(01-10)
pennsylvania SCHEDULE F
DEPAKr%RW OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Elaine E.Comman 0 0
■m asset was made job*owned wNhln one year of the doc~s daft of desk it must be mpor bd on Schedule G.
SURVNm JOt(T TENANT(S)NAMES) ADDRESS REIATK NSHIP TO DECEDENT
A.
S.
C.
,IOKMY4Y NtED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %DF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF
MIMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST
1. A.
TOTAL(Also enter on tine 6.Recapkdaft) t
ff mm spaat b needed,ues addwolsi abash of paper of lm gems alas.
REV-1510 EX+(MOO)
pennsylvania SCHEDULE G
°EPAMAM of REVENNE INTER-VIVOS TRANSFERS AND
IMEWANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEMNT
ESTATE OF FILE NUMBER
Elaine E. Comman 0 0
This sdhedule must be cortVMW and filed if the answer to any of questions 1 thnwgh 4 on page three of the REV-1500 is yes.
REM DESCRIPTION OF PROPERTY
hNCh DE THE NAM OF THE TRAPAIN37.THERREh.ATOMWTODECEDENTAND DATE OF DEATH %OFDECO'S EXCLUSION TAXABLE
INIM6ER THE DATE OFTROGFER.ATTACHA COPY OF THE DEED FOR REkESTATE VALUE OF ASSET INTEREST OFArN CA" VALUE
1.
TOTAL Also enbar on Line 7, latlorh $
I mare qxm IS needed,use additW dwft of pgwof the same alas
REV-1511 EX+(10.09)
pennsylvania SCHEDULE H
DEPARTWNT OF RS. "UE FUNERAL EXPENSES AND
INWWANCE TAX RMRN
RESIDENT lXCEDEen
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Elaine E. Comman 0 0
Dscedsnl's debts must be reported on Schedule L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman Funeral Home 6,486.67
Advertising-The Sentinel 225.05
Adverising-The Cumberland Law Journal 75.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Represenbtive(s)
Street Address
City State ZIP
Years)Commission Paid:
2. Atiomey Fees: Karl E. Rominger 10 900.00
3. Fanny Exemption:(If decedent's address is rent the same as d*mnfs,Mach explanation.) ,
Claimant
want Addrm
CRY State ZIP
Relationship of Claimant to Decedent
4. Probets Fass: Cumberland County Register of Wills 358.50
5. Aoowftnt Fees:
6. Tax Realm Prewar Fees:
7.
TOTAL(Also enter on Line 9,Recapitulation) $ 18 045.22
dmom space's needed,use adAtlonel dab of poper of ft serm stse
REV-1512 EX+(12.06)
pennsylvania SCHEDULE I
°EPARTIOWOF DEBTS OF DECEDENT,
6YIER ANMT/XRMRN MORTGAGE LIABILITIES,&LIENS
REMIfr DECEDENT
ElITATE OF FILE NUMM
Elaine E.Comman 0 0
Report deble Incurred by the deced6nt prior to 090 that remained unpaid at the date of dadh,indudbV unraimbureed medical arpensee.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Bank of America 9,258.26
LowWs-New Lock Sets 119.69
KAW-New Keys 6.33
2010 Real Estate Taxes 2,904.01
M&T Home Equity Loan 17,804.84
Purchase John Deer Lawn Mower 1,000.00
Home Improvements for Estate Property 1,201.00
Reimbursement to Clftrd Comman 3,860.33
Reimbursement to Richard Comman 6,845.17
TOTAL(Also erd6r on line 10,Recaphdailon) i 42.M.63
Ifmas rr�txeb needed,inertaddfforW stieaardrie anleaiad.
REV-1513 EX-(01-10)
pennsylvanla SCHEDULE J
DEPAMIAOff OF WW"M BENEFICIARIES
INHERITANCE TAX RETURN
RESOENT DECEDENT
ESTATE OF: FILE NUI S
Elaine E Conmman 0 0
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Tmsi*$) OF ESTATE
I. TAXABLE DISTRIBUTE Seco91 it3{a t12I.I and fransfere under
See Attachment Page(s)
916{
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
jj. 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-15M COVER SHEET. ;
N more space is needed,use additlonal sheets of paper of the sane size.
