HomeMy WebLinkAbout09-08-14 J 1505610140
REV-1500 EX (02-11)(FI)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
Po eox 2soso� INHERITANCE TAX RETURN 2 1 1 4 0 5 4 D
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
0 5 2 8 2 0 1 4 � 8 2 3 1 9 5 2
DecedenYs Last Name Suffix DecedenYs First Name MI
H 0 W E R 0 B E R T C
(If Applicable)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 OVALS BELOW
� 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 � 5. Federal Estate Tax Return Required
death after 12-12-82)
Q 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.)
� 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 O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECT6D T0:
Name Daytime Telephone Numl�r - �
S U S A N J - H A R T M A N 7 1 '� 2� 4 9 �7 'F�8rn0
REG�fE*R70F�,��WILL E Of�'�
��i �i �
� y r- F.� �..�
First Line ofAddress � � � � � �
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``' � c-� "� -s""1 `t�1
1 I R V I N E R 0 W ,. , � ,.,1 � � -n
<::..! r^'� ,.
Second Line of Address , ...� W r;,, �
..,..y --i t"'
r�, N t!� �
City or Post Office State ZIP Code DATE FIL�
C A R L I S L E P A 1 7 � 1 3
CorrespondenYs e-maii address: susan@duncanhartmanlaw.com
Under penalties of pery'ury,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 pers,onal representative is based on all information of which preparer has any knowledge.
SIGNAT E OF PERSON R SP NS LE FOR F ING ETURN DATE
� ;., ,�,�..� -
AD RESS
44 GREENFIELD DRIVE CARLISLE PA 17015
SIGNA E OF PREPARER OT THAN REPRES TATIVE DATE
AD ESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610140 1,505610140 � �`
� 150561024�
REV-1500 EX(FI) DecedenYs Social Security Number
�ecedent's rvame: R 0 B E R T C • H 0 W E
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 and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. •
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 3 3 � 3 8 . 9 5
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. •
7. Inter-Vivos Transfers&Miscellaneous N n-Probate Property
(Schedule G) � Separate Billing Requested . . . . . . . 7. 1 7 � 9 3 , 3 0
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 5 � 1 3 2 . 2 5
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 4 7 8 6 . � 8
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 2 2 8 3 . 5 6
11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 7 0 6 9 . 6 4
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . �2• 4 3 � 6 2 . 6 1
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. 4 3 � 6 2 . 6 1
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 A _ . 15. .
16. Amount of Line 14 taxable
at lineal rate X.0_ • 16. •
17. Amount of Line 14 taxable
at sibling rate X.12 • �� •
18. Amount of Line 14 taxable
at co��atera�rate X.15 4 3 0 6 2 . 6 1 �8. 6 4 5 9 . 3 9
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 6 4 5 9 . 3 9
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 1505610240 1505610240 �
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 2� 14 0540
DECEDENT'S NAME
ROBERT C. HOWE
STREET ADDRESS
10 MARILYN DRIVE
CITY STATE ZIP
CARLISLE PA 17015
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 6,459.39
2. CreditslPayments
A.Prior Payments 6,178.04
B.Discount 322.9�
Total Credits(A+B) (2� 6,501.01
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) 41.62
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 ...................................................................... ❑O �
b. retain the right to designate who shall use the property transferred or its income ............................... X
c. retain a reversionary interest ..................................................................................................... ❑ 0
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ 0
2. If death occurred after December 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?.................................................................................................. ❑X ❑
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[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 p2 P.s.§s��s�a)(���.
• 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+(OS-12)
pennsylvania SCHEDULE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCETAXRETURN pERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
ROBERT C. HOWE 21 14 0540
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 disciosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. ORRSTOWN BANK CHECKING ACCOUNT# 143001322 17,497.94
[SEE DOD LETTER ATTACHED]
2. THE BANCORP BANK IRA PROCEEDS 4,301.59
3. PROCEEDS FROM SALE OF 1977 CHEVROLET ASTRO 10,000.00
4. ERIE INSURANCE REFUND 17.00
5. DISH REFUND 59.14
6. PROCEEDS FROM SALE OF H&R SPORTSMAN 999 PISTOL 300.00
7. UMH PROPERTIES -SECURITY DEPOSIT REFUND 76.00
8. PYROTEK INC. PAY 78�.2$
TOTAL(Also enter on Line 5,Recapitulation) $ 33 038.95
If more space is needed, use additional sheets of paper of the same size.
