HomeMy WebLinkAbout12-19-13 _ _ ��,_m� ra.��,���:���.���,z�
� � pennsy�vania 15 0 5 61014 3
DEPARTMENT OF REVENUE
EX(06-13)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
Po aox.2soso� INHERITANCE TAX RETURN 21 13
Harrisbur , PA 17128-0601 RESIDENT DECEDENT 4 61
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
178 16 5571 02 19 2013 02 24 1921
DecedenYs Last Name Suffix DecedenYs First Name
BRETZ MI
MARGARET R
(If Applicable)Enter Survlving 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 Return � 2. Supplemental Return
� 3. Remainder Return(Date of Death
❑ Priorto 12-13-82)
4. Limited Estate � qa Future Interest Compromise
(date of death aner 12-12_gz� � 5. Federal Estate Tax Return Required
� g Decedent Died Testate � Decede t Maintained a Living Trust 0
(Attach Copy of Will) ❑ (AUach`�opy of Trust) 8. Total Number of Safe Deposit Boxes
� 9. Litigation Proceeds Received � �p Spousal PovertY Credit/Date of Death
between 12-31-91 and T-1-95) � 11.Election to tax under Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name
HEATHER L PATERNO Dayt�e Telephone�F'umber -,�
�,� "� "
� � !`� �
First Line of Address �a_� =,,F :� <"a ,;_�
4250 CRUMS MILL ROAD r � -�_ `�' �:-� t:> �;..
,:� ;�_ . .� �:.�
r ,, �;T ►---� .,., t;.�
Second Line of Address " � - -` '•-�
,. G a '-'�
4.:y; ° ;� �� '..�
6 9 91 �, �-, --�� --, ..,'
-; ..;� �.3 '��
City or Post Office � ` - - � ,
State ZIP Code ` ' ' ��'' ' " rr"►
HARRISBURG _.-, .-�y � -
PA 17112 - '--.• �' �'
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REGISTER OF WILLS USE ONLY REGISTER OF WILLS USE ONLY
,QATE FIt,ED
M M D D Y Y Y Y
CorrespondenYs e-mail address: hl oldber katzman.com
DATE FILED STAMP
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 representatrve is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
,;f � DATE
ADDRESS Frank Robison �� ���_ /�J
n
� i St risbur PA 17104
S T O PREP R 0 EPR NTATIVE
� ,
` DATE
' � Heather L. Paterno
ESS / � "' j ° I✓
4250 Crums Mill Road, Harrisbur , PA 17112
L 1505610143 Side 1
1505610143 J
�
� , , 1505610243
REV-1500 EX
DecedenPs Social Security Number
Decedenl'sName: Bre�Z, Margaret R. 178 16 5571
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&Miscellaneous Personal Property(Schedule E)............... 5. 423 . 72
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous�nq Probate Property
(Schedule G) U Separate Billing Requested............ 7,
g. Total Gross Assets (total Lines 1 through 7)........................................................ g. 423 . 72
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 632 . 02
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10.
11. Total Deductions(total Lines 9 and 10)................................................................ ��. 63Z . �2
12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2, -2 0 8 . 3�
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. -2 0 8 . 3 0
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 0 . ��
(a)(1.2)X.00 �5'
16. Amount of Line 14 taxable 0 . 0�
at lineal rate X .045 0 . 0 0 16.
17. Amount of Line 14 taxable
at sibling rate X.12 � . �� 17. 0 . ��
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 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
� 15D5610243 1505610243 �
.
LAST WILL ANl) TESTAMEI�T � � �, �
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MARGARET R. BRETZ `"' r' � "=' ° °
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I,MARGAREI'R.BRETZ,now of'Wormleysburg,Cumberland County,Pennsylvania,
being of sound and disposing mind,do hereby make,publish,and declare this to be my Last Will
and Testament,hereby revoking anc!making nu11 and void all prior Witls and Codiciis made by me
at a�ry time heretofore.
1TEM I. i direct that all my legally valid debts,funeral and administrative expenses,
and debts incurred or payable because of my death, shalf be paid by my I:xecutor, hereinaftcr
named,from my residuary estate as soon after my deatli as pracGcabie. All d�th ta�ces,including
federaI,state,and other death taxes,witli respec;to the prop�.ty forming my gross estate for tax
purposes, w$ether or not passing under tnis Witl, includ;'ug any interest or penalty imposcd
thereon,shalt be cansidered an expense of adminishation of my estate,without apportionment ar
righi of reim6ursemenl. 'Taxes on future iuterests may be prepaid.
ITL-'M lt. i bive and bcqueati: certair itrms oT tan¢ible personal property that are
solety owned by me at the tin:e ofmy dcath and th.t are identiticd in any separale wriUng directin�
distributioti thereof ai'ter m}•death which is dat:d;ir,d is srgned by inc at the end thcreof,to those
persons designated in such separate writing •.�fia survive me. If any item of tangible personal
{00565615;v1�
. '
We,the undersigned,hereby certify that the foregoing Will was signed,sealed,published
and declared by the above-named Testztrix,141�RGqgET R B�T����d for her Last Will
and Testament,in the presence of us,who at her request and in her presence and in the presence of
each other,have hereunto set our hands and seals the day and year above rvritten,and we certify
that at the time of the execution thereof,the said Testatrix was of sound and disposing mind and
m ry
,
i�
residing at �p'�(7 /1'2�(f�d�' �'L.
Y�iLt�S� � !7lQ�
,siding at
-�-�-�.�. ---�� 17 I t
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COMMONWEAT,TH OF PENNSyLV.�VIA .
