HomeMy WebLinkAbout10-08-13 0
J 1505610105
REV-1500 EX(02-11)(FI)'; airy
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania
Bureau of Individual Taxes "T County Code Year File Number
PO BOX 28o6oi INHERITANCE TAX RETURN ' Al f� p��
Harrisburg,PA 17128-o6oi RESIDENT DECEDENT `/
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
06/26/2013 12/03/1928
Decedent's Last Name Suffix Decedent's First Name MI
Beck Jane W
(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
GID 1.Original Return p 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 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 TO:
Name Daytime Telephone Number
Matthew W. Beck (q;0)207-96(
M-
§GISTER(';F.JVILL 6SCDNLY
First Line of Address
co
35 Carriage Rd
c.-i
Second Line of Address e C
City or Post Office State ZIP Code DAT'r ILE61)
Palmyra PA 17078
Correspondent's e-mail address:matt.w.beck @gmail.COm
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI UR PERSON PO IBLE FOR FILING RETURN ID ATE
ADDRESS
35 42l LM Oo
SI,QN E F PREPA `T HER T PRES IVE DATE
AlJD Gc/ olas ��Ir�I��� r�,Q 17ail
PLEASE USE ORIGINAL FORM ONLY
Side 1
15 05610105 1505610105
CI
1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name:
RECAPITULATION
1. Real Estate(Schedule A). ... . . . . . . . .. . . ...... . . . . . ..... . . . . ........ . . 1. 175,000.00
2. Stocks and Bonds(Schedule B) ........ ....... .. . ... ... .. ........ . . .. . 2. 1,000,385.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00
4. Mortgages and Notes Receivable Schedule D 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 29,034.00
6. Jointly Owned Property(Schedule F) O Separate Billing Requested .. . . . . . 6.
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. 1,204,419.00
9. Funeral Expenses and Administrative Costs(Schedule H). .. ....... . . . . .. . .. 9. 6,368.00
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1).... . .. . . ...... 10. 5,208.00
11. Total Deductions(total Lines 9 and 10). .. . . . ...... . ... ....... . . . ....... 11. 11,576.00
12, Net Value of Estate(Line 8 minus Line 11) ..... . . . ....... . . . .. ..... .. . . . 12. 1,192,843.00
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) . . .... ... . . . .. . ... . . . . .. 13.
14. Net Value Subject to Tax(Line 12 minus Line 13) ........ . ......... .... . . 14. 1,192,843.00
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_ 0.00 15.
16. Amount of Line 14 taxable
at lineal rate X.0 45 1,182,843.00 16. ! 53,227.94
17. Amount of Line 14 taxable
at sibling rate X.12 17.
18. Amount of Line 14 taxable 10,000.00 1,500.00
at collateral rate X.15 18.
19. TAX DUE . .. . . . . . . . . . . . . . .. ....... .... .. ....... . .. ...... .. . . . . ... . 19. 54,727.94
_20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610205 1505610205
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Jane Whitney Beck
STREETADDRESS
505 Ohio Ave
CITY TSTATE ZIP
Lemoyne PA 17043
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 54,727.94
2. Credits/Payments
A.Prior Payments
B.Discount 2,736.40
Total Credits(A+B) (2) 2,736.40
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 51,991.54
Make check payable to: REGISTER OF WILLS, AGENT.
gym :
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.......................................................................................... ❑ N
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ N
c. retain a reversionary interest .............................................................................................................................. ❑ E
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?.............................................................................................................. ❑ M
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 0
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation? ........................................................................................................................ ❑ 0
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 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-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
u rMCE TAX RETURN REAL ESTATE
RESIDENT DECEDEK
ESTATE OF: FILE NUMBER:
Jane Whitney Beck 2013-00732
Ali feel property owned solely or as a tenant in common must be reported at fair.market value.Fair market value Is defined as the price at which property
would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant fads.
Real property that Is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
NUN Include a copy of the deed showing decedent's interest if owned as tenant in common. V W lAT DFIATE
DESCRIPTION
1 Single Family Home,505 Ohio Ave Lemoyne,PA 17043 175,000.00
TOTAL(Also enter on Line 1, Recapitulation.) $ 175,000.00
If more space is needed,use additional sheets of paper of the same size.
