HomeMy WebLinkAbout03-31-14 J j�({ 1505610140
REVA 500 EX (e2-11)(Fli
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes INHERITANCE County Code Year File Number
PO BOX 280601 2 1 1 4 0 0 7 2
Harrisburg PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDOYYYY
1 2 1 2 2 0 1 3 0 4 2 4 1 9 2 7
Decedent's Last Name Suffix Decedent's First Name MI
M c C A L L M A R I A N S
(If Applicable)Enter Surviving Spouse's Information Below
Spouses 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
0 1.Original Return 2.Supplemental Return 3.Remainder Return(Date of Death
Prior to 12.13-82)
4.Limited Estate E] 4a.Future interest Compromise(date of 5.Federal Estate Tax Return Required
death after 12.12-82)
QX 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.)
n 9.Litigation Proceeds Received 10,Spousal Poverty Credit(Date of Death 11.Election to Tax under Sec.9113(A)
Between 12-31.91 and 1-1.95) (Attach Schedule 0)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
E L I Z A B E T H H - F E A T H E R 7 1 7 2 3 2 7 6 6 1
REGISTER OF WILLS USUNLY
CS I = M
c o m C->
First Line of Address co :;0 9
C A L D W E L L & K E A R N S , P - C Z m C13 m m
� o
Second Line of Address cn O
3 6 3 1 N 0 R T H F R 0 N T S T R E E T c°y o ° 3 "n
City or Post Office State ZIP Code CQASE FIND O
N Ri
H A R R I S B U R G P A 1 7 1 1 0 --n
Correspondent's e-mail address: efeatherocklegal,net
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowedge 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.
SIGNATj1OF PERSON RESPONSIBLE FOR FILING RETURN DATE 2orr/
ADDRESS G
606 GALE ROAD CAMP HILL PA 17011
SPAT,URE OF PREP ER 0 HER THAN REPRESENTATIVE ATE
ADDR S
3631 NORTH FRONT STREET HARRISBURG PA 17110
PLEASE USE ORIGINAL FORM ONLY -
Side 1
1505610140 1505610140 J
1505610240
REV-1500 EX(FI) Decedent's Social Security Number
Decedent's Name: MARIAN S . McCALL
RECAPITULATION
t Real Estate(Schedule A) .. .. .. ....... .
2. Stocks and Bonds(Schedule 8) ..._...... ...... ... ... .... ...... 2. 5 1 5 0 0 . 0 0
1 Closely Held Corporation,Partnership or Sole•Proprietorship(Schedule C) 3.
4. Mortgages and Notes Receivable(Schedule D) 4.
5, Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). ... ... 5. 5 8 ? 2 7 1 . 5 7
& Jointly Owned Property(Schedule F) ❑ Separate Billing Requested .. ... .. 6,
7, Inter.Vivos Transfers&Miscellaneous N Probate Property
(Schedule G) b Separate Billing Requested . .. . .. 7,
IL Total Gross Assets(total Lines I through 7) . ..... . . ... .... 8. 6 3 8 7 7 1 . 5 7
9. Funeral Expenses and Administrative Costs(Schedule H) . .. ..... ..... . ... 9. 4 7 3 1 0 . 4 8
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) .......... ... 10. q 8 0 6 . 4 2
11, Total Deductions(total Lines 9 and 10) .. . . .. . . .... 11, 5 1 1 1 6 . 9 0
12. Net Value of Estate(Line 8 minus Line 11) __ ... .. . . .... ... . 12. 5 8 7 6 5 4 . 6 7
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. 5 8 7 6 5 4 6 7
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(l 2)X,G _ 0 . 0 0 15. 11 . 0 a
16. Amount of Line 14 taxable
at lineal rate X .O- 0 . 0 13 16. 0 . 0 0
17. Amount of Line 14 taxable
at sibling rate X.12 5 3 4 2 3 . 1 5 17. 6 4 1 0 . 7 8
18. Amount of Line 14 taxable
at collateral rate X.15 5 3 4 2 3 1 . 5 2 1IL 8 0 1 3 4 . 7 3
19. TAX DUE . . ... . . . .. . . ... . . . . . . . . . 19, 8 6 5 4 5- 5 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
1505610240 1505619240
REV�1500 Ex IFI) Pages File Number
Decedent's Complete Address: 21 14 0072
DECEDENT'S NAME
MARIAN S. McCALL
STREET ADDRESS �-
606 GALE ROAD -- ------------- —!---
CITY -'------ STATE - ZIP
CAMP HILL PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1} 86 545.51
2. Credits/Payments
A.Prior Payments .82,218.50
B.Discount 4,327.28
Total Credits(A+B) (2) 86,545.78
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) 0.27
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 income of the property transferred ...................................................................... � 0
b. retain the right to designate who shall use the property transferred or its income X
c, retain a reversionary interest .......___..............................................,...................................... ❑ nX
