HomeMy WebLinkAbout05-26-15 �� ��- ���
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FAMILY SETTLEMENT AND FINAL RELE�,��' �:� `� ` �-�
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ESTATE OF JUSTIN B. MEREDITH _, �
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KNOW ALL MEN BY THESE PRESENTS, that Justin B. Meredith;-•laf�!�i
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Shippensburg Township, Cumberland County, Pennsylvania, decea��d, died�tes�at�
on June 20, 2009.
WHEREAS, an Estate was opened in the Office of the Register of Wills of
Cumberland County, on September 3, 2009, when Letters of Administration were issued
to Berk B. Meredith III and indexed to File No. 21-09-0832;
WHEREAS, Letters of Administration on the Estate of the said decedent were
duly issued by the Register of Wills of Cumberland County, Pennsylvania, to the said
Administrator, hereinafter called personal representative;
WHEREAS, the personal representative has gathered the assets of the Estate of
the said decedent and the assets consist of personal and real property with the total
value of $119,623.80 as set forth in Exhibit "A", which is a copy of the Pennsylvania
Inheritance Tax Return filed and approved by said personal representative, and which is
attached hereto and made a part hereof, and marked Exhibit "A";
WHEREAS, the debts and deductions, including the payment of inheritance tax
in the said Estate, which have now been paid, leave a balance for distribution of
$7,747.21, also as set forth in the statement of said personal representative, which is
attached hereto and marked Exhibit"B";
WHEREAS, the balance for distribution as shown in the said statement marked
Exhibit "B" has been reduced to cash and has been distributed as herein indicated in
accordance with the Pennsylvania Probate, Estates, and Fiduciaries Code, 20 Pa.C.S.
§§ 2101 et seq. (the "Code");
NOW, THEREFORE, Berk B. Meredith III and Jodie R. Meredith, being all of the
persons qualified to take under the Code, do hereby each of us acknowledge that we
have this day had and received from the aforesaid personal representative, in full
satisfaction and payment of all sums of money, legacies, bequests, and devises as are
given, devised and bequeathed to each of us respectively, the amounts due us
according to the Code, which amounts we have received this day or prior to this day;
�
and, each of us do hereby stipulate that in order to avoid the expense and time involved
in the filing of a formal account and schedule of distribution, we each agree that no
account is necessary and we do hereby agree that we do consent to distribution being
made without the filing of an account and schedule of distribution, the same to be with
the same force and effect as if they had been filed and confirmed by the Orphan's Court
Division of the Court of Common Pleas of Cumberland County, Pennsylvania.
THEREFORE, we and each af us, do hereby remise, release, quitclaim and
forever discharge the said personal representative, Berk B. Meredith III, his heirs,
executors, administrators and assigned, of and from the said estate and from all
actions, suits, payments, accounts, reckonings, claims, and demands whatsoever for or
by reason thereof, or for any other use, matter, cause or thing whatsoever, touching
upon the Estate of the said decedent, and each of us do further hereby covenant and
agree that should any liability come due to the estate of the said decedent after the
signing of this Agreement, we and each of us do hereby covenant and agree with each
other and the aforesaid personal representative, that we will contribute pro-rata our
share of the Estate to satisfy any and all claims, demands, suits or causes of action
which may be successfully prosecuted against the said Estate or the aforesaid personal
representative after the signing, sealing and delivery of this Family Settlement
Agreement and Final Release.
IN WITNESS WHEREOF, we have hereunto set our hands and seals the day
and year noted below.
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Dat Witness erk B. Meredith III
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D te Witness Jo ie R. Meredith
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NOTICE OF INHERITANCE TAX pennsylva�nia �
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-09)
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-21-2010
ESTATE OF MEREDITH JUSTIN B
DATE OF DEATH 06-20-2009
FILE NUMBER 21 09-0832
COUNTY CUMSERLAND
JAMES M ROBINSON ACN 101
28 S PITT ST APPEAL DATE: 08-20-2010
CA R L I S L E P A 17 013 (See rc�verse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS E� ______________
---------------------------
REV-1547 EX AFP C12-09� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MEREDITH JUSTIN BFILE N0. :21 09-0832 ACN: 101 DATE: 06-21-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORI6INAL RETURN
�1� 118,603.80 NOTE: To ensure proper
1. Real Estate CSchedule A) .�� credit to your account,
2. Stocks and Bonds (Schedule B) �2� s�bmit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule C) �3�
.00 af this form with your
�4� •00 tax payment.
