HomeMy WebLinkAbout06-29-15 IJ
Lbmoi♦ pennsytvania
... EX(03-14)(FI)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN ��—
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
03162015 09111924
Decedent's Last Name Suffix Decedent's First Name MI
Beatty Mary E
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1.Original Return p 2.Supplemental Return p 3. Remainder Return(date of death
prior to 12-13-82)
C=) 4.Agriculture Exemption(date of O 5. Future Interest Compromise(date of O 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
QD 7. Decedent Died Testate O 8. Decedent Maintained a Living Trust 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 O 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
Nancy Kocher (717) 761-2746
First Line of Address
763 Vista Drive
Second Line of Address
City or Post Office State ZIP Code
Camp Hill PA 17011 "
Correspondent's email address: nkocher@verizon.net
Rf.6MIER OF WILLS USE76NQ
REGISTER OF WILLS USE ONLY
DATE FILED MMDDYYYY
r1 CQ
-T1
-b 7 FILED MtMP
J
PLEASE USE ORIGINAL FORM ONLY
Side 1
111111 IIIII IIIII IIIII
15 IIII IIIII IIIII 11111 IIIII IIIII IIII IIII
5614105 1505614105
° E
1505614205
REV-1500 EX(FI)
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.
4. Mortgages and Notes Receivable(Schedule D)........................... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. 237,675.42
6. Jointly Owned Properly(Schedule F) O Separate Billing Requested ....... 6. 59,126.32
7. inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7. 751,818.18
8. Total Gross Assets(total Lines 1 through 7)............................. 8. 1,048,619.92
9. Funeral Expenses and Administrative Costs(Schedule H)................. .. 9. 4,547.76
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... 10. 544.60
11. Total Deductions(total Lines 9 and 10). ............... ................. 11. 5,092.36
12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. 1,043,527.56
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. 1,043,527.56
TAX CALCULATION-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.0- 15.
16. Amount of Line 14 taxable
at lineal rate X.0 45 46,958.74 16. 46,958.74
17. Amount of Line 14 taxable
at sibling rate X.12 17.
18. Amount of Line 14 taxable
at collateral rate X.15 18.
19. TAX DUE ..................................................... .... 19. 46,958.74
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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.
i SIGN TURE OF PERSSPO SIBLE FOR FILING RETURN DATE
06/20/2015
ADDRESS
763 Vista Drive, Camp Hill, PA 17011
SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE
ADDRESS
11111111111111 Jill' Side 2
1 56 4205 1505614205
REV-1508 EXE(02-15)
9 pennsytvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary Elizabeth Beatty 2015-00288
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- Premium Money Market Account,PNC Bank(Camp Hill Branch),Account#50-0579-8499 2,049.83
2. Refund of entrance fee to Bethany Village,5225 Wilson Lane,Mechanicsburg,PA 17055 223,279.64
3. Reimbursement of long term care expenses by insurer(Genworth) 6,832.40
4. Silver tea service
2,500.00
5. China and Silverware 1,000.00
6. Coin Collection 2,000.00
7. Refund of overpayment by Orthepedic Institute of PA 13.55
TOTAL(Also enter on Line 5, Recapitulation) $ 237,675.42
If more space is needed,use additional sheets of paper of the same size.
REV-1509 EX+(02-15)
A pennsytvania SCHEDULE F
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary Elizabeth Beatty 2015-00288
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•Nancy Kocher 763 Vista Drive daughter
Camp Hill, PA 17011
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
TEEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 01/01/04 PNC Bank,Camp Hill,PA,Regular Checking Account#50-0412-6447 1,314.90 100 1,31490
2. A 05/01/13 Morgan Stanley Personal Account#617-149174-428 115,622.84 50% 57,811.42
TOTAL(Also enter on Line 6, Recapitulation) $ 59,126.32
If more space is needed,use additional sheets of paper of the same size.