-
;\ \ \ ` \ aK \ § \\ ) ) :■ - : - - ' -
,�} \} \\ ` . . j , . /§�_ \ � , z , ■ : \ \ � \ � \� § � � l � }
-
E } / \
-
:
-
� �� \ \_ _;
EEC ° -
; . p
-
j \
-
] __ : -
_
- -
- -
3 - y
� 1:75+ �` -i�� S=.� � .■ � �� �C1 �� - -+ '.: � � - �; -. � r•t •��� �t 1 t i.� � .; .t - � �
REV-1503 EX+(8-12)
s pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Jane Whitney Beck 2013-00732
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
I. See Attached list of 61 Securities held at time of death. 997,821.00
2 Dividends and Interest accrued 1,539.49
3 141 Shares Banco Santander 1,024.30
TOTAL(Also enter on Line 2, Recapitulation) $ 1,000,384.80
If more space is needed, insert additional sheets of the same size
Estate Valuation
Date of Death: 06/26/2013 Estate of: Jane Beck
Valuation Date: 06/26/2013 Account: 1427-2536
Processing Date: 08/23/2013 Report Type: Date of Death
Number of Securities: 61
File ID: Jane Beck-1427-2536-DOD6-26-13
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) 15 THE ADT CORPORATION (ADT)
COM
TSX venture Exchange
06/26/2013 41.07500 40.41000 H/L
40.742500 611.14
2) 100 APACHE CORP (037411105; APA)
CON
New York Stock Exchange
06/26/2013 83.59000 82.85000 H/L
83.220000 8,322.00
3) 200 AT&T INC (00206R102; T)
COM
New York Stock Exchange
06/26/2013 35.49000 35.09000 H/L
35.290000 7,058.00
4) 300 BARRICK GOLD CORP (067901108; ABX)
COM
New York Stock Exchange
06/26/2013 15.52000 14.75000 H/L
15.135000 4,540.50
5) 200 CHEVRON CORP NEW (166764100; CVX) >.
COM
New York Stock Exchange
06/25/2013 118.54000 117.00000 H/L
117.770000 23,554.00
6) 200 CONAGRA FOODS INC (205887102; CAG)
COM
New York Stock Exchange
06/26/2013 33.64000 33.35000 H/L
33.495000 6,699.00
7) 100 CONOCOPHILLIPS (20825C104; COP)
COM
New York Stock Exchange
06/26/2013 60.45000 59.75800 H/L
60.104000 6,010.40
8) 30 COVIDIEN PLC (G2552X108; COV)
SHS
New York Stock Exchange
06/26/2013 62.73000 61.60000 H/L
62.165000 1,864.95
9) 100 CRESCENT PT ENERGY CORP (225908102; CSCTF)
CON
Other OTC
06/26/2013 34.63200 33.83000 H/L
34.231000
Div: 0.230000 Ex: 06/26/2013 Rec: 06/30/2013 Pay: 07/15/2013 + 0,230000
34.461000 3,292.35
Values adjusted by 0.95538359 for Canada dollar rate
10) 200 DEVON ENERGY CORP NEW (25179M103; DVN)
COM
New York Stock Exchange
06/26/2013 53.50000 52.60000 H/L
Div: 0.22 Ex: 06/12/2013 Rec: 06/14/2013 Pay: 06/28/2013 53.050000 44.00 10,610.00
11) 400 DOMINION RES INC VA NEW (257460109; D)
CON
New York Stock Exchange
06/26/2013 56.53900 55.88000 H/L
56.209500 22,483.80
t
Page 1
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818)'313-6300 or www.evpsys.com. (Revision 7.3.1)
Date of Death: 06/26/2013 Estate of: Jane Beck
Valuation Date: 06/26/2013 Account: 1427-2536
Processing Date: 08/23/2013 Report Type: Date of Death
