HomeMy WebLinkAbout05-01-13 _ _
� 1505610105
- REV-1500 EX�oz_�s,«, �;
PA Department of Revenue P�nSY�vama OFFlCIAL USE ONI.Y
Bureau of Individuat Taxes �E`"�T"`�'�`�"� County Code Year file Number
PO BOX28o6oi INHERITANCE TAX RETURN n I (� �
Harrisburg,PA i�i28-o6oi RESIDENT DECEDENT ol.. �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
301 -22-6597 4/27/2009 8/16/1925
DecedenYs Last Name Suffix DecedenYs First Name MI
JAYNES PAULINE A
(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
FIIL IN APPROPRIATE OVALS BELOW
Q 1.Original Return Q 2.Supplemental Return p 3. Remainder Return(Date of Death
Priorto 12-13-82)
� 4. Limited Estate Q 4a.Future Interest Compromise(date of Q 5. Federal Estate Tax Retum Required
death after 12-12-82)
� 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust � 8. Total Number of Safe Deposit Boxes
{Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
STEVEN HOWELL, ESQUIRE �17-770�277� �
� �ISTER 0��111LL�S�NLY
t�l � �-j -��c G^o %�
�--{ C3
First Line of Address � T� � �-;; ;rt
� � � N � �
� L� � 1
619 BRIDGE STREET ��� s; � -�. � ==�
Second Line of Address ,.., �, �? � '���
�, C - .'�
, F--' "' d'�ry
-� � D FIL�y O
City or Post Office State ZIP Code � �
NEW CUMBERLAND PA 17070
CorrespondenYs e-mail address:
Under penalties of perjury,I declare that 1 have examined this retum,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.
SIGN URE OF PERSOf�RF�,..�rt"'..�.�'nLE FOR FILING RETURN DATE
�' �N� ��s� � � 5k► �s� , %�
�_;�_. , Ol_ t ��II //
A DRESS
305 WEST MAPLE AVENUE, SHIREMANSTOWN PA 17011
SIGNATURE OF PREPARER OTHER THAN REP DATE
AODRESS
Fi19 RRTT�C;F. STRF.FT+ NF.W C'TIMRFRT.AN1��, PA 17�70 ,
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610105 1505610105 J
� 15�5610205
REV-1500 EX(FI)
DecedenYs Social Security Number
DecedenYsName: PAiTT.TNF A _ .TAYNF.S "�n1 _7�_ti�,q7
RECAPITULATION
1. Real Estate(Schedule A). .. ... . .. ... .... .... . ........ ....... .. .. .. .. . 1.
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 Miscel�aneous Personal Property(Schedule E).... ... 5.
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ...... . 6. $9, 5 3 5.0 0
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets(total Lines 1 through 7). .... .. .... . .. ............. .. 8. g g R_5�5_0 0
9. Funeral Expenses and Administrative Costs(Schedule H)........ ........... 9. 51 5 .0 0
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I).... . .......... 10.
11. Total Deductions(total Lines 9 and 10).... ........ . .. ... .. .. ...... . .... 11.
12. Net Value of Estate(Line 8 minus Line 11) ... ........... .. .. .. ....... ... 12. $9,0 2 0.0 0
13. Charitable and Govemmental 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. 8 9�0 2�.0 0
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 Iineai rate x.0�5 89�020.00 16� 4,005.90
17. Amount of Line 14 taxable
at sibling rate X.12 17.
18. Amount of Line 14 taxable
at collaterai rate X.15 18.
19. TAXDUE ............. ..... .. ... .... . ... ...... .. .... . ............ . 19. 4� 005.90
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
� 1505610205 1505610205 �
�.��-wv��..���� �Qyc., rne numoer
Decedent's Complete Address:
DECEDENTS NAME
PAULINE A. JAYNES
STREETADDRESS
305 WEST MAPLE AVENUE
SHIREMANSTOWN PA 17011
CITY STATE ZIP
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 4,0 0 5.9 0
2. CreditstPayments
A.Prior Payments
B.Discount
Total Credits(A+g) (Z) 0.0 0
3. Interest
(3) 1 , 000.00
4. If Line 2 is greater than Line 1+Line 3,enter the difference. This is the OVERPAYMENT.
Fiil in oval on Page 2,Line 20 to request a refund. (4)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 5, 0 0 5.9 0
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred .......................................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ �
c. retain a reversionary interest .............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................................. ❑ �
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,which ,y�
contains a beneficiary designation? ........................................................................................................................ ❑ �t'J
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
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 retum 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(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)].A sibiing is defined,
untler Section 9102,as an individual who has at least one parent in common with the decetlent,whether by blood or adoption.
