HomeMy WebLinkAbout04-28-05
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL)
tJl\?O
OFFICIAL USE ONL Y
21-05-0288
YEAR
NUMBER
COUNTY CODE
SOCIAL SECURITY NUMBER
JARRETT RAYMOND S.
DATE OF DEATH (MM-DD-YEAR)
182-32-0152
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
X 1. Original Return
4. Limited Estate
X 6. Decedent Died Testate
2. Supplemental Return
4a. Future Interest Compromise (date of death after 12-12-82)
7. Decedent Maintained a Living Trust
3. (date of death
. Remamder Return prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
(Attach copy of Will) (Attach copy of Trust)
D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit D 11. Election to tax under Sec. 9113(A)
(date of death between 12-31-91 and 1-1-95) (Attach Sch 0)
1"HIS.SE'c....'ON.Ml.Is.....aE'.CoMpliE'"I"E'pi...ALtCQaaESPPNPENCEa.CPNFIDlON"I"I.Ii'TA)c'INFORMATIClNSHOI.IU).BE'DIFlEcteb'TO:...
NAME COMPLETE MAILING ADDRESS
Copyright (c) 2000 form software only The Lackner Group, Inc.
Dou 1as G. Miller Es .
FIRM NAME (If Applicable)
IRWIN & McKNIGHT
TELEPHONE NUMBER
60 West Pomfret Street
West Pomfret Professional Bldg.
Carlisle, PA 17013
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17
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash. Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(1)
(2)
(3)
None
None
None
~""")
(8) 21,634.54
(11) 4.110.00
(12) 17,524.54
(13)
(14) 17,524.54
(15)
(16)
(17)
(18)
(19)
0.00
788.60
0.00
0.00
788.60
(4)
(5)
None
10,000.00
(6)
11,634.54
None
4,110.00
None
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate. or transfers under Sec. 9116(a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
0.00
17,524.54
0.00
0.00
x
X
X
X
.0 0
.045
.12
.15
)
Fmm REV-1500 EX (Rev. 6-00) .'j
Decedent's Complete Address:
.
STREET ADDRESS
Chapel Pointe at Carlisle
770 S. Hanover Street
CITY I STATE I ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
788.60
Total Credits ( A + B + C) (2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E) (3)
4. If line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
,.~!: "i~:I,~~I~li~~~~I~~'~II~~~i"~[~~R~I::'.i'i'"
0.00
0.00
788.60
0.00
788.60
....,."":'.I.~lt"~~~~II~~~~~~II~~~.I~i~tt~!i~i~'..~~:~~~i~I~lgll~~li~t~~i"~.~il~i'
1.
Did decedent make a transfer and:
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; or .
d. receive the promise for life of either payments, benefits or care?
2. If death occurred after December 12, 1982. did decedent transfer property within one year of death
w~hout 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? . . .
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Yes No
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Under penalties of perjury ,I declare that I have examined this return, lncludlng 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.
Ruth E. Jarrett
_ _ n _ ?5~~!=!>Jl.'?~!1_t: _ I?~_i. ~~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Mechanicsbur , PA 17055
IRWIN & McKNIGHT
60 West Pomfret Street
-----------------------------------------------------
Carlisle, PA 17013
DATE
LfldwlD5
DATE'
For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 9116 (a) (11) (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%
[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 twenty-one 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% [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%, 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% [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.
Copyright (c) 2000 form software only The Lackner Group, Inc.
Fo'm RE\I-1S00 EX (Rev. 6-00)
REV- 1508 EX. (1 -97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
RAYMOND S. JARRETT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
SS11 182-32-0152
12/25/2004
FILE NUMBER
21-05-0288
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
NUMBER
1
DESCRIPTION
Specific Bequest - Under the Will of Andrew W. Breen
VALUE AT DATE
OF DEATH
10,000.00
TOTAL (Also enter on line 5, Recapitulation) $ 10,000.00
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems. Inc. Form REV-150S EX (Rev. 1-97)
REV-1509 EX. (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
RAYMOND S. JARRETT
SCHEDULE F
JOINTL V-OWNED PROPERTY
SSjf 182-32-0152
12/25/2004
FILE NUMBER
21-05-0288
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
A.
