HomeMy WebLinkAbout05-20-15 i pennsylvania 1505614105
OEP�flTMEM OF flEVENUE EX(03-14)(F1)
REV-1�0O OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
INHERITANCE TAX RETURN j ;
PO BOX 280601
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security NumberDate of Death MMDDYYYY Date of Birth MMDDYYYY
i .......
i
X02272015 1105301922 I
.................................................._........................................................
............:
Decedent's Last Name Suffix Decedent's First Name MI
Parsons I Emma L
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
.............................................. 1......................................................................_........................................................._................................................
i I I
........................"......................................-............................................... ..................................... ................................... ............................................... .....................I................ ...........-......................... ...................................................................
i
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
C@D 1.Original Return p 2.Supplemental Return p 3. Remainder Return(date of death
prior to 12-13-82)
O 4.Agriculture Exemption(date of p 5. Future Interest Compromise(date of p 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
(aD 7.Decedent Died Testate p 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) (Attach copy of trust.)
O 10. Litigation Proceeds Received O 11.Non-Probate Transferee Return O 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
O 13. Business Assets C=D 14.Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
Tricia D. Naylor, Esquire (717)249-6873
First Line of Address
19 West South Street
Second Line of Address
............. .................... ............................._................ ..................._....................
1
City or Post Office State ZIP Code
i
Carlisle i PA 1 117013
Correspondent's email address: tnaylor@baricscherer.Com r,
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REGISTER OF WILL�ISE ONL rT1
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DATE FILED STAMP C7.
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PLEASE USE ORIGINAL FORM ONLY
Side 1
u1It 1505614105
.J 1505614205
REV-1500 EX(FI) Decedent's Social Security Number
1--............. ..........................
Decedent's Name: Emma L. Parsons
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. If
4. Mortgages and Notes Receivable(Schedule D)
...................... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).... ... 5. 110,235.26
6. Jointly Owned Property(Schedule F) C=) Separate Billing Requested ....... 6, 5,004.14
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) C=) Separate Billing Requested........ 7.
277,591.96
8. Total Gross Assets(total Lines I through 7)............................. 8, 392,831.36
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 19,603.00
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... % l 224.541
11. Total Deductions(total Lines 9 and 10)................................. 11. 19,827.54
12. Net Value of Estate(Line 8 minus Line 11) ........ ...................... 12. 373,003.82
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. 373,003.82
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 r
(a)(1.2)X.0
16. Amount of Line 14 taxable i
at lineal rate X.0 45 373,003.82 1 16 16,785.17
17. Amount of Line 14 taxable
at sibling rate X.12 17.1
18. Amount of Line 14 taxable
at collateral rate X.15 j 18.11
19. TAX DUE ........ .. ................................... ........ .... 19, 16,785.17
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT C=:)
Under penalties of perjury,I declare 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 person responsible for filing the return is based on all information of which preparer has
any knowledge.
SIGNATURE OF PERSONR
SPONS71BL F PLING RETURN DATE
61 S_
ADDRESS
114 no faftad,,,
.Carlisl17013
SIG OF PREP T HAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE
ADDRESSI
19 W South Stree , C", PA 17013
111111111111111111 �i1 [11111i111111i1111111111111111 Side 2
4 1505614205
REV-1500 EX (Fl) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Emma Louise Parsons
STREETADDRESS
770 South Hanover Street
..............................
CITY
STATE zip
Carlisle PA , 17013
Tax Payments and Credits:
I. Tax Due(Page 2,Line 19) (1) 16,785.17
2. Credits/Payments
A.Prior Payments 15,945.00
B.Discount 839.18
(See instructions.) Total Credits(A+B) (2) 16,784.18
1 Interest
4. If Line 2 is greater than Line I +Line 3,enter the difference. This is the OVERPAYMENT (3)
Fill in oval on Page 2,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) 0.99
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..........................................................___.......__........... F-1 N
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑
c. retain a reversionary interest................_........................................................................._.........-..................
❑
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
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)(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)(11)(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 step-parent 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 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-1508 EX+(08-12)
s pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Emma Louise Parsons 21-15-0255
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1, The Juniata Valley Bank Checking Acct#564305678 37,199.30
2. The Juniata Valley Bank Savings Acct#354641585 45,104.26
3. The Juniata Valley Bank Certificate of Deposit#434262242 10,038.90
4. The Juniata Valley Bank Burial Acct#6400059991 12,089.32
5. Genworth Life Ins Co. -refund of long term care insurance 1,050.00
6. PSERS death benefit 49.48
7. PSERS death benefit 444.57
8. Chapel Pointe-refund of nursing care 558.43
9. 2014 IRS federal personal income tax refund 3,701.00
TOTAL(Also enter on Line 5, Recapitulation) $ 110,235.26
If more space is needed,use additional sheets of paper of the same size.
