HomeMy WebLinkAbout11-05-14 'i
J 1505610101
REV-1500 E``°''°'
ennsylvania
Bu OFFICIAL USE ONLY
Department BOX 23o6oi Revenue p o.a« O an- County Code Year File Number
Bureau Individual.Taxes INHERITANCE TAX RETURN
Ha
Harrisburg,PA 17128-D6Di RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
04/20/2013 02/17/1930
Decedent's Last Name Suffix Decedent's First Name MI
Rohrer William
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MMI
Rohrer f; j Colleen — i-1
Spouse's Social Security Number
- THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
C3K) 1.Original Return p 2.Supplemental Return O 3. Remainder Return(date of death
prior to 12-13-82)
O 4.Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required-
death aftef 12-12-82)
O 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(date of death O 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 Telep)iene Number o
Stephen C. Nudel (717)236- 0 — 411)
REGIST i J F- LLLLS USE ONLY
A
Mrn
First,line of address Q
219 Pine Street
Second line of address _ {� �i t-R
Cf) p
City or Post Office State ZIP Code DATE FILED CT)
Harrisburg PA 17101
Correspondent's e-mail address: ScnudJ@nudelpc.com
Under penalties of perjury,I de e t v fined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and com e.D reparer other than the onal representative is based on all information of which preparer has any knowledge.
'SIGNATURE-Of-P O OR FI DATE
V, y
ADD f` - ,,
Q\�Q S�rff:9c N.�r lA 610
SIGNATURE OF PREPARER OT ER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610101 1505610101
1505610105
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Rohrer,William A.
RECAPITULATION
1. Real Estate(Schedule A). ............................. ............... 1.
2. Stocks and Bonds(Schedule B) ......................... .. ...... .. .... 2. 202---
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. 21,179.00 j
I
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets total Lines 1 through 7 ............. 8. I 223,967.00
9. Funeral Expenses and Administrative Costs(Schedule H)........ .... ........ 9. 14,163.50
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) ......... .... . 10.
I
11. Total Deductions(total Lines 9 and 10)........... ...................... 11. 14,163.50 i
12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. i 209,803.50
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. j 209,803.50
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..O_ 209,803.50 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X.0_ 16.
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. 0.00
20. FILL IN TILE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610105 1505610105
REV-1500 EX Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Rohrer, William A.
STREETADDRESS
1410 Armitage Way
CITY STATE ZIP
Mechanicsburg I PA 17050
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) 0.00
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) 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.
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;............................................ F-1 X
retain a reversionary interest;or.......................................................................................................................... El
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?.............................................................................................................. ❑ ❑x
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? ........................................................................................................................ ❑ 0
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 decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S.§9116(1.2)[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-1503 EX+(6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROHRER, WILLIAM A. 21-13-1269
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Codorus Valley Bancorp,Inc. 12,365 shares 202,788.00
L
D
I
TOTAL(Also enter on line 2,Recapitulation) $' 202,788.00
(If more space is needed,insert additional sheets of the same size)
REV-1508 EX+(6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROHRER,WILLIAM A. 21-13-1269
Include the proceeds of litigation and the date the proceeds were received by the estate.
At property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Riverview Bank Checking Account No.911097 21,179.00
»� .._�
I
III +
l�
I
TOTAL(Also enter on line 5,Recapitulation)
(If more space is needed,insert additional sheets of the same size)
REV-1511 EX+(08-13)
12 pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ROHRER, WILLIAM A. 21-13-1269
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL_EXPENSES:
1'
[Myers-'Hamer Funeral Home, Inc. 4,785.00
[:2 1 Funeral Luncheon-Trinity Evangelical Lutheral Church 1,070.00
[:3] Headstone-Frank Snyder&Son's Monuments 11--2,885.00
❑ ( �1
B. ADMINISTRATIVE COSTS:
1. Personal Representative,Commissions: 1�-01
Name(s)of Personal Representative(s) Stephen C. Nudel
Street Address 219 Pine Street
City Harrisburg State PA ZIP 17101
Year(s)Commission Paid:
4,000.00
2. Attorney Fees: ____f
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: IF 423.50
J
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
F7 ---___ - --- 71
IL
I LE
❑ I
TOTAL(Also enter on Line 9, Recapitulation) $`I 14,163.50A
If more space is needed,use additional sheets of paper of the same size.