Elaine E.Comman
Decedent's Name Page 1 File Number
Schedule J-Beneficiaries-1
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY 00 Not I.bt T s OF ESTATE
I TAXABLE DISTRIBUTIONS iindude w detribuflons and IrwaleM undw
SeC.91 6{a (1.2}.}
1. Richard Comman Lineal 0.00
414 Surgners Lane
Carlisle, PA-In will but renounced interest to sister
2 Clifford Comman Lineal 0.00
127 Clover Lane
Carlisle, PA
3 Mary Wright Lineal 141,855.15
127 Clover Lane
Carlisle, PA
4 Angela Blankenship Lineal 2,000.00
22 North High Street
Newville, PA 17241
5 Eric Dangler Lineal 2,000.00
22 North High Street
Newville, PA
8 Halley Dangler Lineal 2,000.00
22 North High Street
Newville, PA
7 Kathryn Comman Lineal 2,000.00
22 North High Street
Newville, PA
8 Seth Comman Lineal 2,000.00
127 Clover Lane
Carlisle, PA
9 Ryan Bouder Lineal 2,000.00
127 Clover Lane
Carlisle, PA
10 Robert Bouder Lineal 2,000.00
127 Clover Lane
Carlisle, PA
11 Nicole Bouder Lineal 2,000.00
11 East Main Street
Newville, PA
REV-1514 Ex+(4.09) SCHEDULE K
Pennsylvania
OEPARTMENTOFREVENUE LIFE ESTATE,ANNUITY
BMW of i Tees &TERM CERTAIN
PO 8=280801
Harlubtiril PA 17128-M PIECK BOX ON REV-1500 COVER NUT)
ESTATE OF ME NUMBER
Elaine E. Comman 0 0
This schedule should be used far all single-Ift joint or successive IHa estate and tern in calculations.For dates of death prior to 5-1-89,
actuarial factors for single-life calcu aill"can be obtained from the Department of Revenue.
Actuarial factors can be found In IRS Publication 1457,Actuarial Values,Alpha Volume for dates of death from 5-1-85 to 430-99,
and in Aleph Volume for data of death from 5-1-99 and thiNsafter.
Indicate below the type of instrument that treated the future interest and attach a copy of it to the tax return.
❑ will ❑ InterVIVOS Deed of Tnnt ❑ Other
NAtME OF LIFE TENANT - DATE OF MM WARW A*AF t> '1E 11M3
DATE OF DEATH LIFEINWtISPAYAWLE
❑Lile or ❑Tatar of Years
❑Life or ❑Term of Years
❑Ufa or ❑Term of Years
❑LiFe or ❑Tenn of Years
❑Life or []Term of Years
1, Value of fund from which OFe estate is payable ........................ ... ......... .... .S
2. Actuarial factor par appropriate table. .......... .......... ........ .. .. .... . ......... .
Interest table rate— ❑3.5% ❑6% ❑10% ❑Varlable Rate %
3. Velum of INe a Lift(Urw 1 multiplied by Urw 2) . ..... ..... . ............... . ..........3
AT
lUt OF tFE AililtkjANT DATE OF SMtTN QI► DEATH TBf�OF EJ3
YIR
❑Life or ❑Term of Years
❑Ufa or ❑Term of Years
❑life or ❑Term of Years
❑Life or ❑Term of Years
1. Value of fund from which annuity is payable .... .. .. .. .. .. .. ........ . . ......... ...... .3
2. Chmrac appropriate block below and enter corresponding number .. ... .................
Frequency of payout— ❑ Weekly(52) ❑ Bi neldy(26) ❑ Monthly(12)
❑ Quarterly(4) ❑ Semi-annually(2) ❑ Annually(1) ❑ Other( )
3. Amount of payout per period. .. .. . . . .. .. . . . . .. . . .. . . . . .. .. ... .. . . .. .. ........ . . ...$
4. Aggregate annual payment.lure 2 muliplied by Line 3 ... . .. ..... ... .. .. . . .. . ... .... . . ...
5. Annuity Factor(see moons)
Interest table rate— ❑3.5% ❑6% ❑10% ❑Variable Rate %
6. Adjustment Factor(See instructions)... . ......... . .......... ...... .... ...... ........
7. Value of anrwky—N using 3.5%,6%,10%,or if variable rase and period
payout is at and of period,coloulstion le:Urw 4 x Urw 5 x Lire 6 .......... .................3
N using variable raft and period payout is at beginning of period,calculation is
(L.kw 4 x Una 6 x Urtm 8)+Una 3.. .. ... . ....... . . .. .. . ... .. . .. ... .. . . . . . .. .. .. . . .3
NOTE:The values of the funds that costs the above future Werssts must be reported as part of the estate assets on Schedules A through G of the
tax return.The Multi g We or anrsty Interest should be reported at the appropriate tax rate on Lues 13 and 15 through 18 of the return.
