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HomeMy WebLinkAbout07-02-13 REV-1500 Ex 10"o, 1505610140 OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number PO BOX 280601 INHERITANCE 1 1 2 - 1 1 4 5 Harrisburg,PA 17128-0501 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYWY Date of Birth MMDDYYYY 1 0 1 6 2 0 1 2 0 3 0 9 1 9 5 3 Decedent's Last Name Suffix Decedent's First Name M1 B E A M G A R Y R (If Applicable)Enter Surviving Spouse's information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return 2.Supplemental Return 3, Remainder Return(date of death prior to 12-13-82) n 4.Limited Estate 4a.Future Interest Compromise(date of 0 5.Federal Estate Tax Return Required death after 12-12-82) ® 6.Decedent Died Testate [] 7. Decedent Maintained a Living Trust — 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9.Litigation Proceeds Received E3 10.Spousal Poverty Credit(date of death [] 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1.96) (Attach Sch.0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number R O G E R B I R W I N 7 1 7 2 4 9 2 3 5 3 REGISTER OF WELLS USE ONLY fa irl First line of address o r"1 ` c_. I R W I N & M c K N I G H T P C - ni Second line of address r ,, rj Ili r n 6 0 W E S T P O M F R E T S T R E E T DAYE �l City or Post Office State ZIP Code fILED'— _ C A R L I S L E P A 1 7 0 1 3 - C77 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,=and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNA RE ERSON RESPON FO ING RETURN DATE ADDRESS 1180 MYERSTOWN ROAD GARDNERS PA 17324 SIGN R P EPAR R O HAN REPRESENTATIVE 7 4A 13 ADDRESS 60 WEST P FRET STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 4 1505610140 1505610140 1505610240 REV-1500 EX Decedent's Social Security Number Decedents Name: GARY R. BEAM 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. 1 3 4 8 3 2 . ? 8 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. 3 0 4 0 • 3 4 7. inter-Vivos Transfers 8 Miscellaneous N -Probate Property (Schedule G) Separate Billing Requested . ... ... 7. 8. Total Gross Assets(total Lines 1 through 7) 8. 1 3 ? 8 ? 3 . 1 2 9. Funeral Expenses and Administrative Costs(Schedule H) ... .. . .. .. . . . . .. .. 9. ? 8 5 6 . 0 4 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) .... . ... .. .. .. % 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . ..... . . . . .... . . . ...... 11. ? 8 5 6 . 0 4 12. Net Value of Estate(Line 8 minus Line 11) ...... ..... .... . ......... ... 12. 1 3 0 0 1 7 . 0 8 13. Charitable and Governmental Bequests/See 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 3 0 0 1 7 . 0 8 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (ax11)X.0 _ 0 . 0 0 15. 16. Amount of Line 14 taxable at lineal rate X.045 0 . 0 0 16. 0 . 0 0 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0 0 16, 0 . 0 0 19. TAX DUE . .. . . . . .. . . . . . ... . . . .. . . .... . . . .... .. . . . ...... . .. . .... 19. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 L 1505610240 1505610240 J REV-1a00 Ex Pege 3 File Number Decedent's Complete Address: 21 12 1145 DECEDENTS NAME GARY R. BEAM STREET ADDRESS 1180 MYERSTOWN ROAD CITY STATE ZIP GARDNERS PA 17324 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B) (2) 0.00 1 Interest {3) 4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENT. FBI 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 inxxne of the property transferred; ................................ ................._................... 11 b. retain the right to designate who shall use the property transferred or its income; ............................... 171 c, retain a reversionary interest;or ................................................................................................ ❑ FXI d. receive the promise for life of either payments,benefits or pre? ....................................................... ❑ 2. 0 death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ............................................................:.......................... ❑ 1 Did decedent own an'in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ nX 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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)(11)(i)). For dates of death on or after Jan. 1,1995,the tax rate imposed an 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 not 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(12)(72 P.S.