�# �F ;;�� pennsylvania SCNEDVLE F
� DEPARTMENT OF REVENUE
INHERITANCE TAX RENRN )OINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
PAULINE A. JAYNES
If an asset became jointly owned within one year of the decedenYs date of death,it must be reported on Schedule G.
SURVIVING 30INT TENANT(S)NAME(S) ADDRESS RElATIONSHIP TO DECEDENT
A.
LISA L. SKINNELL 305 West Maple Avenue
Shi�emanstown, PA 17011 Daughter
B.
C.
)OINTtY OWNED PROPERTY:
LETTER DnTE DESCRIPTION OF PROPERTY %OF DA7E OF DEA7H
ITEM FOR lOINT MADE INCLUDE NAME OF FINANCIAL INSTINTION AND&1NK ACCOUNT NUMBER pR SIMILAR OATE OF DEATH DECEDENT'S VAI.UE OF
NUMBER TENANT )OINT IDENTIFYING NUMBER.ATTACH DEED WR lOINTLY HELD REAL ESTATE. VALUE Of ASSEf IMEREST DECEDENT'S IMEREST
1. A.
9/13/2 00 305 West Maple Avenue $179, 071 50� $89, 535 .00
A COPY OF THE DEED IS ATTACHED
AS EXHIBIT F-1 WHILE THE TAX
ASSESSMENT CARD IS EXHIBIT F-2 .
THE TAX ASSESSMENT VALUE ON DOD
WAS $1 4 2, 1 2 0.0 0. THE COMMOIV LEVEL
RATION IN EFFECT UP THROUGH JUNE
30, 2009 WAS 1 .26. THIS RESULTS
IN FAIR MARKET VALUE OF $179,071 .0 .
TOTAL(Also enter on Line 6, Recapitulation) � $9,5 3 5.0 0 p
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.�� � � ��
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�,� Rfl�3��T t�. ZI�GLER
RECOfiDER vF DEEDS
CUMBEftLAt�t� COUNTY-PA
'Q� SEP 15 A�1 9 �t�i
.
�� ��
TAX PARCEL NO. 37-23-0557-050
MADE THE�r� day of ,�(,�,� in the year two thousand (2000)
BETWEEN GUY S. MAMOLITO and ELIZABETH S. 1VIAMOLITO, his wife, of
Shiremanstown, Pennsylvania, Grantors,
AND
PAULINE A. JAYNES AND LISA L. SKINNELL, joint tenants with
right of survivorship, both of Shiremanstown, Pennsylvania,
Grantees,
WITNESSETH, that in consideration of ONE HUNDRED TWENTIy-THREE THOUSAND
-----------------------------------------------($123,000.00)--------------------------------Dollars,
in hand paid, the receipt whereof is hereby acknowledged, the said grantors do hereby
grant and convey to the said grantee, her heirs and assigns,
ALL THAT CERTAIN piece or parcel of land situate in the Borough of Shiremanstown,
County of Cumberland and State of Pennsylvania, bounded and described as follows,
to wit:
BEGINNING at a point on the northern line of Maple Avenue, said point being at the
dividing line between Lot Nos. 3 and 4 on the hereinafter mentioned Plan of Lots;
thence along said dividing line, North 11 degrees 04 minutes West, a distance of 110
feet to a point; thence North 78 degrees 56 minutes East, a distance of 70 feet to a
point; thence North 74 degrees 13 minutes 30 seconds East, a distance of 5.02 feet to
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,int at the dividing line between Lot Nos. 3 and 2; thence along said dividing line,
,uth 11 degrees 04 minutes East, a distance af 110.41 feet to a point on the
�orthern line af Maple Avenue; thence along the northern line af Maple Avenue, South
78 degrees 56 minutes West, a distance of'75 feet to a point, the plaee af BEGINNING.