M more spew is needed,use adcMonsl aireets of ft sure sue.
REV-1844 EX+(01-10)
Pennsylvania INHERITANCE TAX
oEPNrrrExr of
SCHEDULE L
Ns1EraTANM TAX WRM REMAINDER PREPAYMENT
RESH EW DECEMW OR INVASION OF TRUST CORPUS
L ESTATE OF FILE NUMBER
Comma,Elaine E. 0 0 _
This schedule is appropriate only for estates of decedents dying on or before December 12, 1882.
This schedule is to be used for all remainder returns when an election to prepay has been filed under the provisions of
Section 714 of the Inheritance and Estate Tax Act of 1961 or to report the invasion of trust corpus(principaq.
IL REMAINDER PREPAYMENT:
A. Election to Prepay Filed with the Register of Wills on
(Date)
B. Name(s)of Life Tenant(s) Date of Birth Age on date Term of Years Income
or Annuitants) of Election or Annuity is Payable
C. Assets:Complete Schedule L-1
1. Real Estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
2. Stocks and Bonds .. . . . . . . . . . . . . . . .. .. . . . ..$
3. Closely Held Stock/Partnership. . . . . . . . . . . . .. .$
4. Mortgages and Notes.. . . . . . . . . . . . . . . . . . . ..$
5. Cash/Misc.Personal Property. . . .. . . . . . . . . .. .$
6. Total from Schedule L-1 . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .. . . . . . . . .$
D. Credits: Complete Schedule L-2
1. Unpaid Liabilities . . . . . . . . .. . . .. .. . . .. .. . . . .$
2. Unpaid Bequests . . . . .. . . . . . . . . . . . . . . . . . . . .$
3. Value of Non Includable Assets. . . . ... .. . . . .. .$
4. Total from Schedule L-2 . .. . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . .$
E. Total Value of Trust Assets(Line C-6 minus Line D-4) . . . . . . . . . . . .. .. .. . . . . . . . . . .. . . .$
F. Remainder Factor . . .. . . . . . . . . . . . . . . . . . .. .. . . .. . . . . . . . . . . . . .. .. .. .. . . . . .. . . . .
G. Taxable Remainder Value(Multiply Line E by Line F) .. .. . . .. . . . . . . . . .. .. .... .. .. ..$
(Also enter on Line 7, Recapitulation)
HL INVASION OF CORPUS:
A. Invasion of Corpus
(Month,Day,Year)
B. Names)of Life Tenant(s) Date of Birth Age on Date Term of Years Income
or Annuitants) Corpus or Annuity is Payable
Consumed
C. Corpus Consumed . .. . . .. . . . .. . . . . . . . . . . . . . .. .. .. .. .. .. ... . . . . . . .. .. .. . . . . ...$
D. Remainder Factor . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . .. . . . . . . .
E. Taxable Value of Corpus Consumed(Multiply Line C by Line D). . ... . . .. .. .. ....... .. . .$
(Also enter on Line 7,Recapitulation)
REV-1645 EX+(11-09)
pennsylvania INHERITANCE TAX
SCHEDULE L-1
OE?Aiti}iEtlT OF REVENUE
iWIMANM TAX rCMRN REMAINDER PREPAYMENT ELECTION
RMDENT DECEDENT -ASSETS-
L ESTATE OF FILE NUMBER
Comman, Elaine E. 0 0
LL ITEM NO. DESCRIPTION VALUE
A. Real Estate(Please describe.)
Total Value of Real Estate $
Include on Section II,Line C-1 on Schedule L.
B. Stocks and Bonds(Please list.)
Total Value of Stocks and Bonds $
Include on'Section 11,Line C-2 on Schedule L.
C. Closely Held Stock/Partnership-Please list.(Attach Schedule C-1 and/or C-2.)
r- Total Value of Closely Held/Parbmmship $
Indude on Section 11,Line C-3 on Schedule L.
D. Mortgages and Notes(Please list)
Total Value of Mortgages and Notes $
Include on Section 11, Line C-4 on Schedule L.
E. Cash and Miscellaneous Personal Property(Please list.)
Total Value of Cash#Asosdaneous Personal Property $
ng&on Section II Line C-5 on Schedule L.
UL TOTAL(Also enter on Section 11,Line C-6 an Schedule L) $
If more space is needed,attach additional sheets of paper of the same size.