d. receive the promise for life of either payments,benefits or rare? ....................................................... ❑
2. If death occurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ...................................................................................... ❑ 0
1 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
containsa 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 it
is 3 percent 172 P.S.§9116(a)(1.1)(1)],
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 F2 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedents lineal beneficiaries is 4,5 percent,except as noted in V2 P.S.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent F2 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-1503 EX+(13-12)
pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE (� V pp BONDS
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARIAN S. WCALL 21 14 0072
All property Jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Seven (7) Series HH United States Savings Bonds 51,500.00
TOTAL(Also enter on Line 2,Recapitulation) $ 51 500.00
If more space is needed,insert additional sheets of the same size
REV-1508 EX=(08-12)
pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX
RESIDENT DECEDENT RETURN PERSONAL PROPERTY
ESTATE OF: FSLE NUMBER:
MARIAN S. McCALL 21 14 0072
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. Integrity Bank checking account#201060295 158,456.48
(A copy of the date-of-death valuation is attached as Exhibit 1)
2. Integrity Bank certificate of deposit account#1054274 352,874.33
(A copy of the date-of-death valuation is attached as Exhibit 1)
3. Reliance Bank savings account#0100007665 5,438.73
(A copy of the date-of-death valuation is attached as Exhibit 2)
Please note that the valuation indicates that the account is joint with John T. McCall.
However, John T. McCall, Decedent's husband, predeceased Decedent on February 25,
2013, making Decedent the sole owner of the account.
4. Reliance Bank savings account#2000113801 10,982.03
(A copy of the date-of-death valuation is attached as Exhibit 2)
Please note that the valuation indicates that the account is joint with John T. McCall.
However, John T. McCall, Decedent's husband, predeceased Decedent on February 25,
2013, making Decedent the sole owner of the account.
5. First Commonwealth checking account#7110011953 12,715,87
(A copy of the date-of-death valuation is attached as Exhibit 3)
Please note that John T. McCall is listed as a joint owner on this First Commonwealth
account, as well as on the 4 First Commonwealth accounts below. As stated above,
John T. McCall was Decedent's spouse and predeceased Decedent on February 25,
2013, making Decedent the sole owner of all First Commonwealth accounts.
6. First Commonwealth savings account#7120220229 11,49412
(A copy of the date-of-death valuation is attached as Exhibit 3)
7. First Commonwealth certificate of deposit account#01094900010665 14,527.00
(A copy of the date-of-death valuation is attached as Exhibit 3)
8. First Commonwealth certificate of deposit account#01094900010865 9,904.90
(A copy of the date-of-death valuation is attached as Exhibit 3)
9. First Commonwealth certificate of deposit account#01094900011211 10,874.11
(A copy of the date-of-death valuation is attached as Exhibit 3)
TOTAL(Also enter on Line 5,Recapitulation) $ 587 271.51
If more space is needed,use additional sheets of paper of the some size.
REV-1511 EX+(6e-13)
Pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARIAN S. McCALL 21 14 0072
Decedents debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Good Funeral Home 8,14620
2. Towne Florals 715.50
3. Marzoni's-funeral luncheon 508.55
4. Ralph Haman -funeral minister 100.00
5. Jane Burget-funeral dress for Decedent 135.85
8, ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representafive(s) WilliamT, McCall 31,750,00
Street address 606 Gale Road
City Camp Hill State PA ZIP 70
Years)Commission Paid: 2014
Z, Attorney Fees: 5,000.00
1 Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Addrass
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 608.50
5. Accountant Fees:
8. Tax Return Preparer fees:
7. Legal advertising in The Sentinel and Cumberland Law Journal 341.88
TOTAL(Also enter on Line 9,Recapitulation) $ 47,310.4
If more space Is needed,use additional sheets of paper of the same size.
