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HomeMy WebLinkAbout09-29-14 z? REV-1500 E"(01-10) 1505610143 PA Department of Revenue OFFICIAL USE ONLY p pennsytvania County Code Year Fite Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO BOx.280601 INHERITANCE TAX RETURN 21 14 0149 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 01 20 2014 05 28 1932 Decedent's Last Name Suffix Decedent's First Name MI CANTRELL MILDRED L (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 ❑ 5. Federal Estate Tax Return Required (date of death after 12-1282) ® g Decedent Died Testate ❑ 7• Attach Copy int fined Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) ❑ 9. Litigation Proceeds Received ❑ 10.=Poverty Credit(date of death ❑ 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CRAIG A DIEHL ESQUIRE CPA 717 763 7613 REGISTIFS Q5 WILLS USE ONLY C a :;0 r*7 First line of address 1 a- -n �s ,.� r-- fV Irl 3464 TRINDLE .ROAD r-i co =' f Second line of address , City or Post Office State ZIP Code " DAT FILED CAMP HILL PA 17011 Correspondent'se-mail address: cdiehl@cadiehilaw.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 and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG URE EF RES NSI FOR FILING RN DA Paul Stephen Cantrell DDRESS 29 Foxanna Drive, Carlisle, PA 17016 SIGNATURE OFPR PAR SENTATIVE DATE Craig A Diehl Esquire CPA ADDRESS 3464 Trindle Road,Camp Hill, PA 17011 Side 1 1505610143 1505610143 1505610243 REV-1500 EX Decedent's Social Security Number DecedenrsName: CANTRELL, MILDRED L. 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&Notes Receivable(Schedule D).......................................................... 4. 5• Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)................ 5. 35 , 364 . 31 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............. 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested............. 7. 27 , 237 . 25 8. Total Gross Assets(total Lines 1-7)....................................................................... 8. 62 , 601 . 56 9. Funeral Expenses&Administrative Costs(Schedule H)......................................... 9. 9 , 204 . 52 10. Debts of Decedent,Mortgage Liabilities,&Liens(Schedule 1)................................ 10. 27 . 53 11. Total Deductions(total Lines 9&10)...................................................................... 11. 9 , 232 . 05 12. Net Value of Estate(Line 8 minus Line 11)............................................................. 12. 53 , 369 . 51 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. 53 , 369 . 51 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 15. 16. Amount of Line 14 taxable at lineal rate X .045 53 , 369 . 51 16. 2 , 401 . 63 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. Tax Due..................................................................................................................... 19. 2 , 401 . 63 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑ Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21 - 14 - 0149 Decedent's Complete Address: DECEDENT'S NAME Cantrell, Mildred L. STREET ADDRESS 277 Deitch Lane CITY STATE ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 2,401.63 2. Credits/Payments A. Prior Payments B. Discount Total Credits(A +B) (2) 0.00 3. Interest (3) 0.00 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) 2,401.63 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 b. retain the right to designate who shall use the property transferred or its income;.................................... ❑ ❑x c. retain a reversionary interest;or.................................................................................................................. Ll U d. receive the promise for life of either payments,benefits or care?.............................................................. ❑ ❑x 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?......... ❑ 0 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[72 P.S.§9116(a)(1.1)(1)]. 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 filing a tax refurn 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 1.2)p2 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)1. A sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,wfiether by blood or adoption. SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTHORANRM YLVANIA PERSONAL PROPERTY INHERCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Cantrell, Mildred L. 21 - 14-0149 Include the proceeds of litigation and the date the proceeds were received by the estate.All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE OF NUMBER DESCRIPTION DEATH 1 Orrstown Bank-Reward Checking 33,095.72 Account#111000527 2 1997 Buick Regal 1,700.00 Mileage= 100,700 3 Stone&Murray Funeral Home-Refund from Funeral Trust Acct 568.59 TOTAL(Also enter on Line 5,Recapitulation) 35,364.31 S � 1 COMMONWEALTH OF PENNSYLVANIA SCHEDULE G INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS & RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY ESTATE OF Cantrell, Mildred L. FILE NUMBER 21 - 14-0149 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF EXCLUSION NUMBER Include the name of the transferee,their relationship to decedent VALUE OF ASSET DECD'S (IF APPLICABLE) TAXABLE VALUE and the date of transfer. Attach a copy of the deed for real estate. INTEREST 1 National Life Group-Non-Qualified Annuity 27,237.25 100% 27,237.25 Policy#584685X TOTAL(Also enter on line 7,Recapitulation) I 27,237.25 5CHEDI -E H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES& INHERRANCE TAX RETURN RESIDENT DECEDENT ADMNwTW OM ESTATE OF Cantrell, Mildred L. FILE NUMBER21 -14-0149 Debts of decedent must be reported on Schedule I. ITEM NUMBER I FUNERAL EXPENSES: DESCRIPTION AMOUNT A. 1 Stone&Murray Funeral Home-Funeral Expense 6,293.37 2 SCI Pennsylvania Funeral Services-Funeral Expense 450.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s)Commission paid 2. Attorneys Fees Law Offices of Craig A. Diehl 2,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 178.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 The Sentinel-Estate Advertisement 201.16 TOTAL(Also enter on line 9,Recapitulation) 9,204.52 Schedule H COMMONWEALTH OF PENNSYLVANIA Funeral BWises&���,,�,� INHERITANCE TAX RETURN A r pnlS��Costs continued RESIDENT DECEDENT ESTATE OF Cantrell, Mildred L. FILE NUMBER �21 - 14-0149 2 Cumberland Law Journal-Estate Advertisement 75.00 3 Law Offices of Craig A Diehl-Reimbursement of DPW Certified Mailing Costs 6.49 Page 2 of Schedule H SCHEDULEI DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH ETAXREMRNANw LIABILITIES, & LIENS RESIDENT DECEDENT FILE NUMBER ESTATE OF Cantrell, Mildred L. 21 - 14-0149 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 Lori E. Deitch-Reimbursement for Final Century Link Telephone Bill 8.42 2 Lori E. Deitch -Reimbursement for Final Verizon Telephone Bill 19.11 TOTAL(Also enter on Line 10, Recapitulation) 27.53 REV-1613 E7(+(1'1-08) SCHEDULE ) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Cantrell, Mildred L. I FILE NUMBER 21 -14-0149 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not List Trustee(s) ITAXABLE DISTRIBUTIONS(include outright spousal distributions,and transfers under Sec.9116(a)(1.2)) 1 Paul S. Cantrell Son 1/2 Share of Trust 29 Foxanna Drive Carlisle, PA 17015 2 Lori E. Deitch Daughter 1/2 Share of Trust 277 Rich Valley Road Mechanicsburg, PA 17050 Enter dollar amounts for distributions shown above on lines 15 through 18 on 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 B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 LAST WILL AND TESTAMENT ' OF MILDRED L. CANTRELL A, IDENTITY C °r' rc,. PIA IJi�:�i✓��i-«rPrtJ ;� I, Mildred L. Cantrell, residing in the County of Lebanon, Commonwealth of Pennsylvania, being of sound mind and memory, and not acting under duress or undue influence of any person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all other and former Wills and Codicils to Wills heretofore made by me. All reference made herein to "spouse" or to "my spouse" refers to the person to whom I am currently married, namely, Paul E. Cantrell. My children are Paul S. Cantrell and Lori E. Deitch. PERSONAL AND HOUSEHOLD EFFECTS It is my intent that all my personal and household effects were transferred to my Living Trust as a result of the "ASSIGNMENT OF FURNITURE,FURNISHINGS AND PERSONAL EFFECTS." If there is any question regarding the ownership or disposition of these assets,it is my desire that such assets pour into the Living Trust in accordance with the provisions of the section titled 'Residue of Estate." RESIDUE OF ESTATE I give, devise and bequeath all the rest, residue and remainder of my property of every kind and description(including lapsed legacies and devises), wherever situated and whether acquired before or after the execution of this Will, to the Trustee under that certain Trust executed by me, which is known as "The Cantrell Family Trust,dated AM 20-4?L, Paul E. Cantrell and Mildred L. Cantrell,Trustors and/or Trustees." The Trustee shall add the property bequeathed and devised by this Item to the corpus of the above described Trust and shall hold, administer and distribute said property in accordance with the provisions of the said Trust,including any amendments thereto made before my death. If for any reason the said Trust shall not be in existence at the time of my death, or if for any reason a court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under said Trust as it exists at the time of my death to be invalid, then I give all of my estate including the residue and remainder thereof to that person who would have been the Trustee under the Trust, as Trustee, and to their substitutes and successors under the Trust, described hereinabove, to be held, managed,invested,reinvested and distributed by the Trustee upon