REV-1848 EX+(11-4N)
pennsylvanla INHERITANCE TAX
DEP+RTW&WOF E SCHEDULE L-2
NfWA"CE TAX FEMM REMAINDER PREPAYMENT ELECTION
RES W DEMENT -CREDITS-
1. ESTATE OF FILE NUMBER
Comman, Elaine E. 0 0
H. ITEM NO. DESCRIPTION AMOUNT
A. Unpaid Liabilities Ciainned against Original Estate and Payable from Assets
Reported on Schedule L-1 (please list)
Total Unpaid Liabilities $
include on Section 11,Line D-1 on Schedule L
B. Unpaid Bequests Payable from Assets Reported on Schedule G7 (please list)
Total Unpaid Bequests $
(include on Section ii,Line D-2 on Schedule L
C. Value of Assets Reported on Schedule L-1 (other than unpaid bequests listed
under"B"above)that are Not included for Tax Purposes or that Do Not Form
a Part of the Trust.
Calculetion as follows:
Total Non Includable Assets $
(include on Section 11,Line D-3 on Schedule L
M. TOTAL(Also enter on Seckm 11,Line D-4 on Schedule L) $
If more space is needed,attach addiliorud sihests of paper of the carne sizes.
P"-1647 EX-(02-10)
pennsylvania SCHEDULE M
WAIR111W CW REV9GJE FUTURE INTEREST COMPROMISE
INHERITANCE TAX RETURN
RESIDENT DECEDENT (Check Box 4a on REV-15W}
ESTATE OF FLENUUM
Elaine E.Corniman 0 0.
This schedule Is j—W—ropdate only for estates of decedents who died am Dec.iZ 19U.
This ad*"is to be used for all future interests where the rate of tax which will be applicable when the future Interest vests in
possession and enjoyment cannot be established with certainly.
Indicate below the type of Instrument that Created the future interest and attach a copy to the tax return.
OMN ❑Trust 00ow
L SeneftWirles
NAME OF BENEFICIARY RELATIONSHIP DATE OF BIRTH AGE M
NEAREST BIRTHDAY
Z
3,
4.
5.
IL For decedents who died on or after July 1,1994,If a surviving spouse exercised or intends to exercise a right of withdrawal within
nine months of the decedents death,check the appropriate Mock and attach a copy of the document in which the surviving spouse
exercises such withdrawal right
❑Unfirifted right of withdrawal ❑Uniked right of withdrawal
W. Explanation of Compromise Offer
IV. Summary of Compromise Offer.
1. Amount of future interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
2. Value of Line I exempt from tax as smixint passing tD charities,etc.
(Also iniclude as pat of total ohm on Line 13 of REV-1 500.) . . . . . .$
3. Value of Una I passing to spouse at appropriate tax rate
check one. ❑ 6%, [❑ 3%, ❑ 0% . . . . . . . . . . . . . . . .$
(Also Include as part of total shown on Line 15 of REV-1500.)
4. Value of Line I taxable at it"rate
Check one, f-I 6%, ❑ 4.5% . . . . . . . . . . . . .
(Also include as part of total shown on Line 16 of REV-1500.)
5, Value of Lim I taxable at sibling rate(12%)
(Also include as part of total shown on Una 17 of REV-15W.) . . . . . .$
6. Value of Lim I taxable at colialsoal rate(15%)
(Also Include as part of IDW shown on Line 18 of REV-1500.) . . . . . .$
7. Total value of future interest(sum of Lines 2 thru 6 must equal Una 1) . . . . . . . . . . . . . . . . . . . . .$
If more space Is needed,ww mWilkwal sheft of paper of the same etas.
ltt:V!-is" FX(0Z-09) SCHEDULE N
Pennsylvania SPOUSAL POVERTY CREDIT
08VATWNT OF W.19"♦ ' " Baesu of hdAddhai Taal
130809 2MM FOR DAM OF DEATH 81/01/92 TO 12131194
ESTATE OF FILE NUMBER
Elaine E.Camman 0 0
This edwfule must be oompWW and filed if you checked the spousal poverty credit box on the cover sheet
1. Taxable assets total from Una 8(cover sheet)...................................................................................... 1 218 900.00
2. Insurance proceeds on life of decedent................................................................................................ 2.
3. Retirement berwfts............................................................................................................................... 3.
4. Joint assets with spouse....................................................................................................................... 4.
5. PA Lottery winnings.............................................................................................................................. 5.
So. Other nontaxable assets:List and attach schedule if necessary.. ea.