Number of Securities: 61
File ID: Jane Beck-1427-2536-DOD6-26-13
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
12) 300 ENCANA CORP (292505104; ECA)
CON
New York Stock Exchange
06/26/2013 17.34000 17.07000 H/L
17.205000 5,161.50
Div: 0.2 Ex: 06/12/2013 Rec: 06/14/2013 Pay: 06/28/2013 60.00
13) 100 FRANCO NEVADA CORP (351858105; FNV)
CON
Toronto Stock Exchange
06/26/2013 32.76000 31.54000 H/L
32.150000 3,215.00
Div: 0.06 Ex: 06/11/2013 Rec: 06/13/2013 Pay: 06/27/2013 6.00
14) 200 GENERAL MLS INC (370334104; GIS)
CON
New York Stock Exchange
06/26/2013 48.25000 47.56000 H/L
47.905000 9,581.00
15) 300 GLATFELTER (377316104; GLT)
COM
New York Stock Exchange
06/26/2013 25.26000 24.74770 H/L
25.003850 7,501.16
16) 200 INTEL CORP (458140100; INTC)
COM
The NASDAQ Stock Market LLC
06/26/2013 24.23500 23.89000 H/L
24.062500 4,812.50
17) 200 KELLOGG CO (487836108; K)
CON
New York Stock Exchange
06/26/2013 64.05000 63.43000 H/L
63.740000 12,748.00
18) 200 KIMBERLY CLARK CORP (494368103; KMB)
CON
New York Stock Exchange
06/26/2013 97.30000 96.27000 H/L
96.785000 19,357.00
Div: 0.81 Ex: 06/05/2013 Rec: 06/07/2013 Pay: 07/02/2013 162.00
19) 100 KRAFT FOODS GROUP INC (KRFT)
COM
NASDAQ Stock Market
06/26/2013 55.13000 53.67000 H/L
54.400000
Div: 0.500000 Ex: 06/26/2013 Rec: 06/28/2013 Pay: 07/12/2013 + 0.500000
54.900000 5,490.00
20) 300 MDU RES GROUP INC (552690109; MDU)
COM
New York Stock Exchange
06/26/2013 25.78000 25.21500 H/L
25.497500 7,649.25
Div: 0.1725 Ex: 06/11/2013 Rec: 06/13/2013 Pay: 07/01/2013 51.75
21) 300 MONDELEZ INTL INC (MDLZ)
CL A
NASDAQ Stock Market
06/26/2013 29.04000 28.68000 H/L
28.860000 8,658.00
22) 100 NATIONAL FUEL GAS CO N J (636180101; NFG)
COM
New York Stock Exchange
06/26/2013 58.95000 58.18000 H/L
58.565000
Div: 0.375000 Ex: 06/26/2013 Rec: 06/28/2013 Pay: 07/15/2013 + 0.375000
58.940000 5,894.00
Page 2
This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Date'of Death: 06/26/2013 Estate of: Jane Beck
Valuation Date: 06/26/2013 Account: 1427-2536
Processing Date: 08/23/2013 Report Type: Date of Death
Number of Securities: 61
File ID: Jane Beck-1427-2536-DOD6-26-13
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
23) 200 NEXTERA ENERGY INC (65339F101; NEE)
CON
New York Stock Exchange
06/26/2013 80.47000 79.50840 H/L
79.989200 15,997.84
24) 1000 PEPCO HOLDINGS INC (713291102; POM)
COM
New York Stock Exchange
06/26/2013 20.27000 19.99100 H/L
20.130500 20,130.50
Div: 0.27 Ex: 06/06/2013 Rec: 06/10/2013 Pay: 06/28/2013 270.00
25) 200 PEPSICO INC (713448108; PEP)
COM
New York Stock Exchange
06/26/2013 81.57000 80.62000 H/L
81.095000 16,219.00
Div: 0.5675 Ex: 06/05/2013 Rec: 06/07/2013 Pay: 06/28/2013 113.50
26) 50 PHILLIPS 66 (718546104; PSX)
COM
New York Stock Exchange
06/26/2013 60.96000 59.56000 H/L