Wealth Management
One PPG Place,Suite 1300
Pittsburgh,PA 15222-5490
tel 412 392 5800
fax 412 392 0313
Morgan Stanley
Nancy Kocher& Beth Beatty
Date of Death Values(03/16/2015)
617-149174-428
Symbol Company Name Quantity Date High Low Close Value
Cash N/A N/A 3/31/2015 N/A N/A N/A 45,738.63
IYK i5hares U.S.Consumer Goods 100 3/16/2015 104.7 104.1 104.7 10,470.00
MDLOX BLACKROCK GLOBAL ALLOC(A) 1104.503 3/16/2015 20.22 20.22 20.22 22,333.05
MDLVX BLACKROCK LARGE CAP VALUE FD 802.89 3/16/2015 22.79 22.79 22.79 18,297.86
MIGFX MASSACHUSETTS INVTS FUNDS 749.234 3/16/2015 25.07 25.07 25.07 18,783.30
Total:
115,622.84
The above prices were obtained by Morgan Stanley's research library and historical pricing database. The above
prices/quotes/statistics contained herein have been obtained from sources believed reliable but are not necessarily
complete and cannot be guaranteed. Tax laws are complex and subject to change. Morgan Stanley, its affiliates and
Morgan Stanley Financial Advisors do not provide tax or legal advice.This material was not intended or written to be used
for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Individuals are urged to consult their
personal tax or legal advisors to understand the tax and related consequences of any actions or investments described
herein.
R4organ Stanley Smith Barneyll.C.MemberSlPC.
REV-151.0 EX+(02-:15)
0 pennsylvania SCHEDULE G
>� DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary Elizabeth Beatty 2015-00288
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.
DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDEM AND
NUMBER THE DATE OF TRANSFER ATTACH ACOPY OFTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IFAPPUDWE) VALUE
1. Nancy Kocher,daughter,designated TOD on Morgan Stanley Active Asset 11,739.86 100 11,739.86
Managment Account#617-113502428 as of 8/15/03(approx.)
2 Nancy Kocher,daughter,designated TOD on Morgan Stanley Retirement 740,078.32 100 740,078.32
Account#617-113503428 as of 8/15/03(approx.)
TOTAL(Also enter on Line 7, Recapitulation) $ 751,818.18
If more space is needed,use additional sheets of paper of the same size.
Estate Valuation
Date o- Death: 03/16/2015 Estate of: Beth Beatty
Valuation Date: 03/16/2015 Account: 617-113502-428
2rocessino Date: 05/15/2015 Report Type: Date of Death
Number of Securities: 18
File ID: 617-113502
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1) -164432.16 Cash (CASH) -164,432.16
2) 250 AMERICAN ELEC PWR INC (0255371011
COM
New York Stock Exchange
03/16/2015 566.54000 55.48000 H/L
56.010000 14,002.50
3) Unknown CUSIP (459998993) 0.00
4) 800 EXXON MOBIL CORP (30231G102)
COM
New York Stock Exchange
03/16/2015 84.86000 83.27000 H/L
84.065000 67,252.00
5) 48 FRONTIER COMMUNICATIONS CORP (35906A108)
COM
New York Stock Exchange
03/16/2015 7.36000 7.27000 H/L
7.315000 351.12 .