REV-1512 EX-(12-12)
pennsylvania SCHEDULE i
DEPARTMENT OF REVENUE DEBTS OF DECEDENT, -
INHERITANCETAXRETURN MORTGAGE LIABILITIES& LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARIAN S. MCCALL 21 14 0072
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. Hospice of Central PA 1,500.00
2. Omicare-Pharmacy 310.22
3. West Shore EMS-Ambulance 1,996.20
TOTAL(Also enter on Line 10,Recapitulation) $ 3,806.42
If more space is needed,insert additional sheets of the same size.
REV-1513 EX-(01-10)
pennsylvania SCHEDULE J
1
DEPARTMENT OF REVENUE
BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
MARIAN S. MOCALL 21 14 0072
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON($)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).l
1. James A. McCall, Jr. Collateral
15 Creekside Drive 1111
Selinsgrove, PA 17670
2, William T. McCall Collateral
606 Gale Road 1111
Camp Hill, PA 17011
3. Glenn P. McCall Collateral
47 Kingswood Terrace 1111
Carlisle, PA 17013
4. Mark E. McCall Collateral
710 North 3rd Street, Apt. 2A 1111
Reading, PA 19601
5. Marjorie M. Douglas Collateral
20245 Glen Russ Lane 1111
Euclid, 01144117
6. C. David Douglas Collateral
920 6th Avenue 1111
Williamsport, PA 17701
7. Judith D. Raboid Collateral
6 Overbrook Drive 1111
BelAir, MD 21014
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 16 OF REV-1500 COVER SHEET,AS APPROPRIATE.
TI. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
i.
TOTAL OF PART II-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,
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MARIAN S.MCCALL 21 14 0072
Decedent's Name Page 1 File Number
Schedule J -Beneficiaries- 1
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON($)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
1 TAXABLE DISTRIBUTIONS [Include ouldght spousal distributions and transfers under
Sec.9116(a)(11).)
8. Eleanore S. Burget Sibling
2614 11th Street 1111
Altoona, PA 16601
9, Maryann Burget-Shea Collateral
1058 West Loop Road 1111
Holidaysburg, PA 16648
10. Adam J. Burget Collateral
3955 North Atherton Street 1/11
Port Matilda, PA 16870
11, Garran T. Burgett Collateral
2616 11th Street 1111
Altoona, PA 16601
FEB 14 2014
Integrity
February 10, 2014 a n w K
Caldwell &Kearns
3631 North Front Street
Harrisburg, Pennsylvania 17110-1533
Re: Estate of Marian Smith McCall
'To Whom It May Concern:
I am writing in regards to the letter in which you sent inquiring about accounts in
the name of Marian Smith McCall held at Integrity Bank.
Marian Smith McCall had the following accounts:
Account Number Status Type Date of Death Balance
201060295 Active- Checking $158'456.48
1054274 In-Active CD $352,874.33
The date the account was opened was May 8, 2013 and the Cd was opened on Feb 27,
2011 The account was joint with William McCall as Power of Attorney at the time the
account was established.
If you have any further questions please feel free to call 717-920-4900. ...
Sincerely,
&Mkb�j
Sherville Joasil
Customer Services Representative
Integrity Bank
3345 Market Street
Camp Hill,Pa 17011
Phone: 717-920-4900
Fax 717-920-49 4
Y, r 1
3345 Marleer Sneer. Camp Hill PA 17011 •Pboatee 717-920-4900•877-LHAVLIT•Fax:717-920-4904•:umw.iiitegrirybnnkardirre.tarn
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�-y ELIA 7CE FEB 0 7 20t4
i � l � . 1119 Twelfth Street• PO. Box 1968
A�jN��
Altoona, PA 16603-1968
Mutually Rooted With The Community 814.949.6263
Caldwell & Kearns
A Professional Corporation
Attorneys at Law
3631 North Front Street
Harrisburg, PA 17110
February 3, 2014
Dear Elizabeth H. Feather:
Here is the information requested for Marian Smith McCall:
1. Savings account# 0100007665 is a joint account in the name of John T McCall or
Marian S McCall. This account was opened 8/911990. The date of death balance
is $ 5,437.35 not including accured interest of$ 1.38.
