HomeMy WebLinkAbout06-26-15 pennsylvania 1505614105
oeanarncNrorancNue EX(03-14)(FI)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETRESIDENT DECEDENT
:
Harrisburg, PA 17128-0601 NT Al
,®`
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth NIMDDYYYY
................
109262014 02011925
...........
Decedent's.. Last Name Suffix Decedent's First Name MI
........
1CAVANAr7H JR
WILLIAM 1j
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
...........- . .. ..........
1CAVANAGH ELEANOR R �
...............
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
CID 1. Original Return C=:) 2. Supplemental Return C=:) 3. Remainder Return(date of death
prior to 12-13-82)
C=:) 4.Agriculture Exemption(date of C=:) 5. Future Interest Compromise(date of C=) 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
cW 7. Decedent Died Testate C=:) 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) (Attach copy of trust.)
CZD 10. Litigation Proceeds Received C=:) 11. Non-Probate Transferee Return c=:) 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
C=:) 13. Business Assets CID 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NameDaytime Telephone Number
............... ............. . .............
:ELEANOR R CAVANAGH (717)497-0243
... ............ ............ ...............
First Line of Address
91 EGE DRIVE
............... ....... .............................. ...........
Second Line of Address
..........
City or Post Office State ZIP Code
.......... .................... ......................... ......................
CARLISLE PA. 117015
........................
Correspondent's email address:
REGISTER OF WILLS_ SE ONLY
rn
REGISTER OF WILLS USE ONLY C=1
IEC
DATE
MWIQ W, C=
K r 7 C-)
03
!z:DLTFILED STAMP
<Z)
M
PLEASE USE ORIGINAL FORM ONLY F--A
Side 1
1505614105 1505614105
1505614205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: WILLIAM J CAVANAGH JR
RECAPITULATION
1. Real Estate(Schedule A). . .. ... . . .... ........ ... . . . . . . . . ..... . ..... . . 1.
2. Stocks and Bonds(Schedule B) . .. ..... .... ..... . .. . .. ... ..... .. . . . .. . 2. 25,057.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) 3. i
i
4. Mortgages and Notes Receivable.(Schedule D) .. .. .. ..... . ... ..... ....... 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E)... .. .. 5.
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. 1 25,057.00
9. Funeral Expenses and Administrative Costs(Schedule H). .. ... . . . ... . .. .. .. 9. 4,188.00
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1).. .. ... .. . .... . 10. . I
11. Total Deductions(total Lines 9 and 10). ... ... . .. .. . .. . ... ... ... .. .. ... . 11. 4,188.00 i
12. Net Value of Estate(Line 8 minus Line 11) . .. .. .. .. . .. . .. . .. . . . . .. ... ... 12. - 20,869.00
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. ; 20,869.00
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 _ ..... _......... __....... . .. ...-.... ,_., _._ ... _....._ .,._...... -
_..... . . _ ............1
(a)(1.2)X.0 00 20,869.00 15. : 0.00 I
16. Amount of Line 14 taxable
at lineal rate X.0_ 16.
17. Amount of Line 14 taxableat sibling rate X.12 17.
18. Amount of Line 14 taxable
at collateral rate X.15 18.
i..........._..................._...,......._..,...._............_............_.........._._-.............._..__.-.......-....
19. TAX DUE . ... . ... .. .. ... ..... ... .... .. .... . .. .. . . ... ... ... .. .... . . 19. 0.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
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 PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
91 EGE DRIVE, CARLISLE, PA 17015
SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE
ADDRESS
I IIIIII IIIII IIIII
Side 2
1 III�I�.III!II'I I�III IIT IIIII illll IIII����5 14205 1505614205
REV-15b0 M (FI) Page 3 File Number
I
Decedent's Complete Address:
DECEDENT'S NAME
WILLIAM J CAVANAUGH JR
STREETADDRESS
91 EGE DRIVE
CITY STATE ZIP
CARLISLE PA 17015
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 0.00
I Credits/Payments
A.Prior Payments
B.Discount
(See instructions.) Total Credits(A+6) (2)
3. Interest
(3)
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)
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...................__................................................................ Q 0
b. retain the right to designate who shall use the property transferred or its income ............................................ F-1 0
c. retain a reversionary interest ..........................................................................................................11.1...I.......I... Q N
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?...............__.................... .................................. F
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? ................................................................................................. F
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)(j)].