Div: 0.105 Ex: 03/10/2015 Rec: 03/12/2015 Pay: 03/31/2015 5.04
6) 642 HUNTINGTON BANCSHARES INC (446150104)
COM
The NASDAQ Stock Market LLC
03/16/2015 11.17000 11.05000 H/L
11.110000
Div: 0.060000 Ex: 03/16/2015 Rec: 03/18/2015 Pay: 04/01/2015 + 0.060000
11.170000 7,171.14
7) 7000 JPMORGPN CHASE & CO (46625H100)
COM
New York Stock Exchange
03/16/2015 61.92000 61.25000 H/L
61.585000 431,095.00
8) 150 MCDONALDS CORP (580135101)
COM
New York Stock Exchange
03/16/2015 97.47000 96.74000 H/L
97.105000 14,5665.75
9) 200 PPL CORP (69351T106)
COM
New York Stock Exchange
03/16/2015 32.49000 31.93000 H/L
32.210000 6,442.00
Div: 0.3725 Ex: 03/06/2015 Rec: 03/10/2015 Pay: 04/01/2015 74.50
10) 200 VERIZON COMMUNICATIONS INC (92343V104)
COM
New York Stock Exchange
03/16/2015 49.40000 48.63000 H/L
49.015000 9,803.00
11) 150 WAL-MART STORES INC (9311421033)
COM
New York Stock Exchange
03/16/2015 83.37000 82.44000 H/L
82.905000 12,435.75
Div: 0.49 Ex: 03/11/2015 Rec: 03113/201.5 Pay: 04/06/2015 73.50
12) 4 BLACKROCK MUNIYIELD QUALITY FD (09254?100)
COM
New York Stock Exchange
03/16/2015 15.34000 15.20000 H/L
15.270000 61.08
Div: 0.08 Ex: 03/11/2015 Rec: 03/13/2015 Pay: 04/01/2015 0.32
Page 1
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you nave gues_sa_s, '
please contact EVP Systems at (818) 313-6300 or %rww.evpsys.com. (Revision 7.3.1)
Date of Death: 03/16/2015 Estate of: Beth Beatty
Valuation Date: 03116/2015 Account: 617-113502-428
Processing Date: 05/15/2015 Report Type: Date of Death
Number of Securities: 18
File ID: 617-113502
Shares Security Mean and/or Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
13) 1958.298 BLACKROCK LARGE CAP SER FDS (09250JB58)
L C VAL FD A
Mutual Fund (as quoted by NASDAQ)
03/16/2015 22.79000 Mkt
22.790000 44,629.61
14) 488.862 BLACKROCK BASIC VALUE FD (09251G101)
CL A
Mutual Fund (as quoted by NASDAQ)
03/16/2015 27.49000 Mkt
27.490000 13,438.82
15) 2466.492 FEDERATED INCOME SECS TR (31424C811)
MUNI&STX ADV C
Mutual Fund (as quoted by NASDAQ)
03/16/2015 12.46000 Mkt
12.460000 30,732,49
16) 7849.732 FRANKLIN TAX FREE TR (354723629)
OH T/F INCH C
Mutual Fund (as quoted by NASDAQ)
03/16/2015 13.02000 Mkt
13,020000 102,203.51
Daily Div. Accrual as of 03/16/2015 125.20
17) 8532.039 NUVEEN FLAGSHIP MULTISTATE I (67065L740)
PA MUN BD CL A
Mutual Fund (as quoted by NASDAQ)
03/16/2015 11.12000 Mkt
11.120000 94,876.27
Daily Div. Accrual as of 03/16/2015 149.72
is) 1773.573 OPPENHEIMER 14ULTI ST MUNICIPAL (683940704)
ROCH PA 144 CL C
Mutual Fund (as quoted by NASDAQ)
03/16/2015 10.73000 Mkt
10.730000 19,030.44
Daily Div. Accrual as of 03116/2015 56.77
Total Value: $703,658.32
Total Accrual: $485.05
Total: $704,143.37
Page 2
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EV? Systems at (818) 313-6300 or www.evpsys.com. (Revision 7.3.1)
Addendum to Estate Valuation for Beth Beatty,617-113502-428
Shares or Par Security Description High/Ask Low/Bid Mean and/or Adjustments Security Value
600 ENERGY TRANS EQTY LP 60.92 59.86 60.70 36,420.00
(459998993)
+703,658.32
Total Value 740,078.32
The above prices were obtained by Morgan Stanley's research library and historical pricing database. The above prices/quotes/statistics contained
herein have been obtained from sources believed reliable but are not necessarily complete and cannot be guaranteed. Tax laws are complex and
subject to change. Morgan Stanley, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not.
intended oT written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Individuals are urged to consult O ec
personal tax or legal advisors to understand the tax and related consequences of any actions or investments described herein.