4. Mortgages/Notes Receivable (Schedule D) 1,020.00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) �5� ,00
6. Jointly Owned Property CSchedule F) �6�
��� .00
7. Transfers CSchedule G)
C8� 119,623.80
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIDNS:
21 .011.75
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) �9� 90,4 99.79
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) -
cll� 111,511.54
11. Total Deductions C12� $�112.26
12. Net Value of Tax Return C13� .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) $,112.26
14. Net Value of Estate Sub7ect to Tax
U4)
NOTE: If an assessment was issued previouslv, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: ,pp X 00 = .00
15. Amount of Line 14 at Spousal rate C15)
8,112. x 045 = 365.05
16. Amount of Line 14 taxable at Lineal/Class A rate C16� .00 X 12 - .00
17. Amount of Line 14 at Sibling rate C17�
.00 X 15 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) ci9�= 365.05
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-17-2010 CD012482
.00 365.05
� EXHIBIT TOTAL TAX PAYMENT 365.05
`� � -� BALANCE OF TAX DUE .00
yA INTEREST AND PEN. .00
� TDTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
....� �_.,,. ,�,■• �
.-.I REV-1500 1505607120
EX(06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
Po eox.2soso� 21 0 9 0 0 8 3 2
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth •
06202009 05231986
DecedenYs Last Name Suffix DecedenYs First Name M�
MEREDITS JUSTIN B
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Su�x Spouse's First Name M�
Spouse's Social Securiry Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. Original Retum ❑ 2. Suppiemental Retum � 3.Remainder Retum(date of death
priorto 12-13-82)
� 4. Limited Estate � 4a,Future Interest Compromise � 5. Federdl Est2te Tax Retum Required
(date of death after 12-12-82)
� g_ Decedent Died Testate ❑ 7. pn�Co a��Tr�ust a�iving Trust _� 8. Totai Number of Safe Deposit Boxes
(Altach Copy af Wiit) � Py �
9. Litigation Proceeds Received �p,spousal Poverty Credit�date of death � 11.Election to tax under Sec.9113(A)
❑ � belween 1231-91 and -1-95) (Att2Ch SCh.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
JAMES M ROBINSON 7172459688 � �
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Firm Name(If Applicable) {'-' _
REGISTER O��LS USE 1��ILY ,�- _
TURO LAW OFFICES ���'� - h"' - '
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First line of address I"� �
'J=�J -.J
_t;�f�
28 S . PITT STREET "�--' �
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Second line of address ���'C- ' ` �
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DAT��FILED '
City or Post Office State ZIP Code
CARLISLE PA 17013
Correspondent'se-mailaddress: JRobinson@lTuroLaw.COm
Under penalties of perjury,I declare that I have examined this retum,including accompanying schedutes and statements,and to the best of my knowledge and belief,
it is true,cortect and complete.Declaration of prep rer other than the personal representative is based on all infortnation of which preparer has any knowledge.
SIGN RE O PER N RESPONSIBLE FOR FILIN EfURN �A�
'�' g�� G��1�� � ��� Berk B Meredith III 3 1�l !�
ADDRESS v'� O�—
11967 Forge Hill Road,Orrstown,PA 17244
SIGNATURE OF PREPARER HER N REPRESENTATIVE A�
����` James M Robinson 3 �� � �� `
ADDR�SS
,�$S. Pitt Str et,Carlisle,PA 17013
Side 1
�, 1505607120 1505607120 �
,� ��� ,. ,.,,� ,
� 1505607220.
REV-1500 EX DecedenYs Social Security Number -
Decedent'SName: MEREDITH� JUSTIN B _
RECAPITULATION
1. Real Estate(Schedule A)..............................................................•••......................... 1.
118 , 603 . 80
2. Stocks and Bonds(Schedule B)............................................................................... 2.
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.
