HomeMy WebLinkAbout07-07-14 J
REV-1500 EX(02-11) Ma. 1505610143
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County cede Year File Number
Bureau of Individual Taxes DEPARTRFNT OF RMNRs
PO 60x.280601 INHERITANCE TAX RETURN 21 14 0607
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
03 31 2014 03 18 1946
Decedent's Last Name Suffix Decedent's First Name MI
DRAWBAUGH ROBERT E
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
DRAWBAUGH FAYE A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
X❑ 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(Date of Death
Prior to 12-13-82)
❑ 4. Limited Estate ❑ 4a, Future Interest Compromise ❑
(date of death after 12-12-82) 5. Federal Estate Tax Return Required
8 Decedent Died Testate 7 Decede t Maint med a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Decedent Copy Died Testate ❑ (Attach RLopy o(8rpmst) P
9. Litigation Proceeds Received 10.Sgousan i2Ji�1 r eit Da Sor Death
❑ � ) ❑ 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 Daytime Telephone Number
IVO V OTTO III (717) 243 3341
REGISTEIeF WILLS USPNLY
First Line of Address mT C__ O
10 EAST HIGH STREET �� - t rT irl
Second Line of Address Oar'
C-)CD .4
3 -n
OC"
r' n
City or Post Office E FILED
State ZIP Code -n
CARLISLE PA 17013
Correspondent's e-mail address: iotto(cbmartsonlaw.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 OF PERSON S ONSIBLE FP,,R FILING RETURN DATE
L /CJi�y/JQl�y/�/ Faye A Drawbau h 7' 2—/j(
AD Ss
150 Church of God Road Newville PA 17241
SIG TUR F PREPARER OTHER THAN REPRESENTATIVE DATE
IVO V. Otto III 7/7
ADDRESS I 7
10 East High Street, Carlisle, PA
L Side 1
1505610143 1505610143
J 1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Drawbaugh, Robert E.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1. 5 , 100 . 00
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.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous I(oD,-Probate Property
(Schedule G) a Separate Billing Requested............ 7.
8. Total Gross Assets(total Lines 1 through 7)........................................................ 8, 5 , 100 . 00
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. 5 , 100 . 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. 5 , 100 . 00
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 5 , 100 . 00 15. 0 . 00
16. Amount of Line 14 taxable 0 . 00 16. 0 . 00
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate .12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable 0 . 00 18. 0 . 00
at collateral rate X A 6
19. TAX DUE................................................................................................................ 19. 0 . 00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El
Side 2
L 1505610243 1505610243 J
REV-1500 EX Page 3 File Number 21-14-0607
Decedent's Complete Address:
DECEDENT'S NAME
Drawbaugh, Robert E.
STREETADDRESS
150 Church of God Road
CITY STATE ZIP
Newv[Ile PA 17241
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) 0.00
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
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;............................................................................... ❑ ❑x
It. retain the right to designate who shall use the property transferred or its income;.................................. ❑ ❑x
c. retain a reversionary interest;or............................................................................................................... 1XI
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?....... ❑ ❑x
4. Did decedent own an individual retirement account, annuity,or other non-probate property which
contains a 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
is 3 percent 172 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
fling 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.(01-10)
SCHEDULE A
pennsylvania REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Drawbaugh, Robert E. 21-14-0607
All real 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 night of survivorship must be disclosed on schedule F.
Attach a copy of the settlement sheet if the property has been sold
Include a copy of the dead showing decedent's Interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 RR North Mountain Road-One-half interest of real estate located at RR North Mountain 5,100.00
Road, Upper Frankford Township, Cumberland County,PA,known as Tax Parcel No.43-03
-0065-005, being described in Deed dated February 28,2002,and recorded in Cumberland
County Deed Book 250, Page 3466, being conveyed to Robert E. Drawbaugh (the decedent
herein)and William L. Drawbaugh. See attached Deed and tax assessment.