§9116(x)(1)]• • The tax rate imposed on the net value of transfers to or for the use of the decedents 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-1504 EX+(6-98) SCHEDULE C CLOSELY-HELD CORPORATION, COMMONWEALTH OF PENNSYLVANIA PARTNERSHIP OR INHERITANCE TAX RETURN RESIDENT DECEDENT SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER GARY R. BEAM 21 12 1145 Schedule C-1 or C-2(including all supporting information)must be attached for each closely-held oorporabonlpannership interest of the decedent,other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ALVIN BEAM PAINTING -SOLE PROPRIETORSHIP 120,217.00 2. M&T BANK-CHECKING ACCOUNT#9848293636 14,615.78 ALVIN BEAM PAINTING CONTRACTOR TOTAL(Also enter on line 3,Recapitulation) $ '13483278 (If more space is needed,insert additional sheets of the same size) REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: GARY R. BEAM 21 12 1145 Van asset was made Jointly owned within one year of the decedents date of death,it must he reported on Schedule 0. SURVIVING JOINT TENANT(S)NAMES) ADDRESS RELATIONSHIP TO DECEDENT A. PATRICIA A. BEAM 1180 MYERSTOWN ROAD SPOUSE GARDNERS, PA 17324 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % DATE OF DEATH ITEM FORJOINT MADE INCLUDE NAME OF FINANCIAL.INSTITUTION AND SAW ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER,ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. M&T BANK-CHECKING ACCOUNT#9840522891 824.67 50. 412.34 2. A. M&T BANK-SAVINGS ACCOUNT#15004216021482 5,255.99 50. 2,628.00 TOTAL(Also enter on Line 6,Recapitulation) $ 3,040.34 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX-(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER GARY R. BEAM 21 12 1145 Decedent's debts must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Nanle(s)of Personal Representatives) Street Address City State LP Years)Commission Paid: 2. Attorney Fees: IRWIN & MCKNIGHT, P.C. 7,000.00 3, Family Exemption:(If decedents address Is not the same as claimants,attach explanation.) Clamant Steel Address CITY state LP Relationship of Claimant to Decedent 4. Probate Fees: REGISTER OF WILLS 186.50 6 Accountant Fees: 6. Tax Return Preparer Fees: PATRICIA A. ROSEN DALE, CPA 375.00 7. REGISTER OF WILLS- FILING FEE 30.00 8. THE SENTINEL- ESTATE NOTICE 189.54 9. CUMBERLAND LAW JOURNAL- ESTATE NOTICE 75.00 TOTAL(Also enter on Line 9,Recapitulation) $ 7,856.04 If more space is needed,use additional sheets of paper of the same she. REV-1513 EX-(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: GARY R. BEAM 21 12 1145 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 pndudeou" htspousaldistdhutions and trans fers under Sec. 91T, (a)(12).) 1. PATRICIA A. BEAM Spousal 1180 MYERSTOWN ROAD REMAINDER GARDNERS, PA 17324 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. 0. 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 11 -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. LAST WILL AND TESTAMENT I, GARY R. BEAM, of Dickinson Township, Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and declare this to be my Last Will and Testament,hereby revoking all Wills and Codicils heretofore made by me. 1. I direct my Executrix or Substitute Executrices, as the case may be, to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executrix or Substitute Executrices of my estate. 2. My Executrix or Substitute Executrices may, at her or their discretion, compromise claims, borrow money, retain property for such length of time as she or they may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she or they may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. 3. I authorize and empower my Executrix or Substitute Executrices to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My Executrix or Substitute Executrices is/are authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executrix or Substitute Executrices. t 4. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my wife, PATRICIA A. BEAM,providing she shall survive me by sixty(60)days. 5. Should the gift in Paragraph No. 4 not take effect, I give, devise and bequeath all of my estate of whatever nature and wherever situate as follows: a. The sum of$50,000.00 to URIAH UNITED METHODIST CHURCH, 925 Goodyear Road, Gardners, PA 17324; b. The sum of$50,000.00 to GOODYEAR MOUNT ZION CHURCH,4200 Carlisle Road,Gardners,PA 17324; c. The sum of$25,000.00 to be held in a Trust Fund at Adams County National Bank for SALENE SHAFFER, 916 Mill Race Road,Millerstown, PA 17062, with the principal and interest to be paid to her at eighteen(18) years of age if she does not go to college or the principal and interest to be paid to her at the age of twenty-one(2 1)years of age if she does go to college; d. All the assets of Alvin Beam Painting, including vehicles and equipment, to EDWARD L. SMITH; e. All the assets of Gary Beam Racing, including vehicles, motors and other equipment,to JIM RUSSELL,P. O. Box 254, Millerstown, PA 17062, and TODD SHAFFER, 96 Mill Race Road, Millerstown,PA 17062, share and share alike; and 2 f. All the rest,residue and remainder to KAY LaRUE,604 Ridge Road,York Springs, PA 17372, WENDY GRAYBILL, 75 Two Churches Road,East Berlin,PA 17316, and WANDA BEERS, 713 Oak Hill Road,Boiling Springs,PA 17007, share and share alike. 6. I nominate and appoint my wife, PATRICIA A. BEAM, to be the Executrix of this my Last Will and Testament. In the event she has predeceased me, failed to qualify or is not able or does not serve for whatever reason,I then appoint KAY LaRUE,WENDY GRAYBILL and WANDA BEERS to be the Substitute Executrices of this my Last Will and Testament, whereby the said Substitute Executrices shall have the same powers as are given to the original Executrix hereunder. 7. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty (60) days. 8. No Executrix or Substitute Executrix acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. 9. No beneficiary may assign, anticipate or pledge his,her or its interest in any income or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or otherwise reach any such interest. 3 10. I hereby suggest that my personal representative(s) retain the services of Irwin & McKnight as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my land and seal this V r day of March, 2008. aea� (SEAL) LGARY R. BEAM Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in our presence, who, at his request, in his presence and in the presence of each other have hereunto set our names as subscribing witnesses. 4 S ACKNOWLEDGMENT AND AFFIDAVIT WE, GARY R. BEAM, KAREN S. NOEL and SHARON L. SCHWALM, the Testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly swom, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of their knowledge the Testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. UC GA R.B AM KAREN S.NOEL SHARON L.SCHWALM COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by GARY R. BEAM, the Testator herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON L. SCHWALM,witnesses, this Wt day of March, 2008. otary Public COMMO ALTH OF PENNSYLVANIA Notarial Seal Roger B.In nn,Nomry Public Carlisle Bom,Cumtnrland County N'b'Corrun5sictn Expires Oa.3,2008 Member.Pennsylvania Association Of Nolades V� Smith Elliott Kearns 0 Company,LLC Ccrilficd Public Accountants&Conaultanls RECEIVED May 28, 2013 MAY 3 1 2013 IRWIN&WKNIGHT LAW OFFICES Mr. Roger B. Irwin, Esq. Irwin& McKnight 60 West Pomfret Street Carlisle, PA 17013 Dear Roger: RE: Estate of Gary R.Beam, Alvin Beam Painting As you requested I have summarized the appraisals of the property owned by Gary Beam's sole proprietorship, Alvin Beam Painting as of the time of his death. As of October 16, 2012 the total value of the appraised assets of the business was $ 120,217. For your convenience, I have enclosed the detail of the equipment appraised. If you need any additional information regarding this matter, please give me a call. Sincerely, SMITH EL TT KEARNS OMPANY, LLC Joel A. Flinchbaugh PA Member of the Firm Enclosure 19 BROOKWOOD AVENUE,SUITE 101 •CARLISLE, PENNSYLVANIA 17015•(717)243-9104•FAX(717)243-1177•www.sek.com Member American Institute of Certified Public Accountants• Registered with Public Company Accounting Oversight Board Independently-owned Member of PKF North America Carlisle,Pennsylvania • Chambersburg, Pennsylvania • Hagerstown,Maryland • Hanover,Pennsylvania Bmith Elliott Kcam 9 Company,LLC CcrOfcd Public Arco d.un ar Conwk.a L. Alvin Beam Painting Equipment Values October 16,2012 1998 Ford E-150 $ 3,938 1999 Ford E-150 5,850 2001 Ford E-150 5,059 2003 Ford E-150 7,677 2005 Ford E-250 6,307 2016 W;d F-150 17,612 2009 Ford E-250 15,550 2008 Ford Escape 10,585 2011 Ford Expedition 26,305 Ladders, Small Equipment, Etc 21,334 Total $ 120,217 © M&TBank 499 Mitchell Road,Millsboro,DE 19966 Adjustment Services Phone 888-50211349 Fax (302)934-2955 Law Offices November 5,2012 Irwin & McKnight,P.C. West Pomfret Professional Building 60 West Pomfret Street RECEIVE) Carlisle,PA 17013-3222 NOV 0 8 2012 IKWIN&McKNIGH"§ LAW OFFICES Re: Estate of Gary R.Beam Social Security: 209-36-1182 Date of Death: October 16, 2012 Dear Sir or Madam: Per your inquiry on October 30, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 9848293636 Ownership(Names of) Alvin Beam Painting COntractor{DBA) Gary R.Beam(Sale Pro) Patricia A.Beam(POA) Opening Date 0511412009 Balance on Date of Death $14,615.78 Accrued Interest $ .00 Total ------------------------------ $14,615.78 ------------- 2. Type of Account Checking Account Account Number 9840522891 Ownership(Names af) Gary R.Beam Patricia A.Beam Opening Date 07222005 Balance on Date of Death $824.67 Accrued Interest $ .00 Total --------- ------------------------- $824.67 3. Type of Account Savings Account Account Number 15004216021482 Ownership(Names of) Gary R.Beam Patricia A.Beam Opening Date 11/162007 i Balance on Date of Death $5,255.86 Accred Interest $ .13 Total $5,255.99 4. Type of Account Savings Account AccountNumber 25004920114523 Ownership(Names o) Gary R.Beam Patricia A.Beam Opening Date 1013111994 Balance on Date of Death $00.00 Accred Interest $ .00 --------------------------------------------- Total $00.00 For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds, please®11 the Mount Holly Springs at 717486.3038. We were unable to locate any safe deposit box for the above-mentioned decedent. This letter does not include any accounts in which the deceased may have been listed as power of Attorney,Custodian of Uniform Transfers, Representative Payee,or Trustee under a Written Agreement. Sincerely, Valarie Mercer Adjustment Services