1 , 020 . 00
6. Jointly Ouvned Property(Schedule F) ❑ Separate Billing Requested............. 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............. 7.
S. Total Gross Assets(total Lines 1-7)....................................................................... 8. 119 , 6 2 3 . 8 0
9. Funeral Expenses&Administrative Costs(Schedule H)......................................... 9.
21 , 011 . 75
10. Debts of Decedent,Mortgage Liabilities,&Liens(Schedule I)................................ 10.
90 , 499 . 79
11. Total Deductions(total Lines 9&10)......................................................................��. 111 , 511 . 5 4
12• Net Value of Estate(Line 8 minus Line 11).............................................................12. 8 , 1 12 . 2 6
13. Charitable and Govemmentai 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. 8 , 1 12 . 2 6
TAX COMPUTATION-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.00 15.
16. Amount of Line 14 taxable $ � 112 . 2 6 �s. 3 6 5 . 0 5
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12 �7�
18. Amount of Line 14 taxable
at collaterai rate X .15 �8'
19. Tax Due...................................................................................................................7 9. 3 6 5 . 0 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �
$ide 2
� 1505607220 1505607220 �
:,�wn m ,.�u.r��-. r
REV-1500 EX Page 3 File Number 21 - 0 9 - 0 0 8 3 2
Decedent's Complete Address:
DECEDENT'S NAME
Meredith, Justin B
STREET ADDRESS
11 Pin Oak Lane
STATE Z�P
CITY pp 17257
Shippensburg
Tax Payments and Credits: ��� 365.05
1. Tax Due(Page 1 Line 19) _
2. Credits/Payments
A. Spousal Poverly Credit
B. Prior Payments
C. Discount
Total Credits(A +B+C) (2) 0.0 0
3. Interest/Penalty if applicable
p. Interest
E. Penairy
Total lnterest/Penalry(D+E) (3) 0.00
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) 365.05
q. Enter the interest on the tax due. (5A)
g. Enter the total of Line 5+5A. This is the BALANCE DUE. �5B) 3 6 5.��J
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN"X" IN THE APPROPRIATE BLOCKS
Yes No
1. Did decedent make a transfer and:
.• .... ........................................
a. retain the use or mcome of the property transferred:............................... ...... �
b. retain the right to designate who shall use the property transferred or its income:....................................❑ 0
c. retain a reversionary interest;or...............................................................................................................��1 �
d. receive the promise for life of either payments,benefits or care?..................... .......................................t—� �
2. If death occurred after December 12, 1982,did decedent transfer property within one year of death without
receiving adequate consideration?.....................................................................................................................0 0
3. Did decedent own an"in trust fo�' or payable upon death bank account or securdy 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 RETUR
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 three(3)percent p2 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 zero
(0)percent[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exemat a transfer to a surviving spouse from tax,and the statutory requirements
for disclosure of assets and filing a tax return are still appiicable 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 vatue 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 zero(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 decedenYs lineal beneficiaries is four and one-half(4.5)percent,
except as noted in 72 P.S.§9116 1.2)p2 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 twelve(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.
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SCHEDULE A
REAL ESTATE
COMMONWFALTH OF PENNSriVANIA .
INHERRANCE TAX RETURN -
RESIDENTDECE�ENT
FILE NUMBER
ESTATE OF Meredith, Justin B 21 -09-00832
All real property owned solely or as a tenant in common must be rep orted at fair market value.Fair market value is defined as the price
at which property would be exct�anged between a willing buyer and a witling seller,ne'ither being compelled to buy or sell,both having
reasonable knowledge of the relevant facts.Real properly which is jointly-owned with right of surv'ivorsFi�p must be disclosed on
schedule F.
VALUE AT DATE OF _
ITEM DESCRIPTION DEATH
NUMBER _
1 11 Pin Oak Lane, Shippensburg Township, Cumberland County, PA 118,603.80
valued at assessed value x common level ratio
TOTAL(Also enter on Line 7,Recapitulation) 118,603.80
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SCHEDULE E
CASH, BANK DEPOSITS, � MISC.
COMMONWEALiHOFPENNSYLVANiA PERSONAL PROPERTY
INHERRANCE TAX RERIRN
RESIDENT DECEDENT -
FILE NUMBER
ESTATE OF Meredith, Justin B 21 -09-00832
Include the proceeds of litigation and the date the proceeds were received by the estate.Ali properiy jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM DESCRIPTION VALUE AT DATE OF _
NUMBER DEATH
1 Orrstown Bank-Checking Acct. No. 101378781 � 1,020.00
TOTAL(Also enter on Line 5,Recapitulation) 1,020.00
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SCI�DIAE H
Fl�iAl_D�FJVSES�
COMMONNIFALTH OF PENNSriVAN1A ���� �
INHERITANCE TAX RETURN
RESIOENT DECEDENT �
FILE NUMBER --
ESTATE OF Meredith, Justin B 21 -09-00832
Debts of decedent must be reported on Schedule I.
NUM ER DESCRIPTION AMOUNT
FUNERAL EXPENSES:
A. 1 Fogelsanger-Bricker Funeral Home, Inc. 9,625.10
2 Greencastie Bronze&Granite 6,335.00
3 Path Valley Cemetery 500.00
4 Amberson United Methodist Church 250.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s)/EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s)Commission paid
2. Attorney's Fees Tu�o Law OffiCes 3,558.11
3, Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills 318.00
The Cumberland Law Jourrnal 75.00
The Sentinel-Legal 250.54
5. AccountanYs Fees
p Ruth Ann Moone 100.00
6. Tax Return Pre are�s Fees Y
7_ Other Administrative Costs
1
TOTAL(Also enter on line 9,Recapitulation) 21,011.75
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SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTHOFPENNSYWANIA LIABILITIES, � LIENS
INHERITANCE TAX REfURN
RESI�ENT OECEDENT -�
FILE NUMBER
ESTATE OF Meredith, Justin B 21 -09-00832
Include unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT -
NUMBER
1 USDA Rural Development-Mortgage secured by 11 Pin Oak Lane, Shippensburg 90,499.79
TOTAL(Also enter on Line 10, Recapitulation) 90,499.79
REV-1513 EX+(9-0D)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECE�ENT
ESTATE OF FILE NUMBER
Meredith, Justin B 21 -09-00832
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER �ME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not ListTrustee(s)
I. TAXABLE DISTRIBUTIONS[include outright spousal
distributions and transfers
under Sec.�116(a)(1.2)]
1 Berk B. Meredith, III Father One Half 4,056.13
11967 Forge Hill Road
Orrstown, PA 17244-9638
2 Jodie R. Meredith Mother One Haif 4,056.13
17097 Gorman Drive
Fort Loudon, PA 17224-9700
Enter dollar amounts for distributions shown above on iines 15 through 18,as appropriate,on Rev 1500 cover sheet
� NON-TAXABLE DISTRIBUTIONS:
� A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS
NOT BEING MADE
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE T 0.00
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EXHIBIT "B"
GROSS ESTATE NET OF TAX $ 119.258.75
LIABILITIES
A. USDA Rural Development— Mortgage Loan $ 90,499.79
B. Fogelsanger-Bricker Funerai Home, Inc. 9,625.10
C. Greencastle Bronze & Granite 6,335.00
D. Path Valley Cemetery 500.00
E. Amberson United Methodist Church 250.00
F. Turo Law Offices 3,558.11
G. Register of Wills 318.00
H. Cumberland Law Journal 75.00
I. The Sentinel — Legal 250.54
J. Ruth Ann Mooney—Tax Preparation 100.00
TOTAL LIABILITIES $ 111,511.54
AMOUNT REMAINING TO BE DISTRIBUTED $ 7,747.21
DISTRIBUTIONS:
Berk B. Meredith III $ 3,873.61
Jodie R. Meredith 3,873.60
TOTAL DISTRIBUTIONS $ 7,747.21