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� 1505610143
REV--1500 �``02-"' y�`
PA De artment of Revenue y OFFICIAL USE ONLY
P penns Ivania Counry Code Year File Number
Bureau of Individual Taxes °�^RT"�M�,�"�
PO BOX.280601 INHERITANCE TAX RETURN 21 12 0 9 91
Harrisburg,PA �7�2s-oso� RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
09 O1 2012 03 19 1919
Decedent's Last Name Suffix Decedent's First Name MI
KLINGER ELIZABETH B
(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
� 1. Original Retum � 2. Supplemental Retum � 3. Remainder Retum(Date of Death
Prior to 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise � 5. Federal Estate Tax Retum Required
(date of death after 12-12-82)
� g. Decedent Died Testate � Deceder�t Maintained a Living Trust 8. Tot21 Number Of Safe D@pOSit BOx@S
(Attach Copy of Will) ❑ (Attach Copy of Trust)
� 9. Litigation Proceeds Received � 10.���?4�3��a dit�(Da95�f Death � ��,Ele�ction to tax under Sec.9113(A)
(Attach Scheduie O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
JAME S D BOGAR ('�.7) 7 3'�;8 7 61
� � �
w
��
R�19�ER OF VI�S US��LY
� �� � �a �
First Line of Address �. � � � ��-;` �
ONE WEST MAIN STREET v"� � � � �
f"^� C',� � =� `�`r 'rr
Second Line of Address � � �� � �..,:. �
� '�i � Y"� �"r'I
Cf or Post OfFce DA'EErFIL
tY State ZIP Code
SHIREMANSTOWN PA 17011
Correspondent's e-mail address: Jbogar@bogarlaw.COt'li �
Under penalties of perjury,I declare that 1 have examined this return,including accompanyi.ng 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.
SIGNATURE OF ON RESPO BLE FOR FILtNG RETURN DATE
- James D. Bogar
ADDRESS
One West Main Street hiremanstown PA 17011
SIGNATURE PARER OT HAN REPRESENTATNE DATE
� James D. Bogar �j(,(� �
ADDRESS `
One West Main Street, iremanstown, PA 17011 �
Side 1
� 150561�143 1505610143 J
.
_� � 150561�243
REV-1500 EX
Decedent's Social Security Number
DecedenYSName: KIi�lger� EllZabeth B.
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&Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits 8 Miscellaneous Personal Property(Schedule E)............... 5. 3 6, 62 4 . 2 3
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous fyno;Probate Property
(Schedule G) �J Separate Billing Requested............ 7,
8. Total Gross Ass�ts(total Lines 1 through 7)........................................................ 8. 3 6, 62 4 .2 3
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 8 0'. 0 0
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10.
11. Total Deductions(total Lines 9 and 10)........................................:.....:................. 11. 8 0 . 0�
12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2, 3 6�5 4 4 .2 3
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)...................................:........... �4. 3 6,5 4 4 . 2 3
TAX COMPUTATION-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 15. 0 . 0 0
16. Amount of Line 14 taxable 0 . 0 0 16. � . 0�
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. � . 0�
18. Amount of Line 14 taxable
at collateral rate x.�5 3 6,5 4 4 .2 3 �8. 5,4 81 . 6 3
5 481 . 63
19. TAX DUE.......................................................................................:........................ 19. i
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
Side 2 .
�
1505610243 1505610243 J
,
REV-1500 EX Page 3 File Number 21-12-0991
Decedent's Complete Address:
DECEDENTS NAME
Klinger, Elizabeth B.
STREET ADDRESS - �
1 Wayne Circle
CITY STATE ZIP
Camp Hiil PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 5,481.63
2. Credits/Payments
A. Prior Payments
. - B. Discount
Total Credits(A +B) (2)
3. Interest � (3) 34.16 •
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 5 515 79
� •
Make Check Pa able to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE AFPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred:............................................................................... x
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?............................................................ x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑ ❑x
3: Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... Q. �x
4. Did decedent own an individual retirement account annuity or other non-probate property which a
� � ❑
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.