REV-1510 EX+(OS-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROBERT C. HOWE 21 14 0540
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND DATEOFDEATH %OFDECD�S EXCLUSION TAXABLE
NUMBER THE DATE OF TR4NSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. PRINCIPAL FINANCIAL GROUP ANNUITY#6-16609 17,093.30 100.00 17,093.30
[SEE ATTACHED] -SUSIE I. ERNOLD - NO RELATION-
JUNE17, 2014
TOTAL (Also enter on Line 7,Recapitulation) $ 17,093.30
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
ROBERT C. HOWE 21 14 0540
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. HOFFMAN ROTH FUNERAL HOME 352.66
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2, AttorneyFees: DUNCAN & HARTMAN, PC 3,500.00
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. ProbateFees: REGISTER OF WILLS 178.50
5 Accountant Fees:
6. Tax Return Preparer Fees:
7, CUMBERLAND LAW JOURNAL- LEGAL NOTICE 75.00
8. THE SENTINEL- LEGAL AD 179�92
9. HELD IN RESERVE 500.00
TOTAL(Also enter on Line 9,Recapitulation) $ 4 786.08
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT�
wHERiraNCErnxRETURN MORTGAGE LIABILITIES& LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROBERT C. HOWE 21 14 0540
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, CENTURYLINK 31.76
2. CABELA'S 61.50
3. PPL 36.07
4. CARLISLE REGIONAL MEDICAL CENTER 377.20
5. CARLISLE MEDICAL PATHOLOGY PC 68.00
6. CARLISLE MEDICAL PATHOLOGY PC 518.34
7. HOSPITALISTS OF CENTRAL PA 35.40
TOTAL(Also enter on Line 10,Recapitulation) $ 1,128.27
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(Ot-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
ROBERT C. HOWE 21 14 0540
RELATIONSHIP TO 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).]
1. PATRICIA K. MC KEEHAN
44 GREENFIELD DRIVE 100%
CARLISLE, PA 17015
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,CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
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.
LAST WILL
&
TESTAMENT
I, ROBERT C. HOWE, of 10 Marilyn Drive, Carlisle, 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 and Testament, hereby revoking any and all other wills and codicils
heretofore made by me.
FIRST. I direct that all my just debts and funeral expenses be paid from my estate as
soon after my death as practically and conveniently may be done.
SECOND. I direct that my remains be cremated in accord with my expressed wishes.
THIRD. I authorize my personal representative to expend funds from my estate, in such
amounts as my personal representative shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my grave.
FOURTH. I give, devise and bequeath all of my estate of whatever nature, be it real,
personal or mixed, and wherever situate unto PATRICIA K. MC KEEHAN.
FIFTH. I direct that any and all Inheritance, Estate and Transfer t�es imposed upon my
estate passing under my will or otherwise, shall be paid out of the principal of my residuary
estate.
SIXTH I hereby nominate, constitute and appoint PATRICIA K. MC KEEHAN as
Executrix of this my Last Will and Testament. I hereby relieve my Executrix from the necessity
of posting security in connection with her duties, as such, in any jurisdiction in which she may be
called upon to act insofar as I am able by law to do so. In addition to the powers conferred by
law, I authorize my Executrix, in her absolute discretion, to retain in the form received, and to
sell either at public or private sale any real or personal property owned by me at the time of my
death.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, consisting of one typewritten page this �9�Uday of � � 2014.
i�����z��
ROBERT C. HOWE
Signed, sealed published and declared by the above named Testator ROBERT C. HOWE as and
for his Last Will and Testament, in the presence of us, who, at his request, in his sight and
presence and in the sight and presence of each other, have hereunto subscribed our names as
witnesses.
%/ �
COMMONWEALTH OF PENNSYL YANIA .
. SS.
COUNTY OF CUMBERLAND .
I, ROBERT C. HOWE, Testator whose name is signed to the attached or foregoing
instruinent, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
/�c�-=�� . `.�-�-
ROBERT C. HOWE
Sworn or affirmed to and
acknowledged before me, by
ROBERT C. HOWE this ��# day
of ��� , 2014.
� c. n� �� �� ��. ��.9 '�'1 ;�
Notary�u lic
No�nri�d Seal
�ry L.Mumme�E,Notary Public
lisle Borough,G�berlaad Counh',P .
MY Commissicsn Expires August l 1,2UI5 .
COMMONWEALTH OF PENNSYLVANIA .
:SS.
COUNTY OF CUMBERLAND .
We� ��'s�.'� � C�1�I�1�� �d ��--'�� � I�C�Q�YL�
the witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw ROBERT C. HOWE
sign and execute the instrument as his Last Will; that he signed willingly and that he executed as
his free and voluntary act for the purposes therein expressed; that each of us in the hearing and
sight of the Testator signed the will as witnesses; and that to the best of our knowledge,the
Testator was at that time eighteen(18) or more years of age, of sound mind and under no
constraint or undue influence.