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)(1.11)(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)(11.3)],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-x511 EX+ (02-15)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
WILLIAM J CAVANAUGH JR 21-14-1014
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' PREPAID
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:
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: 175.00
5. Accountant Fees:
6. Tax Return Preparer Fees: 250.00
7. CUMBERLAND CROSSINGS 3,763.00
TOTAL(Also enter on Line 9, Recapitulation) $ 4,188.00
If more space is needed,use additional sheets of paper of the same size.
REV-1513 EX+(02.15)
�4 pennsyLvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
WILLIAM J CAVANAUGH JR 21-14-1014
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.
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 TAX IS NOT TAKEN:
1 ELEANOR R CAVANAUGH 20,869.00
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 20,869.00
If more space is needed,use additional sheets of paper of the same size.
REV-1503 EX+(02-15)
Tpennsytvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
WILLIAM J CAVANAUGH JR 21-14-1014
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1' PEPCO HOLDING INC POM
25,057.00
TOTAL(Also enter on Line 2, Recapitulation) $ 25,057.00
If more space is needed, insert additional sheets of the same size
Portfolio Holdings (Continued) �-
Uarer{'izd Estinrtaf EsHnrtml
Dow roil Unit Crst tat lasts UWker trice Wukei Valre s«rAon kmal lacme riew
Equitles(continued)
Common Stocks(continued)
j SPEPCO HLOGS INC COM Security Identifier:POM
(A/p� Dividend Option:Cash CUSIP;713291102
930.00000 of these shares which are non-negotiable,
and may require additional paperwork and information for
confirmation-Please call your Financial Representative for
more information.
Please Provide' 930.000 N/A Please Provide 26.8300 24,951.90 N/A 1,004.40 4,02%
SPFIZER INC COM Security Identifier:PTE
Dividend Option:Cash CUSIP:717081103
6600000 of these shares which are non-negotiable,
and(nay require additional paperwork and information for O
confirmation.Please call your Financial Representative for
more information.
Please Provide' 66.000 N/A Please Provide 34.7900 2,296.14 N/A 73.92 3.21%
SPUULIC SVC ENTERPRISE GROUP Security Identifier:PEG
INC COM CUSIP:744573106
Dividend Option:Cash \1
Please Provide' 5S2000 N/A Please Provide 41.9200 23,139.84 N/A 86).12 3.72%
SVERIZON COMMUNICATIONS INC Security Identifier:VZ
COM CUSIP:923430104
Dividend Option:Cash
Please Provide' 160.000 N/A Please Provide 48.6300 7,780.80 N/A 357..00 4.52%
Please Provide160000 N/A Please Provide 48.630D 7,780.80 N/A 35200 452%
Total Unallocated 320,000 Please Provide 15,561.60 N/A 704;00
To
.........tal........................................................0......-. ............................................ ..--••--------- --------------- ........
-15••,-561..-- .-..60.- _..._ .------....._.--..._... ... --------N/-....--.-................................................ ....$704.. ....00....
310,00NIA.. $ A
Total'Comrno(t Stocks $0.00 $751,770.38 $0,00 $9,439.72
Total Equltles $0.00 $757,770,38 $040 $9,438.72 \\�
Uaserfiral Acarrral Estiinrtal
Cast hash Yrkel Ydre 6ri�/toss Inleresi Jtenrd Iraae �\
Total Portfolio Holdings $215.20 $257,995.66 $0.00 $9,438.72
'Noncovered ilnder the coal basis rules as defined below. �y
Securities acquired before 2011 are generally not subject to the new cost basis reporting rules set forth in the Internal Revenue Code of 1866,as amended(`IRC")(incorporating amendments enacted by S,
P-L.110.343,the Emergency Economic Stabilization Act of 2008)and are,there lore,considered"noncovered,"under the new cost basis reporting rules,and marked or denoted as such. Ali other securities In i \>
this section are securities which are"covered'under the new cost basis reporting rules.Securities which are"covered"under the new cost basis reporting rules are defined as securities which have been acquired
on or after their"applicable date(s)"al which they are subject to the cost basis reporting rules and the adjusted basis wail be reported to the IRS on form 1099-B for the applicable tax year in which the security is
rdisposed,
Page 4 of 9
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COMMONWEALT F PENNSYLVANIA SNORT CERTIFICATE
COUNTY OF CUMBERLAND
F CU -
I, LISA M. GRA YSON, ESQ.