SURVIVING JOINT TENANT(S) NAME
Ruth E. Jarrett
ADDRESS
73 Southpoint Drive
Mechanicsburg, PA 17055
RELATIONSHIP TO DECEDENT
Daughter
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 DATE OF DEATH DECD'S VALUE OF
account number or similar identifying number.
NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1 250 shares CNL/Benkovich & 4,300.00 50.00% 2,150.00
Associates - 99872791338 1
048
2 M&T Bank - Checking Account 1,448.79 50.00% 724.40
- 447692
3 M&T Bank - Checking Account 42.00 50.00% 21.00
- 529761
4 514.838 Shares/Benkovich & 9,951.82 50.00% 4,975.91
Associates - Mutual Fund
01037865080 7 002
5 941. 25 Shares/Benkovich & 4,518.24 50.00% 2,259.12
Associates - Mutual Fund
01247865080 2 002
6 600.442 Shares/Benkovich & 3,008.21 50.00% 1,504.11
Associates - Mutual Fund
01947865080 7 002
TOTAL (Also enter on line 6, Recapitulation) $ 11,634.54
(It more space is needed insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1509 EX (Rev. 1-971
REV.1511 EX '(1.97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
RAYMOND S. JARRETT
SSIf 182-32-0152
FILE NUMBER
21-05-0288
12/25/2004
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
1.
2.
3.
4.
DESCRIPTION
AMOUNT
1
FUNERAL EXPENSES:
Funeral - Expenses
1,268.00
2
Funeral - Opening of Grave
375.00
3
Hoffman-Roth Funeral Home
608.00
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
Attorney's Fees
IRWIN & McKNIGHT
1,500.00
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
5. Accountant's Fees
Probate Fees
Register of Wills
79.00
6.
7.
1
Tax Return Preparer's Fees
250.00
Other Administrative Costs
Register of Wills - Filing Fee
30.00
TOTAL (Also enter on line 9, Recapitulation) $ 4,110.00
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
REV-1513 EX. (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
RAYMOND S. JARRETT
55f! 182-32-0152
12/25/2004
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116(a)( 1.2) J
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
1
Ruth E. Jarrett
73 5outhpoint Drive
Mechanicsburg, PA 17055
Daughter
FILE NUMBER
21-05-0288
AMOUNT OR SHARE
OF ESTATE
Remainder
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON- TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group, Inc.
0.00
Form REV-1513 EX (Rev. 9-00)
",
""""'~--'-'---'
LAST WILL AND TESTAMENT OF
RAYMOND S. ,JARHETT
T, RAYMOND S. JARRETT, of 770 South Hanover Street, in the
Borough of Carlisle, Cumberland County, Pennsylvania, being oj' sound and
disposing mind. n1emory. and understanding, do hereby nHike, publish, and
declare this as and for my last Will and Testament, hereby revoking and
making void any and all Wills by me at any time heretofore made.
1. I direct my hereinafter named Executrix to pay all of my just debts
and funeral expenses as soon after my death as may be found convenient to do
so.
2. All the rest, residue, and remainder of my estate, real, personal,
and mixed, and wheresoever lite same may be situate, I give, devise, and
bequeath to my wife, Ruth G. ,J arrett, her heirs and assigns to the exclusion
of my children born and unborn, provided my said wife shall sur'\"ive me by
a period of ninety (aD) days.
3. Should my said wife, Huth G. Jarrett., predecease me or fail t.o
survive me by the aforesaid period of ninety (90) dnys, t.hen in such event all
the rest, residuc>, and remainder of D1Y estate) real. personal and nlixed and
wheresoever the same may be sitllate, I give, devis(', and bequeath to my
cbughter, Rllth E. Jarrett, her heirs and assigns.
4. I hereby nominate, constitllte, and appoint, my said wife, Ruth G.
,Jarrett, as Executrix of this m.v last Will and Testam('nt, but should sh('
predf'eease 111(' or fail to qualify tllcn in such event I nominate. constitute and
appoint my daughter, Ruth E. ,J arrett as alternate or successor Ex('cutrix
and I further direct that neither of them shall be required to post any bond to I
secure the faithful performance of her duties in the Commonwealth of Pennsyl-I
vania or in any other jl11'isdiction.
