HomeMy WebLinkAbout06-13-14 (2) REV-1500 EX(02-11) 1505610143
PA Department of Revenue OFFICIAL USE ONLY
p Pennsylvania County Code Year File Number
Bureau of Individual Taxes ^EoPRiMeNi OP AVENUE
PO BOx.280601 INHERITANCE TAX RETURN 21 14 0498
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
225 54 4297 04 14 2014 06 14 1944
Decedent's Last Name Suffix Decedent's First Name MI
PIERCE WILLIAM L
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
PIERCE PIERRETTE C
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 12-1382)
❑ 4. Limited Estate ❑ 4a.Future interest compromise ❑ S. Federal Estate Tax Return Required
(date of depth after 12-12-82)
® g Decadent Died Testate pail Boxes Total Number of Safe Deposit B.DecedentMaintained a Living Trust 7.(Attach Copy of will) El (Attach Gop,of Trust)
9. Litigation Proceeds Received 10, aural Pov�CreditJDate of Death ❑ 11,Election to tax under Sec.9113(A)
❑ ❑ hahrean t2-31- 1 and -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
LAUREN E KAYS 717 737 87-fl
C--
rn
REGISTER OF WILLS U'1'E ONLY d
rz T
First Line of Address .a r—
r' :C M Ir b
ONE WEST MAIN STREET x �
Second line of Address C `r7 -T7
a A CO l ZE
rn
DATE FILED O
GO
City or Post Office State Z1P Code CD -ry
SHIREMANSTOWN PA 17011
Correspondent's e-mail address: IkaysigWbogarlaw.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.
SIGNATURE RF PERSON RESPONSIBLE FMp IL(N S RETURN DATE
? ¢ e// J Pierrette C. Pierce �/ ct�s✓ �P/�c
ADDRESS
28 Center Drive,Camp Hill, PA 17011
SIGNATU E OF PREP ER OTH R THAN REPRESENTATIVE
Lauren E. Kays
ADD d III
One West Main Street, Shiremanstown, PA 17011
1505610143 Side 1 1505610143 J
06
J 1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Pierce, William L. y 225 54 4297
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2. 104 , 162 . 31
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.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous t�oq Probate Property
(Schedule G) LJ Separate Billing Requested............ 7.
8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 104 , 162 . 31
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9.
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10.
11. Total Deductions(total Lines 9 and 10)................................................................ 11
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 104 162 . 31
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, 104 , 162 . 31
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.00 104 , 162 . 31 15. - 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .045 0 . 00 16. 0 . 00
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE......................................... ...................................................................... 19. 0 . 00
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 21-14-0498 -
Decedent's Complete Address:
DECEDENT'S NAME
Pierce,William L.
STREETADDRESS
28 Center Drive
CITY - STATE ZIP
Camp Hill PA I 17011
Tax Payments and_Credits:
1. Tax Due(Page 2,Line 19) (1) 0.00
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +B) (2) 0400
3. interest (3)
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 f
5. If Line i +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 0,00
Make Check Payable to: REGISTEi2 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................................................................................
b. retain the right to designate who shall use the property transferred or its income:..........................._...
c. retain a reversionary interest:or........................................_................._.................................................. x
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 adequateconsideration?............_..............................................._..................._................._.............' ❑
3. Did decedent own an*in trust for° or payable upon-death bank account or security at his or her death?..-... ❑ Q
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 lax 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)(1)j. ,
For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or forthe use of the surviving spouse Is 0 percent
i72 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 1,2W9:
• 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 I72 P.S.§9116(a)(1)1,
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent 172 P.S.§9116(a)(1.3)1. 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.
Rev4503 EX.t6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENTOECFT>ENT
ESTATE OF FILE NUMBER
Pierce, William L. 21-14-0498
All property loiney-owned with right or survivorship most be disclosed an schedule F.