COUNTY OF DAUPHIN ' �S"
V�'e�MARGARET R BRETZ,the Testatrix,and
#he witnesses,re,spec�vely,whose names are signed to the
foregoing instrument,being first duly sworn,do hereby declare to the undersigned authority that
the Testatrix signed and executed the instnunent as her Last Will and that she had signed willingly,
and that she executed it as her free and voluntary act for the purposes therein eXpressed,and tt�t
each of the witnesses,in the presence and hearing of the Testatrix,signed the Wiil as witness and
that to the best o€his/her knowledge the Testatrix was at that tune eighteen years af age or older,of
sound mind and under no constraint or undue influence.
MARGARET R BRETZ
Witness
Witness
Subscribed,sworn to and acknowledged before me by the Testatrix,MARGARET R BRETZ,
and subscribed and sworn to before me by_`__
, witnesses, this and
2011, day of
Notary public
(SEAI,)
e9zz6.�
{00565615;v1}
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� �7:I�IC � . _
, ACCOUNT No accOUNT �XP� ;:.
9852883470 M&T CLASSIC CHECKING M/INTEREST ��ATEMEN� P�RIOQ
' PAGE:
FEB.16-MAR.18,2013
1 OF 2
00 0 06118M NN 017
000004431 FIDS1549D01703181303 02 000000
�
'�' MARGARET R BRETZ 13355
1929 CALEDONIA ST
HARRISBUR6 PA 17104-2932
INTEREST EARNED FOR STATEMENT PERIOD
INTEREST PAID YEAR TO DATE 0.00
0.02 PAXTON STREET OFFICE
a�GZNN,i1�G p�Pa��� � ACCOUNT SUMMARY
;.:BALAMGE: �THER. ADDITIOMS`> `.�7N�R
N0. CHECKS PAED SiJBTRACTiONS <CU�REM3;:: ENDIMG
AMOUNT N0. AMOUNT I1�ITERES7 PD BALANCE
423.72 0 0.00 p N0. ANOUNT
0.00 1 4.95
0.00 418.77
;P4srzNC ACCOUNT ACTIVITY
D/4TE:::
TRA�ISACTION DESC.RIPTION t1!�PC���S,�N7�I2F.ST : CH�CF4� $ �T:H�R
& OT.HER ADDITIONS SUBTRACTiONS DAII�
02-16-13 BEGINNING BALANCE BALANNCE:...
03-18-13 SERVICE CHARGE
5423.72
4.95 418.77
ENDIN6 BALANCE
5418.77
OVERDRAFT AND NSF FEE SUMMARY
TQTA� FO�R 7H�S TaTAL F.OR tALENpAR
' ' STATEMENT CYCLE YEAR-TD-DATE = TaTAL FOR PRIOR:>: .
TOTAL INSUFFICIENT FUNDS (NSF) FEES CALENDAR
5.00 S.00 xEAR
S.00
TOTAL OVERDRAFT FEES
5.00 5.00
7ota1 Insufficient Funds (NSF) Fees include 5154.00
there are not sufficient funds in the accounte{oloovere{heci{Bped To{alwOverdraftaFeeseincluded because
per itea fees charged when we pay an i4en that overdraws the account as Nell as any Extended Overdratt
Fees charged to the account.
OVERDRAFT AND NSF FEE WAIVERS, REVERSALS AND REFUNDS SUMMARY
70TAL FOR CALENDAR 'TOTAC:FpR PRIOR >
OVERDRAFT & NSF FEE NAIVERS, REVERSAL3 & REFUNDS YEAR-TO-DATE z ': :tALENDAR '
YEAR `
5.00 - 377.00
TOTAL OVERDRAFT 8 NSF FEES LESS ANY NAIVERS, REVERSALS 8 REFUNDS
Nota: Fee Waivers, Reversals 8 Refunds may include waivers, reversals or retunds a slied to $��'00
account this year for fees assessed in the prior year.
pp your
ANNUAL PERCENTA6E YIELD EARNED = 0.00 %
L008(6/12)
GoldbergKatzman
A T T O R N F, Y S a t I, A W
December 18, 2013
`-,;
Register of Wi11s � � -
c o �.�' � �=,�
Cumberland County Courthouse � �' `� �? �
One Courthouse Square R'' � �'� `-' l�^ �`'
Carlisle PA 17013-3387 �� ��F
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Re: C-, <-=J .- ;� �
Estate of Margaret R. Bretz, deceased
Date of Death: 02/I9/20I3 � � � �
�? �, ` :-a
File No. 21-I3-46I �`' `i �. ���
.,. F--, ,�:; c.�
Inheritance T�Return `� �
Dear Sir or Madam:
Please find enclosed an original and two 2
Pennsylvania lnheritance 1'ax Return. Additionally, 1 enclose for f '
O copies of the Form Rev 1500,
copies of the Estate Inventory.
iling an original and two (2)
It is my understanding that fees associated with these filings were a'
Please file the return and inventory, time stam th p jd at probate.
return and one inventory to me in the self-addressed, stamped envelo
p e additional copies, and return one tax
any questions regarding these filings, please feel free to contact me directl .
pe enclosed. If you have
Y
Very truly yours,
�a ishop, aralegal to
�JJb Heather L. Paterno, Esquire
Enc.
4250 Crums Mill Road,Suite 301 P.O. Box 6991 Hari-isburg,P,� 17112 717-234-4161
{00675802;v 1} fax: 717-234-6808 �
Plus convenient o�'ices in downtown Harrisburq Lancaster and Carlisle. "�ww.goldbergkatzman.com
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