Page 1 of 2 page~;
._---,-._-'~-.....--~--.,.~----~._._-,~_._------
.' ",~,,,,,-,.",,.,,, ...._.,""'.,-~~_.".""-~~.......-'-"~.-..._....,---,,._~-.....
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
my last Will and Testament, consisting of two pages, this d~-~ day of
r~-L-,.->--
1976.
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Raymond S. J ?,rr'ett
., ;:--r(SEAL)
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Signed, sealed, published, and declared by RAYMOND S. JARRETT,
the Testator above named, as and for his last Will and Testament, in our
presence, who, in his presence, at his request, and in the presence of each
other, have hereunto subscribed our names as attesting witnesses.
l.~} . 1 ;---)
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Feb 24 05 11:18a
p.2
499 Mitchell Road
MiIIsboro. DE 19966
Mail code DE-MB-J2
Phone: 888-502-4349
Fax: 302-934.2955
I r! M&TBank I
Fax
To:
Bany
From: Nancy Clagett
Mechanicsburg PA Branch
Fax: 717-691-3197
Date: January 11, 2005
Re:
Estate of: Raymond S Jarrett
Social Security: 182-32-0152
Date of Death: December 25, 2004
Dear Barry,
Per your inquiry dated December 25, 2004, please be advised that at the time of death, the above-
named decedent had on deposit with this bank the following:
Type of Account
Checking Account
Account Number
447692
Ownership (Names of)
Opening Date
Ruth E Jarrett, Raymond S Jarrett
9/1/67
Total
$1,448,79
$ 0.00
$1,448,79
Balance on Date of Death
Accrued Interest
Type of Account
Checking Account
Account Number
529761
Ownership (Names of)
Ruth E Jarrett, Raymond S Jarrett
Opening Date
4/1/76 Closed 12/31/04
Total
$ 42,00
$ 0,00
$ 42,00
Balance on Date of Death
Accrued Interest
Have a great day!
Nancy Clagett @ Records Department
A financial advisory practice
F~bruary 17.2005
,.....,~~
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Mr. Douglas G. Miller
Irwin & McKnight
60 West Pomfret Street
Carlisle, PA 17013-3222
,t
"\
Re: Estate of Raymond S. Jarrett
Dear Mr. Miller:
"
I received your letter dated February 15,2005 requesting information of the
accounts of the dec~d~nt, Raymond S. Jarrett.
Account Information
Mutual Funds
Account Number
010378650807002
01247865080 2 002
019478650807002
Ownership
Joint Tenancy With Right Of Survivorship
Joint Tenancy With Right Of Survivorship
Joint Tenancy With Right Of Survivorship
CNL
Account Number
99872791338 1048
Ownership
Joint Tenancy With Right Of Survivorship
The values of these accounts as of 12/25/2004 are as follows:
Mutual Funds
Account Number
010378650807002
012478650802002
019478650807002
Total Value
$995l.82
$4518.24
$3008.21
# of shares
514.838
941.250
600.442
CNL
Account Number
99872791338 ! 048
Total Value
$4300.00
# of shares
250
The date of death values provided are for estate tax purposes only.
Asset Value Per Share
19.330
4.800
5.010
Asset Value Per Share
17.20
:")
Jack Benkovich. CFP@
Senior Financial Advisor
CERTIFIED FINANCIAL PLANNER™
practitioner
Thomas F. Benkovich, CFP@.
ChFC,CFS
Senior Financial Advisor
CERTIFIED FINANCIAL PLANNER™
practitioner
Kevin Pressmann. ChFC
Associate Financial Advisor
American Express
Financial Advisors Inc.
IDS Life Insurance Company
Westwood Center
4661 Trindfe Road
Camp Hill, PA 17011
Bus: 717.761.4208
Fax 717.761.6282
john .a.benkovich@aexp.com
thomas. f.benkovich@aexp.com
wi II iam .k. pressmann@aexp.com
American Express Financial
Advisors Inc. Member NASD.