ITEM CUSIP -VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 PNC Investments-Account No.097-065943 104,162.31
TOTAL(Also enter on Line 2, Recapitulation) 104,162.31
(if more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Forth PA-1500 Schedule B(Rev.6.98)
May 28,2013
John McGowan
john.mca owanapric.com
RE: 0974659431WILLIAM L PIERCE(INDIVIDUAL)
Dear John
The value of the above-referenced account on April 14th,2014 is as follows:
- AmounF.;,. DtiScrl trpp, r o Quaf DDt?price 'DpO1fa(ue<. - 7rrtere5k .'
10054.155 PIMCO LOW DURATION CLASS A PTLAX –�� 10.36
_ 1.26.FEOE_RATED PRIME CASH OBLIGATIONS FUND IC UPCCO_ $ 1.00 $ 1.26
r ... --_.� W DUR 5 104,161.05 —.
704,16-2.31 I.S
)__ �- Grand Total lMarket Value+Accrued lnterest) __i $ 104,161.31_
Note:DOD price is based off the closing price on the day the client has passed away,if this is a non-business day the price will be
taken from the previous business day's closing price-
. If you have any questions,please contact our Estate Resolution Desk at 800-6227086.
Sincerely.
Ankit Patel
PNC Investments,LLC,
E5taia Resolution Desk
The summaries,prices,quotes and/or statistics contained herein have been obtained from sources believed to be reliable but
are hot necessarily complete and cannot be guaranteed.They are provided for informational purposes only-past performance
does not guarantee future results,
T.Toase,d HDNUaS 133d1S (7N22 617T2TSJLLTL:wojA bb:TT bT02-b3-Nf1S
REV-1513 EX«101-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RES IDENT DECEDENT
ESTATE OF FILE NUMBER
Pierce,William L. 21-14-0458
RELATIONSHIP TO
NUMBER NAME AND ADDRESS OF DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
Do PERSON(S)RECEIVING PROPERTY N (Words) {$$$}
1. TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
Pierrette C. Pierce Spouse
28 Center Drive
Camp Hill,PA 17011
Total
Enter dollar amounts for distributions shown above on lines 15 thrown 18 on Rev 1500 cover sheet,as a ro nate. "
NON-TAXABLE DISTRIBUTIONS:
IT. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART H -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01.10)
f
LAST WILL AND TESTAMENT
OF
WILLIAM L. PIERCE
I, William L. Pierce, a resident of the Commonwealth of Pennsylvania, make,
publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any
time heretofore made by me. I am retired from the military service of the United States.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of
the administration of my estate, and all estate, inheritance and similar taxes payable with respect
to property included in my estate, whether or not passing under this will, and any interest or
penalties thereon, shall be paid out of my residuary estate, without apportionment and with no
right of reimbursement from any recipient of any such property.
SECOND:. It is my desire that,upon my death, my body be cremated.
THIRD: I give all tangible personal property owned by me at the time of my
death, including without limitation personal effects, clothing, jewelry, furniture, furnishings,
household goods, automobiles and other vehicles, and all rights that I have under any related
insurance policies, to my wife Pierrette C. Pierce, if she survives me.
FOURTH: I give all the rest, residue and remainder of my property and estate,
both real and personal, of whatever kind and wherever located, that I own or to which I shall be
in any manner entitled at the time of my death (collectively referred to as my "residuary estate"),
as follows:
(a) If my wife Pierrette C. Pierce survives me, to my wife outright.
(b) If my wife does not survive me, my residuary estate shall be paid and
distributed to those of Reginald A. T. Armstrong and Willie L. Armstrong who
survive me, in the following .proportions: 60 percent to Reginald A. T.
Armstrong, and 40 percent to Willie L. Armstrong. If none of the aforesaid
beneficiaries of my residuary estate shall survive me, my residuary estate shall be
paid and distributed to If Reginald A. T. Armstrong shall not survive me, then his
share to his living issue. If Willie L. Armstrong shall not survive me, then to his
share to Reginald A. T. Armstrong..