Wealth Management
One PPG Place,Suite 1300
Pittsburgh,PA 15222-5490
tel 412 392 5800
fax 412 392 0318
Morgan Stanley
Beth Beatty
Date of Death Values(03/16/2015)
617-113503-428
Symbol Company Name Quantity Date High Low Close Value
Cash N/A N/A 3/31/2015 N/A N/A N/A 524.55
GFAFX THE GROWTH FUND OF AMERICA 65.558 3/16/2015 44.11 44.11 44.11 2,891.76
EHSTX EATON VANCE LARGE CAP VALUE 124.285 3/16/2015 18.74 18.74 18.74 2,329.10
ACGIX INVESCO GROWTH &INCOME FUND 56.698 3/16/2015 26.67 26.67 26.67 1,512.14
MRSAX MFS SER TRUST I MFS RESEARCH 57.413 3/16/2015 17.03 17.03 17.03 977.74
TEQAX TOUCHSTONE SUSTNBY AND IMP E 92.958 3/16/2015 20.84 20.84 20.84 1,937.24
WFLNX WELS FRGO ADTGE LARGE CAP CO 98.265 3/16/2015 1S.95 15.95 I5-95 1,567.33
Total:
11,739.86
The above prices were obtained by Morgan Stanley's research library and historical pricing database. The above
prices/quotes/statistics contained herein have been obtained from sources believed reliable but are not necessarily complete
and cannot be guaranteed. Tax laws are complex and subject to change. Morgan Stanley, its affiliates and Morgan Stanley
Financial Advisors do not provide tax or legal advice.This material was not intended or written to be used for the purpose of
avoiding tax penalties that may be imposed on the taxpayer.Individuals are urged to consult their personal tax or legal advisors
to understand the tax and related consequences of any actions or investments described herein.
REV-1521.EX+ (02-15)
A pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary Elizabeth Beatty 2015-00288
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Myers Hamer Funeral Home,cremation,notices,grave opening,coroner's fee,shipping of remains 3,465.00
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: 920.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7• Publication of Estate Notice 162.26
TOTAL(Also enter on Line 9, Recapitulation) $ 4,547.76
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(02-15)
0 pennsytvania SCHEDULE
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary Elizabeth Beatty 2015-00288
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
Unreirnbursed prescription drug charge,Medicine Shoppe,Mechanicsburg,PA 17055 552.77
TOTAL(Also enter on Line 10, Recapitulation) $ 552.77
If more space is needed,insert additional sheets of the same size,
REV-1513 EX+(02-15)
A pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE gENEFICYARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary Elizabeth Beatty 2015-00288
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).]
I. Nancy Kocher,763 Vista Drive,Camp Hill,PA 17011 daughter 1,043,119.92
2. David B.Bayne,4678 Rue Chambord,Montreal,Quebec H2J3M8 grandson 2,000.00
3. Ann Schoeller,6 Propect Circle,Atlantic Highlands,NJ 07716 grand daughter 2,500.00
4. Scott Bayne,23 Pierside Drive,Apt 307,Baltimore,MD 21230 grandson 1,000.00
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.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART H—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.
763 Vista Drive
Camp Hill, Pennsylvania 17011
June 21, 2015
Lisa M. Grayson, Esq.
Register of Wills
County of Cumberland
One Courthouse Square, Suite 102
Carlisle, PA 17013-3387
Re: Estate of Mary Elizabeth Beatty
File Number: 2015-00288
Date of Death: March 16, 2015
S.S. Number
Dear Ms. Grayson:
Enclosed are two copies of the Inheritance Tax Return (REV-1500) for the above
referenced estate along with a copy of the will.
The disparity between certain personal property bequeathed in the will but not
reported under schedule E in the return warrants brief explanation. Between the
making of the will in 2003 and her death in 2015, Ms. Beatty gave away most of
her personal property to the intended beneficiary or others. Further, several of
the personal property items, such as her automobile, were sold many years ago.
Finally, as she moved through the levels of care at her continuous care
community to increasingly smaller living spaces, she donated her furniture and
furnishings to the facility.
It should also be noted that the other residual beneficiary, Elizabeth Beatty, died
more than three years ago. The gift to Scott Beatty Bayne lapsed.
Please let me know if you have questions or require further information in support
of the return.
Sincerely,
C� C)
Nancy Kocher, Executrix
C-I 7a�
Cn oo
-T1