An AEFA associated financial
advisor franchise.
fnsurance and annuities are
issued by fDS Life Insurance
Company, an American Express
company. American Express
Company is separate from
American Express Financial
Advisors Inc. and is not a
broker-dealer.
Dee, 30 2004 03:30PM P3
LAST WILL AND TESTAMENT
OF
AN!:.~~R~.:._BREEN
I, ANDREW W. :BREEN-,' a resident -of-the' Town'ship 'of"
ElizabetP. County of Allegheny and Commonwealth of Pennsylvania.
being of Bound and disposing mind Bnd memory. do hereby publish
and decla~e this to be my Last Will and Testament. hereby
revoking any and all former Wille by me made.
FIRST:
---
I direct my Executor to pay from my estate all my
just debts. expenses of my last illness and funeral as soon as
may be convenient after my death.
SECOND:
I give and bequeath the sum of TEN THOUSAND
($10.000.00) DOLLARS to my friend, REVEREND RAYMOND S. JARRETT,
presently of 607 Copper Circle. CarliSle. PA 17013, if he
survives me; otherwise this gift is extinguished snd void.
!HIRD: I give and bequeath the sum of TEN THOUSAND
($10,000.00) DOLLARS and sny auto~obile which I ~BY own at tbe
~ime of my death to my late wife's cousin. KENNETH GRANGER.
presently of 5148 Baptist Road. Pittsburgh. PA 15236. if he
survives me. otherwise ~hese gifts are extinguished and void.
-!3PM : PLUI'1ZPLUt1
FAX NO, :412 754 1223
Dec, 30 2004 03: 31PI1 P4
-----.....--..-. ~ - .
- .-.--------"'-...-.-,-........."
FOURTH:
-----
I gi~e and bequeBth the sum of TEN THOUSAND
($10,000.00) DOLLARS to my late wife's cousin. BERNIECE MELLON,
if she survives me. otherwise this gift is extinguished and void.
FIFTH:
----
I give and bequeath the sum of FIVE THOUSAND
($5,000.00) DOLLARS each to LOR! MILLER, SARA JEAN MILLER and
~~sA~ M~LLER. daughters of my nephew, Thomas H. Miller.
presently of Glendale. Arizona.
SIX:
I give and bequeath the Bum of TEN THOUSAND
($10.000.00) DOLLARS to MT. VERNON COMMUNITY UNITED PRESBYTERIAN
CHURCH. of Elizabeth Township. Allegheny County. Pennsylvania.
SEVENTH:
------
I give and bequeath the sum of TWENTY-FIVE
THOUSAND ($25,000.00) DOLLARS to my nephew, THOMAS H. MILLER and
VERONICA MILLER, his wife. presently of 5136 West Mauna Loa,
Glendale, Ari~ona 85306.
EIGHT~: All the rest, residue and remainder of my estate,
of whatsoever kind and wheresoever situate, I give, devise and
bequeath to PITTSBURGH THEOLOGICAL SEMINARY. 616 N. Highland
Avenue. P~ttsburgh. Pennsylvania.
NINTH:
---
r name and appoint THE UNION MATIONAL BANK OF
PITTSBURGH as Executor of this my Last Will and Testament.
- 2 -
FRor'1 : PLUI-1&PLUM
FAX NO. :412 754 1223
Dec. 30 2004 03:31PM P5
,,~.J~"~>, ...'_,-........_"'.._ ".....................--'...'~,."';....,.' "'.,
IN WITNESS WHEREOF, !, ANDREW W. BREEN, have hereun~o Bet
my hand and seal this ~~ day of __~L~_______' 1991.
~_~~SEAL)
Andrew W. Breen
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named
Testator, ANDREW W. BREEN, as and for his Last Will and-
Testament. in the presence of us, who, at his request. in his
presence Bnd in the presence of each other. have hereunto
subscr~bed our names as witnesses.
-f4-~7J-/ ~--------
ADDRESS-!(~~~___
_~ __ _in.3 L___
- 3 -