60.260000 3,013.00
27) 150 PROCTER 6 GAMBLE CO (742718109; PG)
CON
New York Stock Exchange
06/26/2013 77.59000 77.02000 H/L
77.305000 11,595.75
28) 150 ROYAL DUTCH SHELL PLC (780259107)
SPON ADR B
New York Stock Exchange
06/26/2013 66.19200 65.55000 H/L
65.871000 9,880.65
Div: 0.9 Ex: 05/15/2013 Rec: 05/17/2013 Pay: 06/27/2013 135.00
29) 400 SOUTHERN CO (842587107; SO)
COM
New York Stock Exchange
06/26/2013 44.17000 43.68010 H/L
43.925050 17,570.02
30) 200 SOUTHWESTERN ENERGY CO (845467109; SWN)
COM
New York Stock Exchange
06/26/2013 37.15000 36.34000 H/L
36.745000 7,349.00
31) 100 SPUR GOLD TRUST (78463V107; GLD)
GOLD SHS
NYSE Arca Equities Exchange
06/26/2013 119.90000 118.06000 H/L
118.980000 11,898.00
32) 400 SUNCOR ENERGY INC NEW (867224107; SU)
COM
New York Stock Exchange
06/26/2013 29.10500 28.70000 H/L
28.902500 11,561.00
33) 200 TE CONNECTIVITY LTD (G9144P105; TEL)
REG SHS
New York Stock Exchange
06/26/2013 45.75000 45.33000 H/L
45.540000 9,108.00
Page 3' a
This report was produced with EstateVal, a product of Estate Valuations 4 Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Estate of: Jane Beck
Date of Death: 06/26/2013 Account: 1427-2536
Valuation Date: 06/26/2013 Report'Type: Date of Death
Processing Date: 08/23/2013 Number of Securities: 61
File ID: Jane Heck-1427-2536-DOD6-26-13
Shares Security Mean and/or Div and int Security
or Par Description High/Ask Law/Bid Adjustments Accruals Value
34) 30 TYCO INTERNATIONAL LTD (H89128104; TYC)
SRS
New York Stock Exchange
06/26/2013 32.25000 31.98000 H/L 963.45
32.115000
35) 200 vERIZON COMMUNICATIONS INC (92343V104, VZ)
COM
New York Stock Exchange
06/26/2013 50.84000 50.24000 H/L
50,590000 10,108.00
36) 200 WALGREEN CO (931422109; WAG)
COM
New York Stock Exchange
06/26/2013 45.89000 44.96000 H/L
45.425004 9,085.00
37) 200 WGL HLDGS INC (92924F106; WGL)
COM
New York Stock Exchange
06/26/2013 42.86000 42.48000 H/L
42.670000 8,539.00
38) 400 WPX ENERGY INC (982128103; WPX)
COM
New York Stock Exchange
06/26/2013 19.62000 119,33500 H/L 7,791.00
19.477540
39) 571.317 AIM GW SERINVSC GW SER (00141M812; GTAGX)
INVSC MDC CORE A
Mutual Fund (as quoted by NASDAQ) 24.04000 Mkt
06/26/2013 24.040000 13,734.46
40) 1250000 FHLMC PC GOLD CASH 15 (31294KHC2)
Interactive Data Corporation
Mat: 02/01/2017 6.5004 Fact: 0.01614865 106.90150 106.52650 A/B
06/26/2013 106.713999 21,541.09
Int: 06/01/2013 to 06/26/2013 91.12
41) 30000 GNMA PASS-THRU X SINGLE FAMILY (36224DET8)
Interactive Data Corporation
Mat: 05/15/2022 7.500% Fact: 0.00809755112 29115 111.91615 A/B
06/26/2013 112.103653 272.33
Int: 06/01/2013 to 06/26/2013 1'27
42) 25000 GNMA PASS-THRU X SINGLE FAMILY (36203TYP4)
Interactive Data Corporation
Mat: 07/15/2023 6.500% Fact: 0.01576553
06/26/2013 113.11566 A/B
113.115660 445.83