June 16, 2014 Shareowner Services
Post Office Box 64874
St. Paul, MN 55164-0874
www.shareownoronline.com
STEPHEN C NUDEL ESQ
ESTATE OF WILLIAM A ROHRER
219 PINE ST
HARRISBUGH PA 17101
Re: Financial Confirmation
..Dear Shareowner:
Account Number: 3200021985
Registration: WILLIAM A ROHRER
1615 STATE ROAD
DUNCANNON PA 17020
Account Creation Date: 1/23/1996
Issue Name of Stock: Codorus Valley Bancorp Inc.
Total Share Balance on 4/22/2013: 12365.116
Certificate Shares: 1545.000
DRS/Book-Entry Shares: 77.000
Dividend Reinvestment Plan Shares: 10743.116
Dividend Amount Paid YTD: N/A
Closing Price per Share on 4/22/2013: $16.40000
Ticker Symbol for the Company is: CVLY
Stock Exchange: NASDAQ
Please note that as a transfer agent, we are not directly connected to the stock market. The above price is given as an
estimate and,is nota guarantee of a specific.price.
If you have any questions, please call our office toll-free at 800-468-9716. Our Shareowner Relations Specialists are
available to assist you Monday through Friday, from 7 AM to 7 PM Central Time. You may also send an email to us by
selecting "Contact Us"at any time while online at www.shareowneronline.com.
Sincerely,
Wells Fargo Shareowner Services
CV61 185
111 IN ZFNC01 6711851111 IYIYIYIY-
—�JL2130F,. �BMysl
Account Number 911097
William A Rohrer
DBA Big Bee Storage
1615 State Road
ouocan000 Pu 17020 Statement Data 4/30/13
Page 2
Other Debits
Date Amount Description
4/16 761'20 Transfer To Loan Account 239850
4/22 537'04 9aataeleto To CommwItbofpa Iot/50048809
Top^50048809 +.St30l*l3O331^T+0000053704\
Checks/Withdrawals
Cbeok# Date Amount Cbeob# Date Amount Cbank# Date Amount
6038 4/01 50'00 6046 4/23 1,300.00 6049 4/23 344.20
6040* 4/30 2.00'00 6047 4/24 366'39
6045* 4/17 47'70 6048 4/23 986.50
�
Indicates break in sequence
Daily Balance Information
Date Balance Date Balance mate Balance
Beginning Balance 14,930'0I
4/01 14,880-01 4/I6 20,414,21 4/23 19,338'37
4/05 17,147.1I 4/17 82,606.11 4/24 21,377'86
4/I0 21,I75'41 4/32 2I,969.07 4/30 21,179.49
Halifax Bank marywffle Bank
3rd&Market s*°m" 200 Front Street
poBo"A ,oBox o
HbUfaxBw& *°eaxv^17032 AlAiUMm"np°m�nx,�,°°°�°/n""b""vp^`"m =~w.m"m=mm,""ep=.="m
LAW OFFICES
STEPHEN C. NUDEL, PC
219 Pine Street
Harrisburg,Pennsylvania 17101
(71.7)236-5000
FAX(717)236,5080
STEPHEN C.NUDEL
JOSEPH A.RICCI
November 4, 2014
Cumberland County Register of Wills
One Courthouse Square
Carlisle, PA 17013
Re: Estate of William A. Rohrer
File No. 2013-01269
Dear Sir/Madam:
Enclosed please find an original and two copies of the Inheritance Tax Return regarding
the above estate. Please file the original and return a time-stamped copy to me in the enclosed
envelope.
AVer truly o
e 0
Ver
truly e
Stephen Nudel
SCN/jlm M
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Enc.
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