HomeMy WebLinkAbout08-22-14 (2) � 1505610105
REV-1500 EX(02-11)(FI)
OFFICIAL USE ONLY
pennsylvania
PADepartmentof Revenue DEVARTMENTOFREVENUE County Code Year File Number
BureauofindividualTaxes INHERITANCE TAX RETURN 21 -12-1 335
PO BOX 280601
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
12192012 11281914
DecedenYs Last Name Suffix DecedenYs First Name MI
WILSON HELEN V.
(If Applicabie)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 BOXES BELOW
Q 1. Original Return XQ 2. Supplemental Return Q 3. Remainder Return(Date of Death
Priorto 12-13-82)
Q 4. Limited Estate Q 4a. Future Interest Compromise(date of Q 5. Federal Estate Tax Return Required
death after 12-12-82)
XQ 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
Q 9. Litigation Proceeds Received Q 10. Spousal Poverty Credit(Date of Death Q 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 T0:
Name Daytime Telephone Number N
t'9 � � �
STEPHEN D. TILEY 717-243-5�38> �, �,� �
REGISTER� 11�L�1SE IG�PY � �
;7 ;,,, f'° N i'"t �'t°t
_ � C�� ('V �
First Line ofAddress - �-': � �. �
^ w� "'*`� "+ -�r4
5 SOUTH HANOVER ST � -�� � = --'
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Second Line ofAddress „ , s � �
:i ¢ ,
� ' r- -,a
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DATE FILED
City or Post Office State ZIP Code
CARLISLE PA 17013
CorrespondenYs e-mail address:
Under penalties of perjury,I deGare 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 an all information of which preparer has any knowledge.
SIGNA RE OF P�p N RESP�O SI�E�,Q R FILING RETUR DATE
�v�o�I) �' ci v(l0 v� '��z=yz� _ �. C��%.,�v.� �/� / �:2a/�
—�•--�- �
ADD ESS
1202 CREEK ROAD & 85 O,�D MILL ROAD 80TH CARLISLE PA 17015
SIGN R THAN RE ESENT VE pD TE
4
ADDRESS
STEPHEN D . TILEY, 5 SOUTH HANOVER STREET, CARLISLE, PA 17�13
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 15056101D5 1505610105 � •
J 15�5610205
REV-1500 EX(FI)
DecedenYs Social Security Number
DecedenYsName: HELEN V . WILSON
RECAPITULATION
1. Real Estate(Schedule A). .. .. . . . . . . . .. ... .. .. .. ... ... .. . . . . . .. .. .. . 1. �. ��
2. Stocks and Bonds(Schedule B).. . .. . .. ... .. .. .. ... .. .. . . . .. .. ... .. . 2. � . 0�
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C). .. 3. 0. 0�
4. Mortgages and Notes Receivable(Schedule D). . . ... . . . .. .. .. . . . .. .. .. . 4. � . ��
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . 5. 2 216 . �5
6. Jointly Owned Property(Schedule F) OSeparate Billing Requested...... . 6. 0 . 00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) �Separate Billing Requested. .. .. .. 7, 0. ��
8. Total GrossAssets(total Lines 1 throu4h 7)... .. . .. . .. .. .. . .. .. .. .. .. . 8. 2216. 05
9. Funeral Expenses and Administrative Costs(Schedule H).. .. . . .. .. .. . . .. . 9. 15 . ��
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I). . ... . .. .. .. .10. 0. ��
11. Total Deductions(total Lines 9 and 10). .... .. .. .. .. ... . . .. .. . .. .. .. . 11. 15. ��
12. Net Value of Estate(Line 8 minus Line 11). .. .. .. .. .. ... . .. .. . . . .. .. .. 12. 2201. �5
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. 2201. 05
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 15. �.0�
16. Amount of Line 14 taxable
at�inea�ratex.o 45 2201. �5 �s. 99. 05
17. Amount of Line 14
taxable at sibling rate X . 12 17. 0. 0�
18. Amount of Line 14 taxable
at collateral rate X . 15 18. 0. 0�
19. TAXDUE.. .. .. . .. . .. .. . . .. . .. . . . ... .. .. .. . . . . . . .. ... . .. .. . . .. .. . 19. 99. �5
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
L 1505610205 1505610205 J
REV-15o0 EX(FI) Page 3 File Number 172-32-1699
Decedent's Complete Address: 21-12-1335
DECEDENT'S NAME
HELEN V.WILSON
STREETADDRESS
1196 CREEK ROAD
CITY STATE ZIP
CARLISLE PA 17015
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 99.05
2. Credits/Payments
A. Prior Payments
B.Discount
Total Credits(A+B) (2) 0.00
3. Interest
(3) 2.73
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT:
Fill in box on Page 2,Line 20 to request a refund. (4) 0.00
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 101.78
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......................................................................................... � �
b. retain the right to designate who shall use the property transferred or its income............................................ � �
c. retain a reversionary interest............................................................................................................................. ❑ �
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?............................................................................................................. ❑ �
3. 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
contains a beneficiary designation?................................. ............... .