/
i
��
Sworn or affirmed to and
subscribed before me�
�j.:.:�•�\� � '�AII�t`��'(� and
��%�-� � ��-V� , witnesses,
this ��, day of ��,,i� , 2014.
,
�
C��'" ' ����' 1 � �V'�'7 � n
Notiary P`ub�l�c� � Notarial Sea1
Kaihy L.M�mmer�,NO�'�blic
arlisle BorouBl?,�'�1�'d CountY>P .
�s pugust ll,2015
My Commission Exp
o�ST��N
B�
A Tradi�ion of Excellence
June 18, 2014
Duncan&Hartman,P.C. �
Attorneys at Law
One Irvine Row
Carlisle,Pa 17013
Fax: 717-249-7800
Re: Estate of Robert C Howe
Social Securiiy Number 208-42-5575
Date of Death OS/28/14
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE
FOLLOWING ACCOUNT WITH ORRSTOWN BANK:
CHECKING ACCOUNT
Account No- 143001322
Account Type- 50+Interest Checking
Account Title- Robert C Howe
Date Opened- 06/26/10
Joint Account(name/date) No
Balance- $17,497.89
Accrued Interest $0.05
Best Regards,
�� ��
Lisa Kti.ne
Deposit Processing Clerk III
2695 Philadelphia Avenue • Chambersburg, PA 17201
O�sTO�vN
B�
A Tradi�ion of Excellence
June 18, 2014
Duncan&Hartman,P.C. �
Attorneys at Law
One Irvine Row
Carlisle, Pa 17013
Fax: 717-249-7800
Re: Estate of Robert C Howe
Social Security Number 208-42-5575
Date of Death OS/28/14
IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE
FOLLOWING ACCOUNT WITH OR.RSTOWN BANK:
CI�ECKING ACC4UNT
Account No- 143001322
Account Type- 50+Interest Checking
Account Title- Robert C Howe
Date Opened- 06/26/10
Joint Account(name/date) No
Balance- $17,497.89
Accrned Interest $0.05
Best Regards,
���p,' ��
Lisa Kline
Deposit Pracessing Clerk III
2695 Philadelphia Avenue • Chambersburg, PA 17201
• . ,
Financia/
Group Retirement Account Profile
Prepared for: Susie I Ermold Date: June 17,2014
Plan Name: PYROTEK INCORPORATED
Plan#: 6-16609
Please Call: 1-800-247-8000 ext. 1251
A�count Balance �
As of June 13, 2014,your vested account balance is $17,093.30.
Your6alance changes daily due to a number offacto�s, including the market value of the investment options /f
al/owed by the former employe�'s plan,you can review and make changes to yourinvestment option e%ctions
at p�incipa/.com. Vesting will be verified when you�benefit payment is processed.
�
,:. ,..:.,. .. ....._. _. . _
,_ �:,_: .. .:._.: ,..:_.. ,.. ___ _ ..__._ . ._ _. _.
Account O�tions
You have several options availabie, including keeping your funds`,invested in the Plan or rvlling over to an
Individual Retirement Account(IRA) or another qualified retiremerht plan. Each of these options maintains the
tax-deferred status of these retirement savings and gives your account balance the potential for future growth.
Your account status will change to a f�ersonal Retirement Account and remain part of the former employer's plan
if another option is not selected by October 15, 2014. . ` •
C�1t3T�:Your vested account balance will be valued again at the time of distribution. Market fluctuations as wel!
as additional contributions may affect the account balance which could impact the distribution options available. �
.... .:..... - � . ....... _..._. ..._
Fees and Charaes
Distribution of Retirement Funds: Distribution fees may apply. Please contact the former employer.
Redemption Fees: Certain investment options available through the retirement plan are subject to
redemption fees.
_ ..-_- . .....:. . :�::.. _ _...,
Account Revieiv
Once you have reviewed this profile carefully, please call 1-800-247-8000 ext. 1251 to discuss your options for
these retirement savings. No appointment is necessary. Just call at your convenience between 7 a.m. to 9 p.m.
central time.
There's a knowledgeable financial professiona) atThe Principal who can:
. Provide a thorough explanation of your options.
• Help assess your financial needs-both short-term objectives and long-term goals.
. Develop a strategy customized for you with a wide range of financial solutions and products-
whether you are starting to save, nearing retirement or are ready to live on retirement income.
This is a simple and streamlined approach. Everything can be handled over the phone and most calls take only a
few minutes. This is a servic�rovided toXou at no additional cost o�obliqation. Please have this document
available when you call.
_ . _ _._ ___.
_ _ _ ._ . __ _ __ _ . __ .:_ _. Need ��
� For assistance with your options,ca111-800-2�7-gflOD ext. 12�1. �e�p�
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