REV-i5og EX+(oi-io)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Emma Louise Parsons 21-15-0255
If an asset became jointly owned within one year of the decedent's date of death,It must be reported on Schedule G.
SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A.Jean L.Parsons 909 Lynnwood Court,Columbia,MO 65203 daughter
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DAZE 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 DECEDENT'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 04/19/05 The Juniata Valley Bank Certificate of Deposit#494705372 10,008.27 50% 5,004.14
TOTAL(Also enter on Line 6, Recapitulation) $ 5,004.14
If more space is needed,use additional sheets of paper of the same size.
REV-1510 EX+(08-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Emma Louise Parsons 21-15-0255
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
INCLUDE THE NAME OF THE TRANSFEREE,THEIR RE1A710NSHIP TO DECEDENT AND
NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. Members 1st Brokerage Money Market,transferred upon death to Cynthia A. 37,450.73 100 37,450.73
Varner,daughter,Jean L.Parsons,daughter and Linda D.Parsons,daughter
2 Members 1 st FT Unit 4200 Mun Bond,transferred upon death to Cynthia A. 29,918.51 100 29,918.51
Varner,daughter,Jean L.Parsons,daughter and Linda D.Parsons,daughter
3 Members 1st FT Unit 4289 Bond,transferred upon death to Cynthia A. 21,701.96 100 21,701.96
Varner,daughter,Jean L.Parsons,daughter and Linda D.Parsons,daughter
4 Members 1st MFS PA Muni Bond,transferred upon death to Cynthia A. 55,675.37 100 55,675.37
Vamer,daughter,Jean L.Parsons,daughter and Linda D.Parsons,daughter
5 Members 1 st Pimco Total Return,transferred upon death to Cynthia A. 35,455.10 100 35,455.10
Varner,daughter,Jean L.Parsons,daughter and Linda D.Parsons,daughter
6 Voya Financial IRA#K000019111,transferred upon death to Cynthia A. 26,154.80 100 26,154.80
Varner,daughter,Jean L.Parsons,daughter and Linda D,Parsons,daughter
7 Cincinnati Life Ins.Company Nonqualified Fixed Annuity#2724437K, 71,235.49 100 71,235.49
transferred upon death to Cynthia A.Varner,daughter,Jean L.Parsons,
daughter and Linda D.Parsons,daughter
TOTAL(Also enter on Line 7, Recapitulation) $ 277,591.96
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
Iffpennsytvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERMANCE TAX RErURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Emma Louise Parsons 21-15-0255
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
Brown Funeral Homes, Inc. 10,553.20
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: 8,200.00
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: 330.50
5. Accountant Fees:
6. Tax Return Preparer Fees: 225.00
7• legal Advertising-Sentinel$169.30/Cumberland Law Journal$75.00 244.30
8. Additional Probate 50.00
TOTAL(Also enter on Line 9, Recapitulation) $ 19,603.00
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
P'; pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Emma Louise Parsons 21-15-0255
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• Spring Road Family Practices-medical care 10.00
2. Millenium Pharmacy-medication 41.54
3. 2014 PA personal income taxes 173.00
TOTAL(Also enter on Line 10, Recapitulation) $ 224.54
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
JATJpennsylvania SCHEDULE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Emma Louise Parsons 21-15-0255
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS(Include outright spousal distributions and transfers under
Sec.9116(a)(1.2),]
1. Cynthia A.Varner, 114 Enola Road,Carlisle,PA 17013 daughter 1/3
2. Jean L.Parsons,909 Lynnwood Court,Columbia,MO 65203 daughter 1/3
3. Linda D.Parsons,5376 Marion Johnson Road,Athens,OH 45701 daughter 1/3
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
Pill aub Testanwit#
OF
E. LOUISE PARSONS
I, E. Louise Parsons, of the Township of Fayette, County of
Juniata and Commonwealth of Pennsylvania, being of sound mind, memory
and understanding, do hereby make, publish and declare this to be
my Last Will and Testament hereby revoking and making void any former
Wills and Testamentary Dispositions by me at any time heretofore
made.