►y.....r�........:.... ...............................................
Schedule G filed w orig. Return
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
. „» � � �
,r�...,.
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 decedenYs 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 decedenYs 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-1508 EX+(08-12) SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENTOFREVENUE PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Helen V.Wilson 21-12-1335
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. Estate of Violet R. Nailor, Deceased
Pennsylvania Estate File No.: 21-2012-0341
Status of Helen V.Wilson as a Residuary Beneficiary of the Violet R. Nailor estate was
unknown at the time that the Helen V.Wilson estate was settled,the original inheritance
tax return filed, and the inheritance tax paid.
Share of Helen V.Wilson Residuary Beneficiary-See Exhibit"A"Attached 2,216.05
TOTAL(Also enter on line 5, Recapitulation) $ 2,216.05
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Helen V.Wilson 21-12-1335
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
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:
3. Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. Tax Return PreparerFees:
7. Register of Wills-Filing Fee for Supplemental inheritance Tax Return 15.00
TOTAL(Also enter on Line 9, Recapitulation) $ 15.00
If more space is needed,use additional sheets of paper of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Helen V.Wilson 21-12-1335
RELATIONSHIPTO 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).]
Ronald E.Wilson
�� 85 Old Mill Road, Carlisle, PA 17015 Son 1/2 Residuary
Donna H. Clever
2' 1202 Creek Road, Carlisle, PA 17015 Daughter 1/2 Residuary
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. CHARITABLEAND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
0.00
If more space is needed,use additional sheets of paper of the same size.
I LAST WILL AND TESTAMENT
OF
� HELEN V. WILSON
I, HELEN V. WILSON, widow,of West Pennsboro Township (mailing address: 1196
Creek Road,Carlisle,Pennsylvania 17013)Cumberland County,Pennsylvania,being of sound
and disposing mind, memory and understanding,do hereby make,publish and declare this as and
for my Last Will anc3•Testament hereby revoking and making void any and all Wills by me at any
' ume heretofore made. "�
1. I direct my hereinafter named Executors to pay all of my just debts and funerai
, expenses as soon after my death as may be found convenient to do so. I d'uect that my body be
' interred on my burial lot located in Westminster Cemetery in North Middleton Township neaz the
Borough of Carlisle,Pennsylvania. I further direct that all inheritance,transfer and succession
taxes which may be payable on account of my death shall be paid from the residue of my estate
regazdless of whether the assets upon which such taxes are based are included in my probate
estate.
j 2. I give, devise and bequeath all of my automobiles, household goods, and tangible
I personal property generally in equal shares to my daughter, Donna Mae Hipple,my son, Ronald
'�� E.Wilson,and my two(2)grandchildren,Ronald E.Wilson,II,and Toye J.Walker,to be divided
; among them as they shall unanimously agree and in the absence of such an agreement then as my
iExecutors shall determine.