the terms, trusts and conditions pertaining to the period beginning with the date of my death as are constituted in the Trust as at present constituted giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such Trust by reference into this my Will. Cantrell Last Will and Testament ©Copyright The Estate Plan 2001 All Rights Rcserved. Page I PRIVACY OF TRUST No Clerk of Court, Commissioner of Accounts, or other party (except my Executor, Personal Representative, or other Fiduciary of my Estate, and a Beneficiary of my Estate or Guardian or Fiduciary of such Beneficiary), dealing with a Trustee in relation to The Cantrell Family Trust, dated 00,JM7 , 20-.kL, Paul E. Cantrell and Mildred L. Cantrell, Trustors and/or Trustees, will be obligated or privileged to see that the terms of the Trust have been complied with, to inquire into the authority, necessity or expediency of any act of a Trustee, or to inquire into any of the terms of the Trust, except when permitted by the Trustee. EXECUTOR I hereby nominate and appoint Paul E. Cantrell, as Executor of this my Last Will and Testament to serve without bond. In the event the first named Executor shall predecease me, or is unable or unwilling to act as my Executor for any reason whatsoever, then and in that event I hereby nominate and appoint Paul S. Cantrell to serve without bond as Executor(Co-Executors if more than one person). In the event the second named Executor shall predecease me, or is unable or unwilling to act as my Executor for any reason whatsoever, then and in that event I hereby nominate and appoint Lori E. Deitch to serve without bond as Executor(Co-Executors if more than one person). When more than one person is named with others to act as Co-Executors and one of the named persons is unable or unwilling for any reason to serve or to continue to serve, and no additional persons are named herein to take the place of such declining or retiring Executor,I hereby direct that the remaining named Co-Executor(s) shall continue to serve as Co-Executors (or if one only remains, Executor) hereof without the approval of any court. Whenever the word "Executor" or any modifying or substituted pronoun therefor is used in this my Will, such words and respective pronouns shall be held and taken to include both the singular and the plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named herein and to any successor or substitute Executor acting hereunder, and such successor or substitute Executor shall possess all the rights, powers and duties, authority and responsibility conferred upon the Executor originally named herein. EXECUTOR POWERS By way of illustration and not of limitation and in addition to any inherent, implied or statutory powers granted to Executors generally, my Executor is specifically authorized and empowered with respect to any property,real or personal, at any time held under any provision of this my Will: to allot, allocate between principal and income, assign,-borrow, buy, care for, collect, compromise claims, contract with respect to, continue any business of mine, convey, convert, deal with, dispose of, enter into, exchange, hold, improve, incorporate any business of Cantrell Inst Will and Testament ©Copyright The Estate Plano 2001 All Rights Reserved. Page 2 mine, invest, lease, manage, mortgage, grant and exercise options with respect to, take possession of, pledge, receive, release, repair, sell, sue for, make distributions in cash or in kind or partly in each without regard to the income tax basis of such asset and in general, exercise all of the powers in the management of my Estate which any individual could exercise in the management of similar property owned in its own right upon such terms and conditions as to my Executor may seem best, and execute and deliver any and all instruments and do all acts which my Executor may deem proper or necessary to carry out the purposes of this my Will, without being limited in any way by the specific grants of power made, and without the necessity of a court order. My Executor shall have absolute discretion,but shall not be required, to make adjustments in the rights of any beneficiaries, or among the principal and income accounts to compensate for the consequences of any tax decision or election, or of any investment or administrative decision, that my Executor believes has had the effect, directly or indirectly, of preferring one beneficiary or group of beneficiaries over others. In determining the federal estate and income tax liabilities of my estate, my Executor shall have discretion to select the valuation date and to determine whether any or all of the allowable administration expenses in my estate shall be used as federal estate tax deductions or as federal income tax deductions and shall have the discretion to file a joint income tax return with my spouse. GLOSSARY OF TERMS For the purposes of this my Will, "children" means