UNDER AND 5UBJECT, NEVERTHELESS, to easernents appearing of record on said
Plari and to the restrictions as set forth in the Recorder's (7ffice aforesaid in
Miscellaneous Book 150, Page 596.
HAVING THEREt�N ERECTED a brick ranch dwelling with attached screened-in-
carport known and numbered as 305 W. Maple Avenue, Shiremanstown,
Pennsylvania.
BEING Lot No. 3, Block "H" as shown on Plan No. 6 of Shireman Manor and recorded
in the Office o#`the Recorder of Deeds in and for Curnberl�d Coun�y, F�n�sylv�ia; in - -
Plan Boak 13, Page 20. .
BEING THE SAME PREMISES which Richard L. Rernsburg, single rnan, and Michael J.
Remsburg, single man, by Deed dated Ma.rch 7, 199Q and recorded March 21, 1990 in
the Office of the Recorder of Deeds in and for Cumberland Caunty, Pennsylvania, in
Deed Boak L, Valume 34, Page 897, granted and conveyed unto Guy S. Marnolito and
Elizabeth S. Mamolito, his wife, Grantars herein.
BUUK �,�� Ft,GC �,��
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�
AND the said grantors do hereby Warrant 3�Secially the property hereby
reyed.
IN WITNESS Zi�"HEREOF, said grantars have hereunta set their hands and
seals the day and year first above written.
Signed, Sealed and Delivered '"
�
G S. MC7LIfi0
in the Presence of �����'�'
L ETH S. MAMOLIfiO
� r-�'%���_
���„�,,
��
STATE OF T�. .
COUNTY OF L�o<.�
C3n this, the �.�� day of �-e.�mG� , 2000, before me,
the undersigned afficer, personally appeared GUY S. MAM(?LITC? and ELIZABETH S.
MAM4LIT0, his wife, known to me (or satisfactarily praven} ta be the persons whase
names are subscribed to the within instrument, and acknawledged that they executed
sarne far the purposes therein contained.
IN WITNESS WHEREt'�F, I hereunto set my hand and official seal.
Not�r�u. � .
��w�NOr��ct �` ,�5n . � D ` �
Mra���xr+t��,,rt�,� ""���.�'.�—c� t�.� (�EAL)
Notary Public
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CER1'7FICATE QF RESIDENCE
.o hereby certify that the precise residence and complete post affice address af the
✓ithin grantees is: `30'� W.ut�.a.�LQ. �*-�� , S�`'�t.u�.wu��(�_ G'�?�t
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RE�ORDED on this �� day of A. D. 2000�,� ����
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in the Recorder's af�ce of the said County, in Deed Baok,,��''� ,
Val. � , Page __���,`' �
Given under my hand and the seal of the said office, the
date above writfen. �
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• Cumberland County Tax Reassessment Value Lookup:Details Page 1 of 1
• �` . . � � .
Detailed Results for Parcel 37-23-0557-050. in the 2010 Reassessment
Data base
Municipality: 37 - SHIREMANSTOWN BORO Property Type: R
School District: 6- MECHANICSBURG SD Owner: JAYNES, PAULINE A
ParCel ID: 37-23-0557-050. CG Status:
House 3os Taxable Status: Taxable Property
Number:
Street: W MAPLE AVENUE
Old Assessed - Land: 3000o New Assessed - Land: 3��00
Old Assessed - Buildings: �lz�zo New Assessed - Buildings: 138600
Old Assessed - Total: �az�zo New Assessed - Total: 175700
Old CG Assessed - Land: NOT New CG Assessed - Land: rvor
Old CG Assessed ' APPLICABLE New CG Assessed — APPLICABLE
Buildings: � Buildings:
Old CG Assessed - Total: New CG Assessed - Total:
t«._.n- ----i- - -.- - - -.i._ i_ _i _ m-'-'i- - -_ n_•i_ �rr n� nvc�r ncn e/n�/nn��
� � pennsylvania SCHEDULE H
• DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDEPtT
ESTATE OF FILE NUMBER
PAULINE A. JAYNES
Decedent's debts must be reported on Schedule I.
TiEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
i.
e. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2• Attorney Fees:
STEVEN HOWELL, ESQUIRE $500 .00
3. Family Exemption:(If decedent's address is not the same as claimant`s,attach explanation.)
Claimant�=.�_�T�,���
StreetAddress 305 WEST MAPLE AVENUE
City State_�_�IP��T
Relationship of Claimant to Decedent DAUGHTER
4• Probate Fees:
INHERITANCE TAX RETURIV $ 15.00
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
TOTAL(Also enter on Line 9,Recapitulation) � 51 5.0 0
� '��*r pennsylvania SCHEDULE �
��;�
• y DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
PAULINE A. JAYNES
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 L. SKIIVNELL
305 WEST MAPLE AVENUE
SHIREMANSTOWN, PA 17011 DAUGHTER 100$
ENTER DOLLAR AMOUNTS FOR DISTRIBUTTONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAI DISTRIBUTIONS UNDER SECTION 91i3 FOR WHICH AN ELEC7ION TO TAX IS NOT TAKEN:
1.
B. CHARtfABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
LAST WILL AND TESTAMENT
OF
PAULINE A. JAYNE5 �
I, PAULINE A. JAYNES, of Shiremanstown, Cumberland E
County, Pennsylvania, make, publish and declare this as and for �
my Last Will and Testament, .hereby revoking all other Wills and �
Codicils heretofore made by me.
FIRST: I give and bequeath the sum of One Thousand and �
No/100 ($1, 000 . 00) Dollars to my daughter, CATHERINE M. MAYER.AN, �
provided that should she predecease me, then to her issue per �'
stirpes by representation. ��
SECOND: I devise and bequeath all the rest, residue "
�:
and remainder of my estate of whatever nature and wherever
situate, including any property over which I hold power of
appointment and together with any insurance policies thereon, to
my daughter, LISA L. SKINNELL.
THIRD: In addition to all powers granted to them by �
law and by other provisions of this Will, I give the fiduciaries ��
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective un�'il actual
distribution of all property:
(A) To sell at �
public or private sale, or to lease, ,
for any period of time, any real or personal property and to give �
f�
o tions for sales, exchan es or leases, for such p `�
p g prices and u on kk
such terms (including credit, with or without security) or �`
�`
conditions as are deemed proper. This includes the power to give !=
�
legally sufficient instruments for transfer of the property and �`'
I;.
to receive the proceeds of any disposition of it . �`:-
�_
(B) To partition, subdivide, or improve real estate �
`F.
and to enter into agreements concerning the p�rtitidn, subdivi-
i;;
�
t'
A
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value .
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper,, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments .
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws .
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes . .
(I) To select a mode of payment under any qu�lified
retirement plan {pension plan, profit sharing plan, employee
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I direct that all inheritance, estate, trans-
fer, succession and death taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate. ',
�
i
2 i
�
F2FTH: All interests hereunder, whether principal or
income, which are undistributed and in the possessian flf �he
�iduciaries acting hereunder, even though vested or distribut-
able, shall not be �ubject to attachment, executian or sequestra-
�ion for any debt, contract, �bligatian or liability of any
beneficiary, and furthermare, shall not be subjec� ta pledge,
assignment, conveyance ar anticipa�ion.
SSxTH: I nominate and appoin� LISA L. SKINNELL,
Executrix of this, my Last WiII and Testament . I direct that my
Executrix, and her successors, as the case may be, shall nat be
required to post security or a bond for the performance o� their
duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunta �et my hand and
seal to this, my La�t Will and Testament, �his �' ��day ot
� �.,.,,,.��..�Z_. , 2 0 0 5 .
�
�?����� ��
(SEAL}
PAULINE A. JAYNES �.
Signed, sea3.ed, publi�hed and declared by the ab�ave-
named Te�tatrix as and �or her Last Will and Testament in aur
presence, wha, a� her reque�t, in her presence and in the
presence of each other, have hereun�a subscribed our names as
attesting wi�nes�es .
r J�
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3