� 3. All of the rest, residue and remainder of my estate, real, personal and mixed and
wheresoever the same may be situate,I give,devise and bequeath as follows:
a) One-half(1/2)to my daughter,Donna Mae Hipple,her heirs and assigns,provided
' urvive me b a eriod of ninet (90)days,but should she fail to survive me then the
she shall s y p Y
amount she would have received shall be paid 50%to her husband,Gerald J.Hipple,his heirs and
' assigns, provided he shall survive me by a period of ninety(90) days,and the balance thereof
including all lapsed legacies,shall be divided equally between my two grandchildren who are
Ronald E. Wilson,II, and Toye J. Walker, their heirs and assigns, provided each of them shall
survive me by a period of ninety(90) days,but should either of them fail to so survive me then
the share such deceased grandchild would have received sha11 pass to such of his or her issue as
shall survive me by a period of ninety(90)days,their he'us and assigns,per stupes.
� b) The other one-half(1/2)shall be paid to my son, Ronald E. Wilson,provided he
� shall survive me by a period of ninety(90)days,but should he fail to so survive me then the same
shall be divided equally between his two children,Ronald E.Wilson II,and Toye J. Walker,their
heirs and assigns,provided each of them shall survive me by a period of ninety(90) days,but
should either of them fail to so survive me then the share such deceased person would have
received shall pass to such of his or her issue as shall survive me by a period of ninety(90)days,
' their heirs and assigns,per stirpes.
, 4. I hereby nominate, constitute and appoint my daughter, Donna Mae Hipple, and my
' son,Ronald E.Wilson,or either of them,as Executors of this my Last Will and Testament,and I
further direct that neither of them shall be required to post any bond to secure the faithful
performance of his or her duties in the Commonwealth of Pennsylvania or in any other
, jurisdiction.
IN WITNESS WHEREOF,I have hereunto set my hand and seal to this my Last Will and
' Testament written on one(1)page,this j;�. day of ,Sf�--F�f�F�� �����
-��: P 4 v l a�` D�,�„�� csE�.�,> .
Helen V. Wilson
Signed,sealed,published and declaredby HELEN V.WILSON, the Testatrix above-named,
as and for her Last Will and Testament,in our presence,who,in her presence,at her request,and
in the presence of each other,have hereunto subscribed our names as attesting witnesses.
/�'r t.,t�`� : �-
�.
� �t� � • �%Lt..�4-'�-�
C��.r���� & .�lssoc�.��'�s, P.C.
Attorneys and Counselors at Law
200 North Hanover Street
Bradley L. Griffie, Esquire �(�t�)�243-ss5113
Hannah Herman-Snyder,Esquire
100 Lincoln Way East,Suite
Robin J.Bassett Chambersburg,PA 17201
Office Manager (717)267-1350
Kelly L.Perez (800)347-5552
Legal Assistant July 8, ZO 14 Fax(717)243-5063
Reply to:Carlis[e
Estate of Helen V. Wilson
c/o Stephen D. Tiley, Esq.
5 South Hanover Street
Carlisle, PA 17013
RE: Estate of Violet R. Nailor
Dear Steve:
Thank you for promptly returning the Final Receipt, Release and Indemnity
Agreement that I forwarded to you for signature in this estate. Enclosed herein please
find a check in the amount of $2,216.05, which we are issuing to the estate in full and
final satisfaction of your disbursement from this estate as an inheritance. This now
concludes your involvement with this estate.
Very truly yours,
ey L. Griffie
BLCi/rjb
Enclosure
Cc: Elizabeth W. Richwine, Executrix
��
Penalty and Interest Calculations
CALCULATION DATES-
09/19/2013 TO 8/22/2014
TAX DEFICIENCY $ 99.05
CALCULATED INTEREST $ 2.73
BALANCE AS OF 8/22/2014 $ 101.78
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