the lawful blood descendants in the first degree of the parent designated; and "issue" and "descendants" mean the lawful blood descendants in any degree of the ancestor designated; provided, however, that if a person has been adopted, that person shall be considered a child of such adopting parent and such adopted child and his issue shall be considered as issue of the adopting parent or parents and of anyone who is by blood or adoption an ancestor of the adopting parent or either of the adopting parents. The terms "child," "children," "issue," "descendant" and "descendants" or those terms preceded by the terms "living" or "then living" shall include the lawful blood descendant in the first degree of the parent designated even though such descendant is born after the death of such parent. SPECIFIC OMISSIONS I have intentionally omitted any and all persons and entities from this, my Last Will and Testament,except those persons and entities specifically named herein, and I have also intentionally omitted any and all persons and entities from this, my Last Will and Testament, who are not persons or entities specifically named in The Cantrell Family Trust, dated WAN 0 _, 20!L—. It is my intention that any and all persons and entities, whether or not named in this Will or said Trust, shall have an interest in my estate and property, including the said Trust, if and only to the extent that I have provided for them in this Will and in the said Trust. If any person or entity shall challenge this Will or any term or condition hereof, or of the Living Trust to which I have herein made reference, or any term or condition thereof, then, to that person or entity I give and bequeath the sum of one dollar($1.00) only in lieu and in place of any other benefit, grant, bequest or interest which that person or interest may have in my general and Probate Estate or the Living Trust and its Estate. Cantrell last Will and Testament ©Copyright The Estate Plan(8)2001 All Rights Reserved. Page 3 I specifically disinherit any person or persons claiming an interest in my estate through this, my Last Will and Testament, or through the previously named Trust, as my child, the issue of my body, who are born more than nine and one-half months after my death. SIMULTANEOUS DEATH If my spouse should not survive me,but I die within sixty(60) days of my spouse's demise, then it shall be conclusively presumed for the purposes of this my Will that I predeceased my spouse. If any other beneficiary should not survive me for sixty(60) days, then it shall be conclusively presumed for the purposes of.this my Will that said beneficiary predeceased me. NO CONTRACTUAL AGREEMENT NOT TO REVOKE Although at approximately the same time my husband and I are executing wills and a living trust containing provisions which are substantially the same, this shall not be interpreted as an agreement by either of us not to amend or revoke our wills or living trust without the consent Of the other. IN WITNESS WHEREOF, I have hereunto set my hand and declared this to be my Last Will and Testament this day*of , 20�. Mildred L. Cantrell SIGNED, SEALED, PUBLISHED and DECLARED by the above testator as and for her last will,in the presence of us, who thereupon at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses: nqee.q Witness Witness Pennsylvania ��y�/� , Pennsylvania Cantrell Last Will and Testament ©Copyright The Estate Plano 2001 All Rights Reserved. Page 4 SELF-PROOF OF WILL COMMONWEALTH OF PENNSYLVANIA ) ) ss. COUNTY OF LEBANON ) We Mildred L. Cantrell, and the Testatrix and the witnesses, respecti ely, whose names.are signe to the foregoing instrument,being duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of each witness's knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. IL4C� Z' Mildred L. Cantrell Witness Witness SUBSCRIBED, SWORN TO AND ACKNOWLEDGED before me,by Mildred L. Cantrell, the 711 Testatrix, and subscribed and sworn to before me by ��� fi• &i/11 K and witnesses, this G day of , 20-OL. Notarial Seal Nicholas G.Souliotis,Notary Public 7Z 1,41 Montgomery Twp.,Montgomery County My Commission Expires Nov.18,2002 tai ublic Member,Pennsylvania Assoclatlon of Notaries My commission expires z Cantrell last Will and Testament ©Copyright The Estate Plan 2001 All Rights Reserved. Pa-e 5 CERTIFICATE OF ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) ss. COUNTY OF LEBANON ) On thisdaI of �6 W IL , 2011—,before me,A11&WW (r• 'yod 60tts (here insert name of notary) a Notary Public, personally appeared Mildred L. Cantrell, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS m hand and official seal. Notarial seal y Nicholas G.Souliotis,Notary Public Montgomery Twp.,Montgomery County My Commission Expires Nov.18,2002 Member,Pennsylvania Association of Notaries Signature (Seal) My commission expir s Cantrell last Will and Testament ©Copyright The Estate Plan®2001 All Rights Reserved. Page 6