6b.
So.
,6d.,
6. SUBTOTAL(Lines Sa,b,c,d).............................................................................................................. 6.
7. Total gross assets(Add Lines 1 thru 6)...................................... 7. 21$900.00
S. Total actual liabilities....................................................................................................
9. Not value of sataas(Subtract Una 8 from Lana 7)-.............................................................................. 9. 218,900.00
IILYra a b Man 000-dTOP. The estab 1a noteffabs b cbkn be awl Mnat coral w M partlL
Income. 1. TAX YEAR:19 2. TAX YEAR:19 3. TAX YEAR:19
a. spouse............................. 1s. 2a. 3a.
b. Daoedertt......................... _I b. 2b. 3b.
c. Joint................................. 1c. 2c. 3c.
d. Tsar-exempt Income......... id. 2d. 3d.
e. Other income not
listed above..................... 1e. 2e. 3e.
f. Total................................. It 2f. 3f.
4. Average joint exemption income calculation
4s. Add joint womption Income from above:
M + (2f) + ( °
(+3)
S
4b. Average josh exemption Income...............................................................................................................
lraos 4(b)Is 000110 Aran Maco-STOP. Thu asd/s M net*%"to ofarn ors rasdt Ktat co 0nue b PartlU.
1. Insert mount of taxable transfars to spouse or$100,000,whichever is leas.......................................... 1.
2. Multiply by credit percentage(sea instruckxns)....................................................................................... L-
3. This is the amount of the Resident Spousal Poverty Credit.Include this figure 3.
In the calculation of total credits on Une 16 of the cover aheaR............ ..............................._.............-
4. For nonresidents,enter due ratio of the deoWenes gross estate in PA to the value of Via
deoedenfsgross estate.......................................................................................................................... 4.
5, Multiply Uns 3 by Una 4 and end the teal here.This is the amount of the NwmswwA Spousal 5.
Poverty Credit.include this figure in the calculation of total credits on Lim IS of the cover sheet ...,......
REV-1649 EX+(6-98)
low
SCHEDULE o
CONLIONVVEAITH OF PENNSYLVANIA ELECTION UNDER SEC.911*)
INHERITANCE TAX RETURN (SPOUSAL DISTRIBUTIONS
RESIDENT DECEDENT )
ESTATE OF FLE NUMBER
Elaine E. Comman 0 0
Do not eorrprisbt itris Sue odde is ma%q dw a%dlon to tut assets under Section 9ll3W of the tirsattarlar S Estate Tax Act.
ti the election applies to more than one trust or similar arrangement,a separate form must be filed for each trust.
This election applies to the Tout(marital,residual A.%By-pares,Unified Credit.etc.).
I a burst or si ils arrangement masts the requirements of Section 9113(A),and:
a.The bw or similar arrangement is fisted on Schedule 0,and
b.The value of the trust or similar wangemennt is entered in whole or in part as an asset on Schedule 0,
then the trarrsii&&s personal representative may specifically identity the trust(all or a fractional portion or percentage)to be included in the election to hoe such foist or sim-
Aar property treated as a taxable transfer in to estate.M less than the entire value of the trust or similar property Is included as a taxable transfar on Sduedule 0,the personal
shall be considered to have made the election only as to a fraction of the trust or similar arrarrgerrwnt.The numerator of this fraction is equal to the amount of
the trust or sirltar arrangement included as a taxable asset on Schedule 0.The denominator is equal to the tatat value of the trust or similar arrangement.
Part A:Enter the descriplion and value of all iritereft,both taxable and non-taxable,regardless of location,which pass to the decededs
swvMM spouse under a Section 9113 A trust or similes arrari
gerrient
Deeaigion value
Part A Total $
Part B:Enter the ds=WM and value of all iftierests included in Part A for which the Section 9113 A election tD tax is . tirade.
Valve
Part B T
(H more space Is nesdaA insert additional sheets of the same am)
REV-1500 Discount, Interest and Penalty Worksheet
tot •
Discount Calculation
Total Amount Paid within three calendar months of the decedents date of death:
Discount: 0.00
Interest Table
Year Days De"uent Balance Due Interest
this time period this year this period
Before 1981
1982
1983
1984 _
1985
1986
1987
1988 through 1991
1992
1993 throuah 1994
1995 through 1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008 --
2009
2010
2011
TOTALS
Penalty Calculation
If the decedent's date of death was on or before March 31, 1993, insert the applicable amount
Total Balance Due on January 17, 1996:
Penalty: