HomeMy WebLinkAbout11-14-14 (2) � 1505610143
REV-1500 EX`°2_„> �,
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
Bureau of�ndividual Taxes OEPARTMENTOFREVENUE
PO BOX.280601 INHERITANCE TAX RETURN 21 14 0548
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
02 18 2014 11 18 1936
DecedenYs Last Name Suffix DecedenYs First Name MI
WOODS DOLLY J
(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
Priorto 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise � 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
� 6 Decedent Died Testate � � Decedent Maintained a Living Trust � 8. Total Number of Safe De osit Boxes
(Attach Copy of Will) (Attach Copy of Trust) P
� 9. Litigation Proceeds Received � 10.Spousal Povert Credit(Date of Death 11.Election to tax under Sec.9113(A)
between 1231�J1 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
IVO V OTTO III 717 243 3341
c�, ,_-� r a `�
�
- c� `, c-�
REGIST�}2 OF WI�S USE�O�hY
t,� �� �__ _..._ :.��
�,.� - � , . �
First Line of Address - 'V� `�' " T
,-�, ��,
__. , � t
10 EAST HIGH STREET . , �:,
_.� . ,
Second Line of Address , =� �� '
� . ��a . .; a;J
i,`) N i._1
City or Post Office State ZIP Code � � DATE Fl�p ';�� c'�
CARLISLE PA 17013 '
�'�:,.
CorrespondenYs e-mail address: iotto(a7martsonlaw.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,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 DATE
Q , p�p� Tracey A. Cryder /!—/3—�l�
ADDRESS
124 Woods Drive #11 Mechanicsbur PA 17050
SIG TURE OF PR ER OTHER THAN REPRESENTATIVE DATE
.�- ivo V. Otto III —��/y
ADDRESS
10 East Hi h Street, Carlisle, PA
Side 1
L 1505610143 150561�143 � ��
� 1505610243
REV-1500 EX
DecedenYs Social Security Number
Decedent'sName: WOOCIS� Dolly J.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2. 10 , 551 . 84
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. 2 0 8 , 4 0 6 . 92
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous�oq Probate Property
(Schedule G) U Separate Billing Requested............ 7,
g. Total Gross Assets(total Lines 1 through 7)........................................................ g. 218 , 95 8 . 7 6
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 14 , 7 93 . 12
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 6, 9 64 . 4 9
11. Total Deductions(total Lines 9 and 10)................................................................ ��. 21 , 757 . 61
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 19 7 ,2 O 1 . 15
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. 19 7 ,2 O 1 . 15
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICAB�E RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.00 15. 0 . 0 0
16. Amount of Line 14 taxable 197 ,201 . 15 16. 8 , 874 . 05
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAX DUE................................................................................................................ 19. 8 � 8'�4 . �J�
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
Side 2
� 1505610243 1505610243 J
REV-1500 EX Page 3 File Number 21-14-0548
Decedent's Complete Address:
DECEDENT'S NAME
Woods, Dolly J.
STREETADDRESS
210 Big Spring Road
CITY � STATE ZIP
Newville PA 17241
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 8,874.05
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
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. (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) $,$74.��'j
Make Check Pa able 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:............................................................................... ❑ �x
b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ �
c. retain a reversionary interest;or............................................................................................................... ❑ ❑x
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑x
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?....... ❑ ❑x
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.
; a . i i� � � iai/�i rs�, n y � r i
,'FiiSY;S��.,i,,, ,�iJ„x����.,., �c.':�e.�rF?3i�9 / ���:�..,. ,�,a��i.��f.k�yf,..���. �cl, �i��.'.e , , �,.yh:,�".. , _ ......, , ,0.�, . ....�N... �„ ,,. � ., . �„ .�, ��3�,. ., �� t ,.,�F.z4.&�.
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 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 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(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-1503 EX+(6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Woods, Dolly J. 21-14-0548
All property jointly-owned with right of survivorship must bedisclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
Vanguard Traditional IRA
Beneficiary: Estate
1 27.646 shares of Vanguard 500 Index FD Investor Shares - 170.0998336 4,702.58
Account No.0040-09918782888
2 148.383 shares of Vanguard Growth &Income Investor 39.42 5,849.26
Shares-Account No.0093-09916782888
TOTAL(Also enter on Line 2, Recapitulation) 10,557.84
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B(Rev.6-98)
Rev-1508 EX+(11-10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OFREVENUE
INHERITANCETAXRETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Woods, Dolly J. 21-14-0548
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-ownedwith the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 BCBS-Premium refund 322.49
2 Social Security-Payment received after date of death for January 2013 1,758.00
3 3,116.61 Vanguard Prime Money Mkt FD 18022-Account No.0030-88083018022 3,116.61
4 Vanguard Prime Money Mkt FD 18022-Accrued interest 0.02
5 Wells Fargo checking 2357-Balance on date of death 203,209.80
TOTAL(Also enter on Line 5, Recapitulation) 208,406.92
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10)
REV-1511 EX+(10-09�
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Woods, Dolly J. 21-14-0548
DecedenYs debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
N MBER
q, FUNERAL EXPENSES:
See continuation schedule(s) attached a,132.62
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(s)Commission Paid Waived
2. Attorney's Fees 10,300.00
See continuation schedule(s) attached
3, Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zi�
Relationshi�of Claimant to Decedent
4. Probate Fees 353.50
See continuation schedule(s) attached
5. AccountanYs Fees
6. Tax Return Preparer's Fees
7. OtherAdministrativeCosts �•�� '
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 14,793.12
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Woods, Dolly J. 21-14-0548
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Ex ep nses
1 Funeral-Dugan Funeral Home 3,730.00
2 Funeral-Bagpiper honorarium 250.00
3 Funeral-Funeral Flowers 152.62
H-A 4,132.62
Attorney Fees
4 Martson Law Offices-Attorneys'fees 10,300.00
H-62 10,300.00
Probate Fees
5 Register of Wills-Probate fee 353.50
H-B4 353.50
Other Administrative Costs
6 EVP Stock Valuation 2.00
7 Register of Wills-Short Certificate 5.00
H-B7 7.00
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12•08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OFREVENUE
INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Woods, Dolly J. 21-14-0548
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 Green Ridge Village-Final nursing home expense 6,734.14
2 Wells Fargo checking 2357-Outstanding check on date of death 230.35
TOTAL(Also enter on Line 10, Recapitulation) 6,964.49
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Dolly J.Woods 02/18/2014 173-28-3503
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 Tracey A. Cryder Daughter 98,600.58
124 Woods Drive,#11
Mechanicsburg, PA 17050
2 Kerry A. McCleaf Daughter 98,600.58
1187 Bendersville-Wenksville Rd.
Aspers, PA 17304
Total 197.201.16
1
� o � �
LAST WILL AND TESTAMENT
OF
DOLLY J. WOODS
I, Dolly J. Woods, of 7720 Harmony Grove Road, Wellsville, York County,
Pennsylvania 17365, 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
re��oking any ar.d all pr�or Wi!!s and a!! C�d�c�ls made by me at any time heretofore.
ITEM 1. I direct that all my legally valid debts, funeral and administration
expenses, and inheritance and estate taxes incurred on account of my death shall be paid
by my personal representative out of my residuary estate as soon after my death as
practicable.
ITEM 2. I give to the person or persons identified in any written memorandum
which is signed by me, whether prepared at the time of making this Will or at a subsequent
time, certain items of tangible personal property described therein.
ITEM 3. I give, devise and bequeath all the rest, residue and remainder of my
estate, whether real, personal or mixed, including automobiles, together with all insurance
��olicies thereon, to my beloved spouse, George C. Woods, provided that my spouse
survives me by thirty (30) days.
1TEM �. in the event thai my spouse should Taii io survive me by thirty (30)
days, I then give the rest, residue and remainder of my estate to my children, Tracey A.
Cryder and Kerry A. McCleaf, in equal shares.
�,�����
�"D .
In the event that my daughter, Tracey A. Cryder should fail to survive
me by thirty (30) days, then her share shall pass to my grandchild Ryan Patrick Bruetsch
(D.O.B. 8/31/83), subject to the provisions of Item 5 below.
In the event that my daughter, Kerry A. McCleaf should fail to survive
me by thirty(30)days,then her share shall pass to my grandchildren, Kyle Aaron McCleaf
(D.O.B. 9/21/95)and Derek Alexander McCleaf(D.O.B. 3/28/98) in equal shares, subject
to the provisions of Item 5 below.
ITEM 5. In the event that any of my grandchildren have not attained the age
of twenty-five (25) years at the time of my death, I then direct that such grandchild's share
be made payable to a corporate fiduciary, selected by the administrator of my estate
pursuant to the following terms and conditions:
a. The Trustee shall immediately divide the trust estate into the appropriate
shares. Each share shall constitute and be held, administered and
distributed by the Trustee in a separate trust.
b. To use such amounts of both income and principal, as the Trustee, in its sole
discretion, deems proper from the support, education, maintenance and
welfare of said grandchild. The Trustee, in exercising its discretionary
authority with respect to the payment of principal and income to the
beneficiary, shall take into consideration any income or other resources
available to such beneficiary from sources outside of this Trust which may
be known to the Trustee. The determination of the Trustee with respect to
the necessity or advisability of making payment shall be conclusive on all
persons howsoever interested in the trust.
,-., �
D!J.W.
2
c. To pay any accumulated income and principal then remaining in the hands
of the Trustee when the grandchild has attained the age of twenty-five (25)
years. In the event that any of said grandchildren fail to attain the age of
twenty-five (25) years, then the Trustee shall distribute the balance of the
deceased beneficiary's trust estate to my remaining surviving grandchildren.
ITEM 6. Any and all payments of any sum or sums, whether in cash or in kind,
and whether for principal or income, payable hereunder, shall be made upon the sole
receipt of the respective individual to whom payment is made, and free from anticipation,
alienation, assignment, attachment, and pledge, and fee from control by the creditors of
any such beneficiary. All shares of income and principal herein shall be free from
anticipation, assignment, pledge or obligation of the beneficiary and shall not be subject
to any execution or attachment.
ITEM 7. I authorize my Personal Representative and Trustee to exercise the
following powers, in addition to those given by law to be exercised in their sole discretion:
a. To retain any or all assets of my estate, real, personal or mixed,
without regard to any principle of diversification, risk or productivity.
b. To invest in all forms of property without restriction to investments.
c. To sell at public or private sale, to exchange, mortgage or lease for
any period of time, and to repair, alter or improve any real or personal
property, and to give options for sales, exchanges or leases, for such
prices and upon such terms and conditions as they deem proper.
d. To compromise any claim or controversy.
�, �
Dr:J.W.
3
, . , ,�
e. To make distribution hereunder in cash, in kind, or partly in
cash and partly in kind.
f. In general, to exercise all powers in the management of any funds
which any individual could exercise in the management of similar
property owned in his own right upon such terms and conditions as to
them may seem best, and to execute and deliver all instruments and
to do all acts which they deem necessary or proper to carry out the
purpose of this Will.
ITEM 8. No fiduciary acting hereunder shall be required to post bond or enter
security in any jurisdiction. The compensation of any fiduciary appointed herein shall be
in accordance with the standard schedule of fees as shall be in effect from time to time.
ITEM 9. I nominate, constitute and appoint my spouse, George C.Woods, as
Executor of this, my Last Will and Testament. In the event of the renunciation, death or
resignation or inability to act for any reason whatsoever of my said spouse, I hereby
nominate, constitute and appoint, Tracey A. Cryder and Kerry A. McCleaf, as Co-
Executors of this, my Last Will and Testament.
IN WITNESS WHEREOF, I set my hand and seal to this, my Last Will and
Testament, this � �� day of ������, 2001
�
� 1 �<t�a�
Dolly J. o - Testatrix
4
. . , ,
The preceding instrument, consisting of this and four (4) other typewritten pages,
initialed at the bottom of each page for security purposes, was on the date thereof signed,
published and declared by Dolly J. Woods, the Testatrix herein named, as and for her
Last Will and Testament in our presence, who, at her request, in her presence and in the
presence of each other, have subscribed our names as witnesses whereof.
� c J
,�ess
i��o>v� �- �cvn,� , U� .
Witness
5
� 4
COMMONWEALTH OF PENNSYLVANIA .
. ss.
COUNTY OF DAUPHIN .
We, Dolly J. Woods, ( � � � �� and � ?���� +� l��n ic�5� .�,.
, the Testatrix and the witnes , resp ctively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her Last Will and that she had 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 her knowledge the Testatrix was at the
time eighteen (18) years of age or older, of sound mind and under no constraint or undue
Influence.
����/
Dolly J. o s - Testatrix
� 11�Y
Wi ss
��sr�c�l �_ �jc;�.�-t.c„� , ���
Witness ;- �
,,
,
l� ' �
,
� �� .�� �.���,!�
t4tt� ey � �
. ;
On this, the J;�'�' day of , 2001, before mec���,E,Pn �' ���� ,
the undersigned officer, personally, app ared Lawrence J. Neary, Esq. known to me or
satisfactorily proven to be a member of the bar of the highest court of Pennsylvania, and
certified that he was personally present when the foregoing acknowledgment and affidavit
were signed by the Testatrix and witnesses.
I have signed my name and affixed my seal.
� 7� , ;
��n1m�c�,-� �� �-'� -�c�,�
Jun. 19. 2014 10: 12AM SUN MOTORS SERVICE No, 2934 P, 3/5
Dalanr,c, uY ua� pa�te 1 of�
.
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V��uard
Myaccounts r 1��'�dt
Balances and haldings �'��� ���
Current balances Balances over time Balances compared to year-end �Balances by date ?
.......... ......... ,..,.,: .................... �
.....�. .....,•—••--•.
Date 02ME/$Q�4
'`- �}s°�ad�;
, .,. .
,, .:
Q 7r2Cey A Cryder—Inherited IRA ; ,�
� TraCey A Cryder—Inherited fRA.Brokerage Account 33103836`
Sweep actount—Inh�rited IRA Acooun1�7036-88069ot6537
, ,
, , ,
� 7rec+ey A Cryder-Rolh IRA ` "' � '
, ;.,
Q aolly J Woods,Tracey A Gryder Cust'—Gu�fr3ian ,
, ', � .' � .. ., �..,. �. '� .,.� ���� � PNuas ds of� ; � '.'. ,. ACt'u�d' ,
Bymhol�, Nql�ty , „ „FunUB'accounl�� , �",'QuqqHly 0211Bf9014. . ,. '9olenis . dlvltlands , � Total holqncy
VMMXX Vangua�tl Prima Manoy Ma�kOt Fund 0030-88063018022 3,116.810 $9,pp 53,116.6� SD.02 53,118.83
,. . ., .. . . . . ............................... . , ,
.. .. ............... ..... . . . .,. .. . ,. .
Total
b��116.63
0 Dolly J Wovda—rraditional IRA $iD,551.8a
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VFINX vanguertl s00 indez Funtl invea�ar Sherea 0040-08916782886 2Y.sas 5�70,�0 54702.58 50.00 54,702.SB
VONPX Vanguartl Orowlh and Incomo Fund Inveslor. 0093-09918782888 . �.�.�...,��, .���,.V,.���...,,'14B.38S.... .539.� . . .��...�.�.��.. ��.....��...�...� �..��� ..��... .,.� .. . . .�..
<2 95.84828 90.00 $$,Bd9.28
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fg 199rr2014 The Vanguard Group,Inc.All righta reseroed,Vengua�tl Merkeling Corporaiion,diatributor.
Your use of this slte signfres tnat you accept our terms 8 conditions.ot use.
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