int: 06/01/2013 to 06/26/2013 1.78
43) 75000 GNMA PASS-THRU M SINGLE FAMILY (36202CW82)
Interactive Data Corporation
Mat: 08/20/2027 7.000% Fact:0,0110138
06/26/2013 116.43315 A/B
116.433153 961.7&-
Int: 06/03/2013 to 06/26/2013 4.02
44) 50000 GNMA PASS-THRU X SINGLE FAMILY (36210TEK8)
Interactive Data Corporation
Mat: 03/15/2029 7.000% Fact: 0.00909586
06/26/2013 116.80741 A/B
116.807406 531.23
Int: 06/01/2013 to 06/26/2013 2.21
Page 4 «
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys,com. (Revision 7'.3.1)
Date of Death: 06/26/2013 Estate of: Jane Beck
Valuation Date: 06/26/2013 Account: 1427-2536
Report Type: Date of Death
Processing Date: 08/23/2013
Number of Securities: 61
File ID: Jane Beck-1427-2536-DOD6-26-13
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
45) 100000 FHLMC REMIC SERIES 3816 (3137A6QZ8)
Interactive Data Corporation
Mat: 11/15/2025 3.5004 Fact: 0.39077812
06/26/2013 102.95340 Mkt
102._953400 40,231.94
Int: 06/01/2013 to 06/26/2013 94.98
46) 50000 GNMA PASS-THRU M SINGLE FAMILY (36202DQZ7)
Interactive Data Corporation
Mat: 12/20/2031 6.0004 Fact: 0.03641844
06/26/2013 115.92718 115.86468 A/B
115.895932 2,110.37
Int: 06/01/2013 to 06/26/2013 7.59
47) 37249 GNMA PASS-THRU M SINGLE FAMILY (36202DRW3)
Interactive Data Corporation
Mat: 02/20/2032 6.5004 Fact: 0.01969549
06/26/2013 114.47261 114.09761 A/B
114.285107 839,99
Int: 06/01/2013 to 06/26/2013 3.31
48) 6000 FHLMC REMIC SERIES 2715 (31394MPA2)
Interactive Data Corporation
Mat: 12/15/2033 5.500% Fact: 0.86227963
06/26/2013 109.20370 Mkt
109.203700 5,699.85
Int: 06/01/2013 to 06/26/2013 19.76
49) 32000 FHLMC REMIC SERIES 2728 (31394P4P5)
Interactive Data Corporation
Mat: 01/15/2034 6.000% Fact: 0.87860754
06/26/2013 111.46040 Mkt
111.460400 31x337.58
Int: 06/01/2013 to 06/26/2013 117.15
50) 50000 GNMA REMIC TRUST 2009-34 (38374TJ39)
Interactive Data Corporation
Mat: 03/20/2034 4.000% Fact: 0.14763666
06/26/2013 102.06260 Mkt
142.062600 7,534.09
Int: 06/01/2013 to 06/26/2013 20.51
51) 64000 FNNA REMIC TRUST 2004-60 (31394AWF9)
Interactive Data Corporation
Mat: 04/25/2034 5.500% Fact: 0.37322287
O6/26/2013 103.24926 Mkt
103.249260 24,662.39
Int: 06/01/2013 to 06/26/2013 91.23
52) 12000 GNMA REMIC TRUST 2005-51 (38374LXL0)
Interactive Data Corporation
Mat: 07/20/2035 5.0004 Fact: 1
06/26/2013 111.41384 Mkt
111.413890 13,369.6.6
Int: 06/01/2013 to 06/26/2013 91.67
53) 3000 FNMA REMIC TRUST 2007-76 (31396WZ41)
Interactive Data Corporation
Mat: 08/25/2037 6.0004 Fact: 1 111.48fi90 Mkt
06/26/2013 3,344 61
111.486900 - «
Int: 06/01/2013 to 06/26/2013
12.50
54) 100000 GNMA REMIC TRUST 2009-61 (38376FFN7)
Interactive Data Corporation
Mat: 08/20/2039 4.0004 Fact: 0.26748045 105.84600 Mkt
06/26/2013 105.846000 28,311.74
Int: 06/01/2013 to 06/26/2013 74.30
7.