2. Savings account#0200113801 is a joint account in the name of John T McCall or
Marian S McCall. This account was opened 12/12/2005. The date of death
balance is $ 10,979.25 not including accrued interest of$ 2.78.
Y— —,According to-our records we are showing that John T McCall is deceased, as of today we
never received a death certificate for him. If there is any chance we could receive a death
certif c�ate for him, we would greatly appreciate that, If you should have any questions
regarding this matter please contact me at 81;-949-6265.
Sinn/ceer��ely,
Julie Krupa, )'
Sr. Operations Service Specialist
I
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I Online Banking at www.rettanc elaank.com • 74-hour Voice Response: 814.946.867,4 or 800370.087E
FOiC Altoona • Duncansviile • Lal<emont - State College • Tyrone m
PEO-05-2014 16:49 FIRST COMMONWEALTH P.003
Page I
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fig! Comm o wealth
EXHIBIT"A"
RE: DECEDENT: Marian S.McCall
SOCIAL SECURITY NUMBER:
DATE OF DEATH: December 12,2013
CHECKING ACCOUNT CERTIFICATE OF DEPOSIT
Account Number: 7110011953 Account Number: 01094900011211
Title: Jahn T.McCall Title:John T.McCall
or Marian S.McCall Or Marian S.McCall
Open&Joint Date: August 8,2002 Open Date: April 11,2009
Date of Death Balance: S 12,719.87 Date of Death Balance: $ 10,874.11
Accrued Interest: $ 0.00 Accrued Interest: S 0112
SAVINGS ACCOUNT SAFE DEPOSIT BOX
Account Number: 7120220229 Box No: None
Title: John T.McCall Title:
Or Marian S. McCall Location:
Open&Joint Date: August 15,2011
Date of Death Balance: $ 11,494.12
Accrued Interest: $ 0.39
CERTIFICATE OF DEPOSIT
Account Number: 01094900010665
Title:John T.McCall
Or Marian S.McCall
Open Date: May 4,2007
Date of Death Balance: $ 14,527.00
Accrued Interest: $ 11.46
CERTIFICATE OF DEPOSIT
Account Number: 01094900010865
Title: John T.McCall
Or Marian S.McCall
Open Date: October 30, 2007
Date of Death Balance: $ 9,904.90
Accrued Interest: S 6.99
_I
i
I
TOTAL P.003
CALDWELL & KEARNS
JAMES R.CUPPINGER
JAMES L.GOLDSMITH A PROFESSIONAL CORPORATION OF COUNSEL
STANLEY J.A.LASKOWSKI JAMES D.CAMPBELL,JR.
DOUGLAS K.MARSICO ATTORNEYS AT LAW - CHARLES J.DEHART,m
BRETT M.WOODBURN
MICHAEL D.REED
MICHAEL A.FARRELL THOMAS D.CALDWELL,JR.
THOMAS M.FRATICELLI 3631 NORTH FRONT STREET (1928-2001)
PETER M.GOOD HARRISBURG, PENNSYLVANIA 17110-1533
ELIZABETH H.FEATHER CARL G.WASS
DAVID A.WION (1937-2010)
JEAN D.SEIBERT 717-232-7661 -
GREGORY D.GEISS FAX:717-232-2766 RICHARD L.KEARNS
THOMAS S.LEE RETIRED
JESSICA E.MERCY
JOSEPH S.SWARTZ THEFI RMQCKLEGAL.NET
March 27, 2014
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Lisa M. Grayson, Esquire, Register of Wills :;3 n y o
Cumberland County Courthouse N ; a
One Courthouse Square, Suite 102 0 '
Carlisle, PA 17013 n o o :3
C) F_Lw C�'
Re: Estate of Marian Smith McCall rN.)
File No. 2014-00072 ' s o
Dear Ms. Grayson:
Enclosed please find the original and one (1) copy of the Pennsylvania Inheritance Tax
Return. Please file the same.
I have also enclosed a copy of the front page of the Inheritance Tax Return for you to
time-stamp and return to me in the enclosed self-addressed, stamped envelope.
Thank you for your assistance with this matter. If you have any questions, please feel
free to contact me.
Very truly yours,
I .
Elizabeth H. Feather
CALDWELL & KEARNS, P.C.
efeather @cklegal.net
EHF:nb
/Enclosures
cc: William T. McCall w/enclosure
14007-001/FL*6309
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