Register for the Probate of wills and Granting
jU p � Letters of Administration in and for
_ .�- ,„';r� CUMBERLAND County, do hereby certify that on
the 27th day of October, Two Thousand and
Fourteen,
--- Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
estate of WILLIAM J CAVANAUGH JR late of SOUTH MIDDLETON TOWNSHIP
/first,Middle,Last!
in said county, deceased, to ELEANOR R CAVANAUGH
lFisf,Middle,Last)
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office at CARLISLE, PENNSYLVANIA, this 27th day of October
Two Thousand and Fourteen.
File No. 2014- 01014
PA File No. 21- '14- 1014
Date of Death 9/26/2014
S. S. #
J 00 I f1
/ �� Regl er Ills� J
— Demi ury
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
LAST WILL AND TESTAMENT
OF
L7
CD Ui '.J --
CD CD WILLI"J. CAVANAUGH, JR.
C.;
;SMLLIAM J. CAVANAUGH, JR., of Carlisle, Cumberland County,
ca
o �') r�'
RJ s.�lvania`� g of sound and disposing mind, memory and understanding, do make,
''publish and declare this as and for my Last Will and Testament, hereby revoking and
making void any and all former Wills, Codicils, or writings in the nature thereof, by me at
any time heretofore made.
FIRST: I hereby order and direct my Executrix or Executor,
hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses
and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be
conveniently done after my death, out of my residuary estate.
SECOND: I reserve a right to include a written list of tangible personal
property with this Will, either in my handwriting or signed by me, and request that my
Executor dispose of the property set forth in the list in the manner specified therein.
THIRD: I give to my beloved wife, ELEANOR R. CAVANAUGH, all
the rest, residue and remainder of my estate of every kind and character and wherever
situated, provided she survives me by at least thirty days.
FOURTH: If my wife fails to survive me by thirty days, I give my entire
estate to my beloved children, LYNNE C. YOUNG, of Westmont, New Jersey, JAN C.
FEIDLEMAN, of Long Boat Key, Florida, JAMES R. CAVANAUGH, of 2199 Tom
Mountain Lane, North Garden, Virginia 22959, and NANCY PFISTERER, of 529 Colony
Road, Camp Hili, Pennsylvania 17011, in equal shares, per stirpes.
FIFTH: In the event that any grandchild of mine is entitled to inherit
from my estate and has not reached the age of 21 years at the time of my death, I direct
that his or her share shall be held in trust by their surviving parent or guardian, as trustee
to be used whenever my trustee, in his or her sole discretion, shall deem it necessary to
pay for the education, maintenance, health and welfare of my beneficiary. When any said
grandchild reaches the age of 21 years, the trustee shall pay to him or her outright the
balance of his or her share of the corpus and accumulated income which has not been
UISi(IUUICU,
LASTLY: I nominate, constitute and appoint my wife, ELEANOR R.
CAVANAUGH, to be the Executrix of this my Last Will and Testament. In the event that
my said wife, shall be unable to serve as Executrix for any reason, I appoint my daughter,
NANCY C. PFIS.TERER , as Executrix. No Executor or Executrix shall be required to file
bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
day of :_: _ 2005.
f
illiam J. Cavanaugh, Jr.
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
it •�: y
i�
l
2
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, WILLIAM J. CAVANAUGH, JR., Testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknowledged befo e me, by WILLIAM J.
CAVANAUGH, JR., the Testator, phis i L-l� `day of
2005.
�P �� �
�'�,Willia . agh, ., Testator
No Public �(/(
NOTARIAL SEAL
MERLEME J.MARHEVKA,NOTARY PUBLIC
CARLISLE,CUMBERLAND COUNTY,PA
MY COMMISSION EXPIRES JUNE 8,2008
3
I
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We, and
the witness;j" whose names are signe�to the attached c0foregoing instrument, being
duly qualifi according to law, do depose and say that we were present and saw
Testator sign and execute the instrument as his Last Will; that he signed willingly and that
he executed it as his free and voluntary act for the purposes therein expressed; that each
of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the
best of our knowledge the Testator was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me bdl
and C. this ay of
2005,
Witness
Witness
Nota ota ublic
4
7757M