TOTAL(Also enter on Line 1, Recapitulation) 5,100.00
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Forth PA-1500 Schedule A(Rev. 01-10)
REV-1613 EX-(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Drawbau h, Robert E. 21-14-0607
RELATIONSHIP TO
NUMBER NAME AND ADDRESS OF DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
PERSON(S)RECEIVING PROPERTY N.t LIM s a (Words) ($$$)
I TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)1
Faye A. Drawbaugh Spouse One-hundred 5,100.00
150 Church of God Road percent of
Newville, PA 17241 residue
Total 5,100.00
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropr iate.
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 II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01-10)
F.`EKES\C11mb\9J160rawbauyh\9416.E.h.will.wpd � O
LAST WILL AND TESTAMENT
I, ROBERT E. DRAWBAUGH, of Upper Frankford Township, Cumberland County,
Pennsylvania,being of sound and disposing mind and memory,do hereby make,publish and declare
this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils made
by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes(whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executrix shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
In the event my wife shall predecease or fail to survive me by thirty (30) days, then I give
such items of personalty as are itemized in a certain list,if any,to the persons named thereon,which
list is signed and dated by me at the end thereof.
3.
If my wife, FAYE A. DRAWBAUGH, survives me by thirty (30) days, then I give, devise
and bequeath all the rest, residue and remainder of my estate, of whatever nature and wherever
situate, unto my wife, FAYE A. DRAWBAUGH, absolutely.
4.
I nominate, constitute and appoint my wife, FAYE A. DRAWBAUGH, as Executrix of my
estate.
5.
I direct that all fiduciaries acting under this Will,whether or not named herein, shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
6.
I authorize and empower my Executrix, in her sole and absolute discretion, to purchase or
otherwise acquire and retain any investments of which I die seized or any real or personal property
eg
[Initials]
Page I of 3 Pages
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such prices
as they may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional shares in property different in kind
from any other share; to employ agents,attorneys and proxies and to delegate to them such powers
as my Executrix considers desirable and to pay reasonable compensation for such services as may
be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as
may be necessary to carry out any of these powers. In addition,I direct that my Executrix shall have
the power to conduct an inventory of any safe deposit box necessary to the administration of my
estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this day of
December, 2013.
S AL)
Robert E. Drawbaugh
SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testator,as and
for his Last Will and Testament, in the presence of us,who at his request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testator and of each other_��
t
Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
We,Robert E. Drawbaugh,No V. Otto III and the
Testator and the witnesses,respectively,whose names are signed to the foregoing instrument,being
first duly sworn,do hereby declare to the undersigned authority that the Testator signed and executed
the instrument as his last Will and that the Testator has signed willingly, and that the Testator
executed it as his free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the
best of his/her knowledge the Testator was at that time eighteen years of age or older,of sound mind
and under no constraint or undue influence.
oI WEDrawla'ugh, Testator
Witness
Witne s if
Subscribed, sworn to and acknowledged before me by Robert E. Drawbaugh, the Testator,
and subscribed and sworn to before me by No V. Otto III and the witnesses, this day of December, 2013.
G Z�titLt �C �'
otary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Victoria L.Otto,Notary Public
Carlisle Boro,Cumberland Cr..un:y
[My commission expires DecemCer 20,2014
Page 3 of 3 Pages
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Taxable
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Sale Date:Wed Mar 6 2002 07:00.00 •tx -:eS. r� >.+!,
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U�•:uEi;La, J COUNTY- PA
7WfS DEED '02 MR 7 PM 1 47
MADE this day,of February, 2002,
BETWEEN
JOHN P. DRAWBAUGH JR., WILLIAM L. DRAWBAUGH and ROBERT E.
DRAWBAUGH, all of Newville,Cumberland County,Pennsylvania,
GRANTORS
AND
ROBERT E.DRAWBAUGH and WILLIAM L. DRAWBAUGH, both of Newville, Cumberland
County, Pennsylvania,
GRANTEES
WITNESSETH, that in consideration of the sum of One Dollar and no/100 ($1.00)Dollar,
the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey unto
the said Grantees, their heirs and assigns, as tenants in common and not as joint tenants with
right of survivorship:
ALL that certain tract of mountain land situate in Upper Frankford Township,
Cumberland County, Pennsylvania, more particularly bounded and described as follows:
BEGINNING at a stone heap at corner of land now or formerly of A.G. Mountz; thence
by said land, North 20 degrees West, 50 perches to a stone heap on the dividing line between
Perry County and Cumberland County; thence by said dividing line North 57%2 degrees East, 45
perches to a Chestnut on the east side of Berry's Road; thence by the same, North 48%2 degrees
East, 105 perches to stones; thence by the same,North 58'/2 degrees East, 9.5 perches to a White
Walnut; thence by same, North 58'/2 degrees East, 97 perches to stones; thence by land now or
formerly of Oliver Minich, South 35 degrees East, 77 perches to a stone heap; thence by land
now or formerly of Abram Orris, South 57 degrees West, 91 perches to a stone heap; thence by
land now or formerly of Samuel Raudebaugh, North 37 degrees West, 25.5 perches to a stone
heap; thence by same, South 55 degrees West, 20 perches to a stone heap; thence by said land
,how or formerly of Chronister, Drawbaugh and Logan, South 55 degrees West, 156 perches to
the Place of BEGINNING.
CONTAINING 100 acres, strict measure.
BEING the same property which John P. Drawbaugh and Martha E. Drawbaugh, his
wife, granted and conveyed to John P. Drawbaugh Jr., William L. Drawbaugh and Robert E.
my 25io -�,H34+6
Drawbaugh, Grantors herein, by deed dated March 1, 1976, and recorded in the Office of the
Recorder of Deeds for Cumberland County in Deed Book M,Vol. 26, Page 378.
GRANTORS CERTIFY THAT NO PROCEEDINGS INVOLVING DIVORCE ARE NOW CONTEMPLATED
OR PENDING IN ANY JURISDICTION.
THIS CONVEYANCE IS FROM BROTHERS TO BROTHERS AND IS THEREFORE EXEMPT FROM
REALTY TRANSFER TAX.
AND.the said Grantors hereby covenant and agree that they will warrant specially the
property hereby conveyed.
IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day,
month and year first above written.
Signed, Sealed and Delivered
in the resence of Q
;�lJ.ftlG �YL)
F
JOHN P. DRAWBAUGH X.
IWILLIAM DRAWB
!1t1 s _O{�
(SEAL)
v ROBERT E. DRAWBAU
COMMONWEALTH OF PENNSYLVANIA )
:ss
COUNTY OF CUMBERLAND )
On this, the��—day of February, 2002, before me the undersigned officer, personally
appeared JOHN P. DRAWBAUGH JR., WILLIAM L. DRAWBAUGH and ROBERT E.
DRAWBAUGH, known to me (or satisfactorily proven) to be the persons whose names are
subscribed to the within instrument, and acknowledged that they executed same for the purposes
therein contained.
�p , ,,. NESS WHEREOF, I hereunto a my Lh nd s
`; -r�.�• '+q SEAL)
` ` e to Public
Not rial eal
Jacqueline L.Drab �h,Notary Public
Carlisle 8oro, bertand Countqy
Qh �; My Commisalon Fxpirea Aug. ta,2d03
Member,PennsyNeme A550CIation of Notaries
2 eooK 250 Fact546-77
r -
I do hereby certify that the precise residence and complete post office address of the
within named Grantee is: c/o Robert E. Drawbaugh.150 Church of God Road Newville PA
17241.
February 2002 `Age t fo
I Certify this to be recorded
In Cumberland County PA
*4Rec"Ordoer of Deeds
3 900k 250 W-3468