_ , ..
,. . :
,.-:x _ . .
_ .. . ,.
.. .�........ ...... . ...., .: �� � �� � . , . �F
. . .. . . .. .. � --�-. . �� . . . .
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 January 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(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-1508 EX+(11-10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC. �
DEPARTMENT OF REVENUE
INMERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF � FILE NUMBER
Klin er, Elizabeth B. 21-12-0991
Inciude the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Metro Bank -difference between reported date of death balance of Metro Accounts(per 36,624.23
10/1/12 letter)and actuai date of death value of these accounts(per 8/14/13 revised letter),
copies of which are attached hereto and incorporated herein.
. TOTAL(Also enter or�Line 5, Recapitulation) 36,624.23
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10)
BA N K 3801 Paxton Street 888.937.0004
Harrisburg, PA 17111 mymetrobank.com
10/1/12 �
James D. Bogar
Attorney At Law
One West Main St�
Shiremanstown, PA 17011
RE: Estate of: Elizabeth B. Klinger
Tax Identification Number: 188-32-5172 •
Date of Death: September 3, 2012
� To Whom It May Concern: � � �
. This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type: SV
� Account Number: 480002150
Date Opened: 10/20/1997 �
Primary Owner: Eiizabeth B. Klinger �
Secondary Owner: Henry G. Klinger
Date of Death Balance: $24,099.73
Please feel free to contact me at (717) 412-6127 if I may be of further assistance.
Sincerely---=—,-�...---�-�'"" _�..._.
�-''�
Jennifer Jacobs
Research Associate
Metro Bank � �
�� 3801 Pax.ton Street 88B.937.0004
�� H�rrrsbur PA i?111
g� mymetrvbank.cvm
�0/111� (REVISED 81'14!'13)
_ J�mes D. Bogar
Attomey At Law ,
On�VYes#Main St '
Shiremanstown, PA 17011 �
RE: Estate of: Elizabe�h B, Klinger
� Tax ident;fica#ion �lumber: 1 Ss-32-5172
� Da�� of Death: September 3, 201�
To Whom It May Cancern:
This!et#e�'is ir� referertce to deceden#�ccvunt information you requested for the �
individual listed above,
We ate able to provic�e the folivwing:
Account Type: SV �
Accvunt Number: 480�02150
pate�pened: 10/20/1�97
Date Closed: 91151z012 �
. Primary�wner: Elizabeth B. Klinger
Secondary Owner: H�nry G. Klinger . � ..
Da#e o�F Death Balance; $2,867.63 ,
�lccount Type: CD
Accvunt Number: 802Z16
Date Opened; QZ/25/2008
Da#e Ciosed: 09�1512p�.2 �
Primary Owner. Elizabe�h B. Klinger
Principal Balance:$20,00�,00
Ac�rued I�terest: $2.10
Date of Qeath Balance: $20,�02,10
���� 3801 Paxton Street 888.g37.000�
Narrisburg, PA 17111 mymetrobank.corn
Account Type: CD �-
Accaunt Number. 802541
Date Opened: 01122IZ009
Da#e Closed; 09/15/2012
Primary Owner: �lizabeth B. Klinger
. Principat Balan�e: �37,84�.89 _
Accrued int�rest: �1z.34 �
Date of Death Balance; $37,854.23
Please fee)free to con#act mQ at�77 7)412-61 Z7 if I may be vf further assista
nce.
Sinceret}r,
<`,._,_..._ •��- -........ ......'.__-.:.J:_._. ._.::�. _,._ . .. ,
��� ��_ �;.�.�:_. .� �� �
Jentii�er Jacabs
Res�arch Associate �
Metro Bank
' REV-1511 EX+(10-09) SCHEDULE H
pennsylvania
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
R SEDENTDEC D NTTURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Kiinger, Elizabeth B. 21-12-0991
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
q, FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personai Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s)Commission Paid
2. Attomev's Fees `. � � �
3, Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City � State Zio
Relationshio of Claimant to Decedent
4. Probate Fees 50.00
5. AccountanYs Fees
6. Tax Return Preparer's Fees � �
7. Other Administrative Costs 30.00
See continuation schedule(s)attached
TOTAL(Also enter on line 9, Recapitulation) 80.00
Copyright(c)2009 forrn software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev. 10-09)
.
� SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF ` FILE NUMBER
Kiinger, Elizabeth B. 21-12-0991
ITEM
NUMBER DESCRIPTION AMOUNT
Other Administrative Costs
1 Register of Wills.-filing fee for Supplemental Pennsylvania lnheritance Tax Return and 30:00 �
Inventory
H-B7 30.00
�
Copyright(c)2002 foRn software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
• REV-1513EX+�01-10) • •
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BE N EF IC IARI ES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Klin er, Elizabeth B. 21-12-0991
RELATIONSHIP TO
NAME AND ADDRESS OF SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$)
I TAXABLE DISTRIBUTIONS [include outright spousal -
• distributions,and transfers
under Sec.9116 a 1.2
Bruce E.Speirs Nephew One-half of rest,
Box 5280 residue and
Houck,AZ 86506 rernainder
Naomi Speirs Niece One-half of rest,
Box 5280 residue and �
Houck,AZ 86506 remainder
Total
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500.cover sheet,as a ro riate. `
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE �
Copyright(c)2010 form software onty The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10)
.
LAST WILL AND TESTAMENT
OF
ELIZABETH B. KLINGER
I, ELIZABETH B. KLINGER, of Camp Hill, Cumberland
County, Pennsylvania, make, publish and declare this as and for
m�r Last Will and Testament, hereby revoking all otrier Wills and
Codicils heretofore made by me.
FIRST: 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 nephew, BRUCE
E. SPEIRS and NAOMI SPEIRS, his wife, or the survivor as between
the two of them, of Box 5280, Houck, Arizo�na 86506.
SECOND: Should both BRUCE E. SPEIRS and NAOMI SPEIRS
r' predecease me, 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 their issue per
� -
stirpes by representation. . .
THIRD: In addition to all powers granted to them by
law and by other provisions oz Lh�s v�Tiil, I give tne iiduciarics
acting hereunder the following powers, applicable to all proper-
. . �
ty, exercisable without court approval and effective until actual ,
distribution of al1 property:
(A) To sell at public or private sale, or to lease,
for any period of time, any real or personal property arid to give
op�tions for sales, exchanges or leases, for such prices arid �u.pon
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 -
to receive the proceeds of any disposition of it. �
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, impzovement, 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 investrnents 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
d Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws .
j (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 deb.ts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my wi11, and for '
.
investment purposes .
(I) To select a mode of payment under any qualified
�-� 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 advisabl.e.
THIRD: 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
. 2
� r
� ,
to property passing under this Will, shall be paid out of the
principal of my residuary estate .
FOURTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
able, shall not be subject to attachment, execution or sequestra-
tion for any debt, contract, obligation or liability of any
beneficiary, and furthermore, shall not be subject to pledge, �
assignment, conveyance or anticipation.
FIFTH: I nominate and appoint JAMES D. BOGAR., Executor
�� o f thi s, my La s t Wi l l and Tes tament. In the event o f the death�,
resignation or inability to serve for any reason whatsoever of
the said JAMES D. BOGAR., I nominate and appo�nt JENNIFER B. HIPP, �
Executrix of this, my Last Will and Testament. I direct that my
Executor or Executrix, as the case may be, and their successors,
shall not be required to post security or a bond for the
performance of their duties in any jurisdiction.
,
IN WIT�TESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this �� day of
��?Cs��-- , 2007 .
V ,.
r �
�� � (SEAL)
ELIZ BETH B. KLINGER
3
.
,
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last Will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses .
Addres s
� .
Addre s s
4