HomeMy WebLinkAbout10-08-14 1505610105
RE WW-1 v0® EX(02-11)(FI)Ci OFFICIAL USE ONLY
pennsylvania
PA Department of Revenue DEPARTNENTOF REVENUE County Code Year File Number
Bureau of Individual Taxes
PO BOX 280601 -d.'1. l.(�INHERITANCE TAX RETURN n �{ I f „ n
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
06062014
Decedent's Last Name Suffix Decedent's First Name MI
BARNHART EARL M
(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 BOXES BELOW
x0 1. Original Return 0 2. Supplemental Return 0 3. Remainder Return(Date of Death
Prior to 12-13-82)
Q 4. Limited Estate 0 4a. Future Interest Compromise(date of Q 5. Federal Estate Tax Return Required
death after 12-12-82)
XQ 6. Decedent Died Testate 0 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 TO:
Name Daytime Telephone Number
ROBERT G. FREY 7172435838
REGISTER OF WILLS USE ONLY
First Line of Address ry
5 SOUTH HANOVER ST C3 `� , rn
Second Line of Address CO b c� 4?
r' r-1 cof s( fTi
ATE FILED C7
City or Post Office State ZIP Code =-- -
CARLISLE -771
PA 17013 n (Z) -
Correspondent's e-mail address: ,—� rnO
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowl.ygy 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 RESPONSIBLE FOR FILING RETURN <AATE /
ADDRESS
901 GLENDALE COURT CARLISLE, PA 17013
SIGNATURE F P�OTNR RESENT T
I E DAT
AT
ADDRESS
5 SOUTH HANOVER STREET, CARL LE, PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610105 1505610105
1505610205
REV-1500 EX(FI) Decedent's Social Security Number
Decedents Name: E A R L M BARNHART
RECAPITULATION
1. Real Estate(Schedule A) .. . .. . . .... .... ...... ... ............... 1 0.00
2. Stocks and Bonds(Schedule B).. .. .. .... ........... . ......... . ..... 2. 0.00
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)... 3. 0.00
4. Mortgages and Notes Receivable(Schedule D)...... ....... .. . ... ..... . 4. 0. 00
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E) 5. 0.00
6. Jointly Owned Property(Schedule F) [Separate Billing Requested....... 6. 286413 . 35
7. Inter-Vivas Transfers&Miscellaneous Non-Probate Property
(Schedule G) =Separate Billing Requested. ..... . 7. 0.00
8. Total Gross Assets(total Lines I through 7)........... ................ 8. 286413-35
9. Funeral Expenses and Administrative Costs(Schedule H). .. .... .......... 9. 3500.00
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)..... .......10. 225570.67
11. Total Deductions(total Lines 9 and 10)........... ........ .......... . 11. 229070.67
12. Net Value of Estate(Line 8 minus Line 11).......................... ..12. 57342. 68
13. Charitable and Governmental Bequests/Sea 9113 Trusts for which
an election to tax has not been made(Schedule J)..... .. .... ........ ....13. 0.00
14. Net Value Subject to Tax(Line 12 minus Line 13)... .... .. . . ... ... ..... 14. 57342. 68
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 11 286413. 35 15. 0.00
16. Amount of Line 14 taxable
atlineal rate X.o 45 16. 0.00
17. Amount of Line 14
taxable at sibling rate x . 12 17. 0 .00
18. Amount of Line 14 taxable
at collateral rate X .15 18, 0.00
19. TAX DUE................ .... . .... ............. . ......... ...... .. 19, 0.00
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505610205 1505610205
REV-1500 EX(Fl) Page 3 File Number 197-28-7536
Decedent's CompOete Address: 21-14=626
DECEDENT'S NAME
EARL BARNHART
STREETADDRESS
901 GLENDALE COURT
CITY STATE ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 0.00
2. Credits/Payments
A.Prior Payments
B.Discount
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.