Page 5- -
This report was produced with EstateVal, a product of Estate Valuations 6 Pricing Systems, Inc. If you have questions,
aka please contact EVP Systems at (818) 313-6300 or www.evpsys.eom. (Revision 7.3.1)
Date of Death: 06/26/2013 Estate of: Jane Beck
Valuation Date: 06/26/2013 Account: 1427-2536
Processing Date: 08/23/2013 Report Type: Date of Death
Number of Securities: 61
File ID: Jane Beck-1427-2536-DOD6-26-13
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
55) 7000 FHLMC REMIC SERIES 3997 (3137AM7B7)
Interactive Data corporation
Mat: 09/15/2041 3.000% Fact: 0.50057935
06/26/2013 97.67698 Mkt
97.676980 3,422.66
Int: 06/01/2013 to 06/26/2013 7.30
56) 50000 FNMA REMIC TRUST 2012-84 (3136A7Q54)
Interactive Data Corporation
Mat: 01/25/2042 3.0001 Fact: 0.52854954
06/26/2013 98.30601 Mkt
98.306010 25,979.80
Int: 06/01/2013 to 06/26/2013 55.06
57) 100000 GNMA REMIC TRUST 2012-124 (38378H3N4)
Interactive Data Corporation
Mat: 08/20/2042 2.000% Fact: 0.37064258
06/26/2013 98,72885 Mkt
98.728850 36,593.16
Int: 06/01/2013 to 06/26/2013 51.48
58) 10 PENNSYLVANIA INSD MUNS INCOME (70884GI24)
UT 278 Cm
Miscellaneous
06/26/2013 187.20313 A/B
187.203125 1,872.03
59) 1314.657 FIRST EAGLE FOS INC (32008F507; SGENX)
GLOBAL FD CL A
Mutual Fund (as quoted by NASDAQ)
06/26/2013 49.86000 Mkt
49.860000 65,548.80
60) 237.29 FPA FDS TR (902556869; FPACX)
FPA CRESCENT I
Mutual Fund (as quoted by NASDAQ)
06/26/2013 30.95000 Mkt
30.950000 7,344.13
61) 306265.28 Cash (CASH) 306,265.28
Total Value: $997,821.01
Total Accrual: $1,539.49
Total: $999,360-50
Page 6
This report was produced with EstateVal, a product of Estate Valuations Pricing Systems, Inc., If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
7.
REV-15o8 EX+(o8-12)
Pennsylvania
SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Jane Whitney Beck 2013-00732
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1_ M&T Bank Account#14507889 16,158.76
2 2006 Chevrolet Malibu Maxx,Vin1G1ZU63876F248681 ,below fair condition 5,000.00
3 One 14K white Gold solitaire,approximately.83 carat pear shaped 6,025.00
4 One 14K White Gold Wedding Band with twelve.06 caret each diamonds 1,850.00
TOTAL(Also enter on Line 5, Recapitulation) $ 29,033.76
If more space is needed, use additional sheets of paper of the same size.
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Jane Whitney Beck 2013-00732
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Neill Funeral Home Inc 3,918.00
2 Gingrich Memorials 165.00
3 Register of Wills 908.50
4 Legal notice Fee 222.06
5
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City - State ZIP
Year(s)Commission Paid:
2. Attorney Fees:
354.60
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City - State ZIP
Relationship of Claimant to Decedent
-
4. Probate Fees:
5. Accountant Fees: 500.00
6. Tax Return Preparer Fees:
7. Real Estate Appraisal 300.00
TOTAL(Also enter on Line 9, Recapitulation) $ 6,368.16
If more space is needed, use additional sheets of paper of the same size.
REV-1.512 EX, (12-12
t4-p pennsylvania
ia SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Jane Whitney Beck 2013-00732
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. West Shore School District Real Estate Tax 1,877.50
2 Erie Insurance Company 807.00
3 Credit Card bills,Sears,Mobil,FIA card service 1,573.49
4 Lemoyne Borough Sewer 140.90
5 Terminix 111.30
6 Lawn Service from 4/19/13 to 5/31113 697.48
TOTAL(Also enter on Line 10, Recapitulation) $ 5,207.67
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
b pennsylvania SCHEDULE
LQ
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Jane Whitney Beck 2013-00732
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. Nancy S Peters,7A Richland Lane Apt 103,Camp Hill,PA 17011 No-Relation 10,000.00
2. Matthew W Beck,35 Carriage Rd,PA 17078 Grandson 8.333%
3. Amy L.Beck, 1022 Martin St,Lebanon,PA 17042 Granddaughter 8.333%
4. Kenneth R Beck,201 Simpson Rd,Apt 3213,Kissimmee,FL 34744 Grandson 8.333%
5. Kenneth R Beck,8615 Jonestown Rd,Grantville,PA 17025 Son 25%
6. Phillip W Beck,54 Shellbark Court,Carlisle,PA 17015 Son 25%
7. Rodger W Beck,35 Carriage Rd,Palmyra,PA 17078 Son 25%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.