(c), If none of the beneficiaries described in clauses (a) and (b) above shall
survive me, then I give my residuary estate to those who would take from me as if
I were then to die without a will, unmarried and the absolute owner of my
residuary estate, and a resident of the Commonwealth of Pennsylvania.
FIFTH: If any property of my estate vests in absolute ownership in a minor or
incompetent, my Executor, at any time and without court authorization, may: distribute the
whole or any part of such property to the beneficiary; or use the whole or any part for the health,
education, maintenance and support of the beneficiary; or distribute the whole or any part to a
guardian, committee or other legal representative of the beneficiary, or to a custodian for the
beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed
by the person to whom the distribution is made shall be a full discharge of my Executor from any
liability with respect thereto, even though my Executor may be such person. If such beneficiary
is a minor, my Executor may defer the distribution of the whole or any part of such property until
the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund
for the beneficiary with all of the powers described in Article SEVENTH hereof. If the
beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate
of the beneficiary.
SIXTH: I appoint my wife Pierrette C. Pierce to be my Executor. If my wife
does not survive me, or shall fail to qualify for any reason as my Executor, or having qualified
shall die, resign or cease to act for any reason as my Executor, I appoint Marylene E. Armstrong
as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or
other security in any jurisdiction.
SEVENTH: I grant to my Executor all powers conferred on executors under the
Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any,successor thereto, and
all powers conferred upon executors wherever my Executor may act. I also grant to my
Executor power to retain, sell at public or private sale, exchange, grant options on, invest and
reinvest, and otherwise deal with any kind of property, real or.personal, for cash or on credit; to
borrow money and encumber or pledge any property to secure loans;to exercise all powers of an
absolute owner of property; to compromise and release claims with or without consideration; and
to employ attorneys, accountants and other persons for services or advice. The term 'Executor"
wherever used herein shall mean the executors, executor, executrix or administrator in office
from time to time.
EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to
predecease me unless such beneficiary survives me by more than thirty days.
NINTH: I have served in the Armed Forces of the United States. I therefore.
request that my Executor make appropriate inquiries to ascertain whether there are any benefits
to which I, my dependents or my heirs may be entitled by virtue of any military affiliation. I
specifically request that my Executor consult with a retired affairs officer at the nearest military
installation, the Department of Veterans Affairs, and the Social Security Administration.
/� 2
IN WITNESS WHEREOF, I, William L. Pierce, sign my name and publish and
declare this instrument as my last will and testament this 2nd day of October, 2009.
William L. Pierce
The foregoing instrument was signed, published and declared by William L.
Pierce, the above-named Testator, to be his last will and testament in our presence, all being
present at the same time, and we, at his request and in his presence and in the presence of each
other, have subscribed our names as witnesses on the date above written.
having an address at
C r.4 �✓�
00
having an address at
3
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
We, the Testator and the witnesses, whose names are sighed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
the Testator, William L. Pierce, signed and executed said instrument as his last will and
testament in the presence and. hearing of the witnesses, and that he stated that said instrument
was his last will and testamen , and that he had signed willingly, and that he executed it as his
free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses
at the request of the Testator, in the presence and hearing of the Testator and each other, signed
the will as witness, and that to the best of his or her knowledge the Testator was at the time at
least eighteen years of age or emancipated, of sound mind and under no constraint, duress, fraud
or undue influence.
William L. Pierce
Testator
print: S
Witness
print: P+ 25^,- J
Witness
Subscribed, sworn to and acknowledged before me by the said William L. Pierce,
Testator, and subscribed and sworn to before me by the above-named witnesses, this 2nd day of
October, 2009.
Notary P lic
My commission expires on
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Ken May Hefter,Notary Public
Carasle Bom.Cumbedend County
My Commission Expires Aodl 15.2013
Member,Penneovanle Assoddon of Notaries