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) 0.00
Make check payable to: REGISTER OF WILLS,AGENT. ,
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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:......................................................................:....................................................:❑
21
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
i
contains a beneficiary designation?...................................................................................:..........I......................... ❑
. I
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, I
I
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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)].
r
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 toa 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 decedent's lineal beneficiaries is 4.5 percent,except as noted in F2 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-1509 EX+(01-10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE
JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Earl M Barnhart
If an asset became jointly owned within one year of the decedents date of death,it must be reported on Schedule G.
SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A. Louanne G. Barnhart 901 Glendale Court, Carlisle, PA 17013 spouse
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST
1. A. 11/27/00 Orrstown Bank Acct. 106001767 277.42 50.00% 138.71
2. A 9/26/13 Wells Fargo checking acct.3276 50.00 50.00% 25.00
3. A 4/13/92 Wells Fargo checking acct.4166 1,149.87 50.00% 574.94
4. A 3/5/81 80%interest in REG, Incorporated. Sole Asset entity owning 266,86&40 40 50.00% 133,433.20
800 Belevedere St., Valuation based on assessed value 0.00
343,900 x.97 common level factor x 80% 0.00
5. A 12/4/64 901 Glendale Court,313900 Assessed value x.97 304,483.00 50.00% 152,241.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL(Also enter on Line 6, Recapitulation) $ 286,413.35
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Earl M Barnhart
Decedent's 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 decedent's address is not the same as claimant's,attach explanation.) 3,500.00
Claimant Louanne Barnhart
Street Address 901 Glendale Court
city Carlisle State PA zip 17013
Relationship of Claimant to Decedent Spouse
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
TOTAL(Also enter on Line 9, Recapitulation) $ 3,500.00
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
DEPARTMENT OF REVENUE y �yCp
INHERITANCE TAX RETURN DEBTS OF DECEDENT,
RESIDENT DECEDENT MORTGAGE LIABILITIES&LIENS
ESTATE OF FILE NUMBER
Earl M Barnhart 21-14-626
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.
Carlisle HMA Physician Management 245.14
2. Carlisle Physician Management 64.09
3. Carlisle Medical Pathology 12.46
4. Carlisle Medical Pathology 73.00
5. Allbettercare Urgent Care 41.72
6. Carlisle Regional Medical Center 352.72
7. Carlisle Regional Medical Center 1,427.73
8. Quantum Imaging 63.03
9. Jason L. Layfield, DVM 1,621.00
10. Northview Stallion Station 148,634.00
11. Fasig-Tipton 532.00
12. Equine Veterinary Care 866.06 i
13. Zanini Blacksmithing 40.00 }
14. EWM.Racing, Inc. 48,993.00
15. Thomas Bowman,DVM 5,288.20 4I
16. Portfolio Recovery Associates,successor to Chase Bank/National Capital Management 17,316.52
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1
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TOTAL(Also enter on Line 10,Recapitulation) $ 225,570.67
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULEJ
DEPARTMENT OF REVENUE
BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Earl M Barnhart
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS[include outright spousal distributions and transfers under
See.9116(a)(1.2).]
1.
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
11 NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1. Louanne Barnhart,901 Glendale Court,Carlisle, PA 17013 All jointly owned property
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1
TOTAL OF PART 11—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.
r
LAST WILL.AND TESTAMENT
OF
EARL M. BARNHART
1, EARL M. BARNHART, of 901 Glendale Court, Carlisle, Cumberland County,
Commonwealth of Pennsylvania 17013, do hereby make, publish and declare this to be
my Last Will and hereby revoke all prior Wills and Codicils made by me.
FIRST: I direct that all my just debts and funeral expenses be paid out of my
estate as soon as practicable after my death.
SECOND: I give, devise and bequeath my entire estate, of whatever nature and
wherever situate, to my wife, LOUANNE G. BARNHART.