I
I order and direct that my body be decently interred and that
my funeral be conducted in a manner corresponding with my estate and
situation in life, and that all my legal debts and funeral expenses
be paid as soon as conveniently may be done after my death.
II
I direct that all taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed,
shall be paid from my residuary estate as part of the expense of
the administration of my estate.
III
I order and direct my hereinafter named Corporate Executor to
allow a daughter, if she so desires to receive my home at the date
of my death, IN KIND, as part of her share of my residuary estate,
provided she makes such request in writing to my said Executor.
Should more than one daughter want my home, I then order and direct
my interested daughters draw cards with the holder of the highest
card (ace high) becoming the owner of my home.
IV
I give, devise and bequeath the residue of my estate of every
nature and wherever situate in equal shares unto my three (3)
daughters, Jean Louise Parsons of 4810 Bradley Boulevard, Apartment
One, Chevy Chase, Maryland 20015; Linda Dorothy Parsons, Box 2,
Page 1 of 4 Pages
t
yt,c rt ,
cAlis+terville, Pennsylvania 17049, and, Cynthia Ann Parsons, Box
2, McAlisterville, Pennsylvania 17049, share and share alike,
absolutely and forever.
Should any of my daughters predecease me, I then give, devise
and bequeath said child's one-third (1/3) share of my residuary
estate equally unto said daughter's issue, my grandchildren, share
and share alike, and, should a daughter predecease me and leave no
issue, I then give, devise and bequeath said daughter's one-third
(1/3) share of my residuary estate equally unto my other daughters
who are living at the date of my death, share and share alike,
absolutely and forever.
V
My personal representative hereinafter named shall have the
following management powers in addition to those vested in it by
law and by other provisions of my will, applicable to all property,
whether principal or income, and effective until actual distribution
of all property:
A. To retain and to invest in all forms of real and personal
property, including common trust funds operated by my Corporate
Executor, regardless of (i) any limitations imposed by law on invest-
ments by executors; (ii) any principle of law concerning delegation
of investment responsibility by executors or (iii) any principle of
law concerning investment diversification;
B. To compromise claims and to abandon any property which,
in my executors' opinion, is of little or no value;
C. To borrow from, and to sell property to others, and to
pledge property as security for repayment of any funds borrowed; -
D. To sell at public or private sale, to exchange or to lease
for any period of time, any real or personal property, and to give
options for sales or leases;
E. To join in any merger, reorganization, voting trust plan
or other concerted action of security holders, and to delegate dis-
Page 2 of 4 Pages
i . . cretionary duties with respect thereto;
F. To use administrative or other expenses of my estate as
income tax or estate tax deductions and to value my estate for
tax purposes by any optional method permitted by the law in force wh n
I die, without requiring adjustments between income and principal foy.
any resulting effect on income or estate taxes; and
G. To distribute in kind and to allocate specific assets among
the beneficiaries in such proportions as my executor may think best,
so long as the total market value of any beneficiary's share is not
affected by such allocation.
These authorities shall extend to all real and personal propert3 .
at any time held by my executors and shall continue in full force
until the actual distribution of all such property. All powers,
authorities, and discretion granted by this will shall be in additio
to those granted by law and shall be exercisable without leave of
Court.
VI
No interest in income or principal shall be assignable by, or
available to anyone having a claim against, a beneficiary before
actual payment to the beneficiary.
VII
I appoint The Juniata Valley National Bank of Mifflintown,
Pennsylvania Executor of my will to serve without bond, and I direct
that:
A. The Executor may resign at any time without Court approval;
and
B. The Juniata Valley National Bank shall receive compensation
in accordance with its standard schedule of fees in effect when its
services are performed.
IN WITNESS WHEREOF, I have hereunto set my Hand and Seal this
Page 3 of 4 Pages
Ft ,
027, kay of April, A.D. , 1978 .
(SEAL)
E.-,,Louise Par ons
The preceding instrument, consisting of four (14.) typewritten
pages, was on the date thereof, Signed, Sealed, Published and De-
clared by E. Louise Parsons, Testatrix therein.named., as and for
her Last Will and Testament, in the presence of uts ; -who:;, .at-her
request, and in her presence and in the presence of
i
subscribed our names as witnesses hereto.
`Yt 'yr
Residing at T A.#2
esiding
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"e"•i"r,,r„r,
Page 4 of 4 Pages