THIRD: Should my said wife, LOUANNE G. BARNHART predecease me, or
should she fail to survive me by thirty (30) days, or should she die simultaneously with
me or in a common disaster, I then give, devise and bequeath my entire estate of
whatever nature and wherever situate to my son, JAMES D. BARNHART, of 901
Glendale Court, Carlisle, Cumberland County, Commonwealth of Pennsylvania 17013.
FOURTH: I nominate, constitute and appoint my wife, LOUANNE G. BARNHART,
as the Executrix of this my Will. Should she be unable or unwilling to serve for any of
the reasons set forth in Paragraph THIRD of this my Will, then I nominate, constitute
and appoint my son, JAMES D. BARNHART, currently of Expert's Building, Room
3201, Beijing Jiaotong University, 3 Shangyuancun Xizhimenwai, Beijing 100044,
People's Republic of China, as successor Executor of this my Will. Should he be
unable or unwilling to serve for any of the reasons set forth in Paragraph THIRD of this
my Will, then I nominate, constitute and appoint, ANDREW N. DIERKS of 2312
FOURTH AVENUE, ALTOONA, PA 16502, as successor Executor of this my Will. My
Executrix and successors Executor shall be excused from entering Bond in all
jurisdictions.
FIFTH: I give my Executrix and successor Executors the fullest power and
authority in all matters and questions and to do all acts which I might or could do if
living, including, but without restrictions to investments permitted by law, sell, at
public or private sale, for cash or credit, with or without security mortgage, lease and
dispose of and distribute in kind, all real and personal property at such times and upon
such terms and conditions as they deem advisable and to make any required division or
distribution in cash or in kind or in both and at such values as they may fix.
Page 1 of 4 Pages
i
SIXTH: All inheritance, estate, succession or transfer taxes, whether State,
Federal or otherwise, or any other tax in the nature thereof, which may be payable by
reason of my death, shall not be apportioned but shall be paid, together with any
interest or penalties, out of my residuary estate as if such taxes were administration
expenses.
IN WITNESS WHEREOF, I, EARL M. BARNHART, have to this my Will, written on
four(4) sheets of paper, set my hand at the end thereof this 7th day of April, 2009.
EARL M. BARNHART
SIGNED, PUBLISHED and DECLARED by the above-named Testator, EARL M.
BARNHART, as and for his Will, in the presence of us who, at his request, in his
presence, and in the presence of each other, all being present at the same time, have
hereunto set our hands as witnesses.
Name: / G Address: 212 North Third Street, Suite 202
Joseph B. Sobel Harrisburg, PA 17101-1505
Name: Address: 212 North Third Street, Suite 202
Jo-Ann Clemens Harrisburg, PA 17101-1505
Page 2 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF DAUPHIN
1, EARL M. BARNHART, Testator, whose name is signed to the attached or
foregoing instrument, 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 fee and voluntary act for the purposes therein
expressed.
EARL M. f3ARNHART
COMMONWEALTH OF PENNSYLVANIA :
. SS.
COUNTY OF DAUPHIN
On this 7th day of April, 2009, before me, a Notary Public, personally appeared
Joseph B. Sobel, Esquire, known to me or satisfactorily proven to be a member of the
bar of the highest court of said state and a subscribing witness to the within
instrument, and certified that he was personally present when EARL M. BARNHART,
whose name is subscribed to the within instrument executed the same, and that said
person acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand. .
,.. rd.:
Notary Public .
My Commission Expires:
rGERALDINE
V�1ALT... _�NSYLWANIA
140TARIAL SEAL
I SCRBACIC, Notary PublicNa4isbutg, DZphln Countydssion Expires Nov. 20, 2f)10
Page 3 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA
: SS.
COUNTY OF DAUPHIN
We, Joseph B. Sobel and Jo-Ann Clemens, 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 Testator sign and execute the instrument
as his Last Will; that he signed willingly and that he executed it 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 18 or more years of age, of sound mind and under no
constraint or undue influence.
Witnes's"--�"
Of)-01A'4& CWAA�
Witkess
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
On this 7th day of April, 2009, before me, a Notary Public, personally appeared
Joseph B. Sobel; Esquire, known to me or satisfactorily proven to be a member of the
bar of the highest court of said state and a subscribing witness to the within
instrument, and certified that he was personally present when Joseph B. Sobel and Jo-
Ann Clemens, witnesses, whose names are subscribed to the within instrument
executed the same, and that said persons acknowledged that they executed the same
for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand.
C0jgj-rACt4VVEAU0i OF PENNSYLVANIA
'r`—NUTARIA4 SEA4
GERAWRIF 1 SCRBACIC, Notary Public Notary Public
uphin County
0, 2010
EXPI.- Nov. y Commission Expires:
4R7 Co^^miss:nn
Page 4 of 4 Pages
Customer Correspondence
MAC P6102-o3A
P.O.Box 6995
Portland,OR 97228-6995
Date of Death Balance Request Response Form
Decedent: Earl M 13arnhart Case number: 84161864
Date of death: Friday,June o6,2014 Completed by: Mary Dugan
Requested by: Rober?G Frey Contact number: (540)562-9029
Mail: Frey&Tiley Date: July 16,2014
5 South Hanover St
Carlisle,PA 17013
Interest paid.
Principal'balance Accrued .Date of death
Account title Affiliation _lccount type Account number -as of date of death yir to date of interest : balance
eath
Earl M Barnhart Joint Owner Checking xxxxxx3276 $50.00 $0.00 $0.00 $50.00
Louanne G Barnhart Joint Owner
-Opened 09/26/2013
-This account is not a rollover
Earl M Barnhart Joint Owner Checking xxxxxx xx4166 $1,149.87 $0.00 $0.00 $1,149.87
Louanne G Barnhart Joint Owner
-Opened 04/13/1992
Notes:Balances provided are for the last business day prior to the date of death,if the date of death falls on a holiday or weekend.
Money Market Checking and Money Market Access accounts pay dividends only.
Comments:
Please contact our Equity Line of Credit Department at 866-401-7737 for information on the account 68175527691998•
Please contact our Credit Card Department at 800-642-47^0 for information on the account ending in 7904.
Please contact our Rewards Service Center at 877-517-1358 for information on the Rewards account number ending in 1219.
There was no Safe Deposit Box found.
Accounts opened in Pennsylvania are automatically joint with right of survivorship.
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901 GLENDALE COURT
PIN: 04-21-0324-041
Deedbook: 0021L-00027 w
Owner: BARNHART, EARL M&LOUANNE'
Land Use Code: 101
Property Type: R
Acreage: 0.74
Square Feet: 3054'
Taxable Status:T
Clean&Green Status:'
Land Assessed Value$: 54000 '
'Building Assessed Value$: 259900
Total Assessed Value-$:.313900
Sale Price$: r r
Sale Date:
Year Built: 1965 -
Municipality: CARLISLE BORO 3RD WRO
Height in Stories: 2._, r
Type of Dwelling: DETACH
Primary Exterior: Brick.
Basement Percentage: 75 ,
Air,Conditioning: NO
Total Rooms: 8
_ Bedrooms: 3
Full Bath: 2
Half'Bath: 1 '
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Copyright 20111 Esti.All rights reserved.Tue Sep k2,014''01:31:02 1PM.,
800 BELVEDERE STREET
PIN: 04-22-0481-170
Deedbook: 0021O-00490
Owner: REG INCORPORATED
Land Use Code: 349
Property Type: CO t
Acreage: 0.75 ,
Square Feet:
Taxable Status:T
Clean&Green Status:—
Land Assessed Value$: 129600
Building Assessed Value$: 214300
Total Assessed Value$: 343900 .
Sale Price$:
Sale Date:
Year Built:
Municipality: CARLISLE BORO 3RD WRD
Height in Stories:
Type of Dwelling:
Primary Exterior:
Basement Percentage:
Air Conditioning:
Total Rooms:
Bedrooms:
Full Bath: '
Half Bath: