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HomeMy WebLinkAbout09-04-15 pennsylvania 1505618148 DEPAR1.1-1 REVENUE EX(03-14) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Z) I 1 I9 Harrisburg,PA 17128-0601 RESIDENT DECEDENT "1 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 11182014 03031949 Decedent's Last Name Suffix Decedent's First Name MI WOLF RODNEY F (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI WOLF ASONIA H THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW Q 1. Original Return Q 2. Supplemental Return Q 3. Remainder Return(date of death prior to 12-13-82) 0 4. Agriculture Exemption(date of Q 5. Future Interest Compromise(date of Q 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) Q 7. Decedent Died Testate Q 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes (Attach copy of will) (Attach copy of trust.) Q 10. Litigation Proceeds Received Q 11. Non-Probate Transferee Return Q 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) 0 13. Business Assets Q 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 ROBERT FREY 717-243-5838 First Line of Address 5 SOUTH HANOVER STREET Second Line of Address rn IT1 C-> City or Post Office State ZIP Code T r G n CARLISLE PA 17013 r-- rn rn c.� Correspondent's email address: R F R E Y a F R E Y T I L E Y. COMA f_ o ,REGISTERIOF WI S USE-06iaY r � �� C.•.) r— r^t^I REGISTER OF WILLS USE ONLY DATE FILED MMDDrM w �f nJ CD O r rV DATE FILED STAMP PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505618148 1505618148 J 1505618155 REV-1500 EX Decedent's Social Security Number Decedent's Name: RODNEY F WOLF RECAPITULATION 1. Real Estate(Schedule A). . ... . . . . . . . . . .. . . .. . . .. . . .. . . . .. . . .. .. .. . . .. . 1. 920180. 00 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . .. . . . . . . . . .. . . .. .. .. .. . .. . . .. 2. 809865 . 00 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C).. . . . . . 3. 0. 00 4. Mortgages and Notes Receivable(Schedule D). . . . .. . . . . . . . . . .. . . .. . . . . . . . 4. 0. 00 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). . . .. . . . 5. 4040 . 00 6. Jointly Owned Property(Schedule F) =Separate Billing Requested. . . . . . . . 6 132310 . 50 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) =Separate Billing Requested. . . . . . . . 7, 1180047.00 8. Total Gross Assets(total Lines 1 through 7). . . .. . . . . . . . .. . . .. . . .. . . . . . . . . 8. 3046442. 50 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . .. . . . . . . . . . . . . 9. 75611. 0 0 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1). . . . . . . . . . . . . . . . 10. 83807 . 00 11. Total Deductions(total Lines 9 and 10). . .. . . . . . . . . . . . . . .. . . .. .. .. . . . . . . .11. 159418. 00 12. Net Value of Estate(Line 8 minus Line 11). . . . . . .. . . .. ... .. . . .. . . . ... . . .. 12. 2887024 . 5 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J). .. . . .. . . .. . . .. . . . . .. . . . ..13. 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13). . . . . . . . . . . . . .. . . .. . . . . . . 14. 2887024 . 50 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 0 2887024 . 50 15. 0 . 00 16.Amount of Line 14 taxable at lineal rate X.0 45 16. 11 . 011 17. Amount of Line 14 taxable at sibling rate X . 12 17. 0 . 011 18. Amount of Line 14 taxable at collateral rate X . 15 18. 0. 00 19. TAX DUE. . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . .. . . . . . . . . . . . 19. 0. 00 20. FILL IN THE BOX 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. SIGNATU OF PERSON RESPONSIBLE FO FILIN R TURN ATE e AS ADDRESS 307 AVON DRIVE, CARLISLE, PA 17013 SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE ADDRESS 5 SOUTH HANOVER STREET, CARLISLE, PA 17013 111111111111111111111111111111111111111111111111111111111111 Side 2 1505618155 1505618155 J REV-1500 EX Page 3 File Number 167-38-0033 Decedent's Complete Address: 21-14-1199 DECEDENT'S NAME RODNEY F WOLF STREETADDRESS 307 AVON DRIVE CITY STATE ZIP CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount (See instructions.) Total Credits(A+B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in box on Page 2,Line 20 to request a refund. (4) 0.00 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. Aa:j(2i3�. r. ,,sS.a��'1'�" :1°:F,-. b",tw. '""u. i 4a'•tr'3',iht�:A. S: .. ��- _. - 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............................................................................... ❑ X❑ b. retain the right to designate who shall use the property transferred or its income................................. ❑ ❑X c. retain a reversionary interest.................................................................................................................. ❑ ❑X d. receive the promise for life of either payments,benefits or care?.......................................................... ❑ 0 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?.................................................................................................. ❑ N 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?................................ Q ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?............................................................................................................. 0 ❑ 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)(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: 0 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-1502 EX+(02-15) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Rodney F Wolf 21-14-1199 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 11.92 Acres of mountain ground off of Enola Road, Carlisle, PA. Valuation is Cumberland 33,600.00 County assessed fair market value. 2. 710 Enola Road, Carlisle, PA. Valuation is Cumberland County assessed fair market value 631,580.00 3. 10 Fox Lane, Broomall, PA. Sale price from HUD-1 settlement statement 255,000.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 920,180.00 If more space is needed, use additional sheets of paper of the same size. REV-1503 EX+(02-15) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rodney F Wolf 21-14-1199 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Market Vectors Agribusiness ETF, MOO, 81 sh. 4,500.00 2. Power Shares Commondity Fd, DBA, 139 sh. 3,563.00 3. Fidelity Int'I Discovery Fd, Flgrx, 134.454 sh. 5,268.00 4. Fidelity Nordic Fd, FNORX, 96.371 sh. 5,874.00 5. Fidelity, Canada Fund, FICDX, 134.504 sh. 6,040.00 6. Fidelity China Fd, FHKCX, 169.17 sh. 5,755.00 7. Fidelity Emerging Mkts Fd, FEMKX, 162.538 sh. 3,159.00 8. Fidelity Emerging Asia Fd, FSEAX, 348.466 sh. 11,301.00 9. Fidelity Emerging Mkts Fd, FEMKX, 162.538 sh. 4,098.00 10. Fidelity Spartan Int'I Index Fd, FSIVX, 248.773 sh. 9,834.00 11. Fidelity OTC Portfolio Fd, FOCPX, 110.198 sh. 9,077.00 12. Fidelity Leveraged Co. Fd., FLVCX, 327.118 sh. 14,868.00 13. Fidelity Select Energy, FSENX, 105.122 sh. 5,423.00 14. Fidelity Select Natural Gas, FSNGX, 130.967 sh. 4,875.00 15. Fidelity Select Defense and Aerospace Fd., FSDAX, 70.832 sh. 8,402.00 16. Fidelity Select Software and Computer Fd., FSCSX, 90.987 sh. 11,086.00 17. Fidelity Value Strategies Fd, FSLSX, 172.184 sh. 7,487.00 18. Fidelity Export and Multinat'I Fd., FEXPX, 295.526 sh. 6,360.00 19. Fidelity Value, FDVLX,67.071 sh. 7,682.00 20. Fidelity US Global Fd., PSPFX, 622.509 sh. 5,024.00 21. Fidelity US Global Precious Metals Fd., UNWPX, 934.233 sh. 4,802.00 22. Fidelity PA Muni Fd., FPTXX, 3031.61 sh. 3,032.00 23. Janus D Fd., JANDX, 389.759 sh. 17,687.00 24. Janus Research D Fd., JNRFX, 216.1 sh. 10,544.00 25. Janus Global Select D Fd., JANRX, 1025.881 sh. 13,931.00 26. T Rowe Price Capital Apprec. Fd., PWCX, 871.23 sh. 24,943.00 27. T. Rowe Price Emerging Europe Fd., TREMX,662.46 sh. 10,189.00 28. T. Rowe Price Emerging Markets Fd., PRMSX, 548.443 sh. 18,674.00 29. T Rowe Price Equity Inc. Fd., PRFDX, 598.91 sh. 20,716.00 30. T Rowe Price Financial Services Fd., PRISX, 545.112sh. 11,938.00 31. T. Rowe Price Int'I Discovery Fd., PRIDX, 439.15 sh. 24,474.00 32. T Rowe Price Int'I G&I Fd., TRIGX, 905.508 sh. 13,836.00 33. T. Rowe Price Latin America Fd, PRLAX, 553.172 sh. 15,400.00 34. T Rowe Price Media&Telecom Fd., PRMTX, 500.394 sh. 36,814.00 35. T Rowe Price New Asia Fd., PRASX, 1383.351 sh. 24,388.00 36. T Rowe Price New Era Fd., PRNEX, 510.785 sh. 22,842.00 37. T Rowe Price Real Estate Fd., TRREX, 735.52 sh. 19,146.00 38. T Rowe Price Small Cap Value Fd., PRSVX,430.392 sh. 21,382.00 39. T Rowe Price Value Fd.,TRVLX, 558.645 sh. 21,134.00 40. Vanguard Convertible Securities Fd., VCVSX, 1118.789 sh. 15,462.00 41. Vanguard Emerging Mkts. Fd., VEIEX, 205.567 sh. 54,223.00 42. Vanguard Energy Fd., VGENX, 459.017 sh. 29,395.00 43. Vanguard European Stock Idx. Fd.,VEURX, 173.124 sh. 5,069.00 44. Vanguard Global Equity Fd., VHGEX, 247.513 sh. 6,116.00 45. Vanguard Int'I Growth Fd., VWIGX, 262.083 sh. 6,002.00 See continuation on Schedule B, Page 2 TOTAL(Also enter on Line 2, Recapitulation) $ 591,815.00 If more space is needed,insert additional sheets of the same size REV-1503 EX+(02-15) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rodney F Wolf 21-14-1199 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Page 2 46. Vanguard Int'I Value Fd.,VTRIX, 145.365 sh. 5,304.00 47. Vanguard Mid Cap Growth Fd.,VMGRX,662.436 sh. 17,853.00 48. Vanguard Money Market Fd., VMMXX, 3827.94 sh. 3,828.00 49. Wells Fargo Advantage Specialized Tech. Fd.,WFTZX, 365.555 sh. 4,273.00 50. Community State Bank of Orbisonia,4344 sh. 186,792.00 TOTAL(Also enter on Line 2, Recapitulation) $ 218,050.00 If more space is needed,insert additional sheets of the same size REV-1508 EX+(02-15) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OFANCETA RETURN PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Rodney F Wolf 21-14-1199 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. Citizens Bank Account No. 6104460996 4,040.00 TOTAL(Also enter on Line 5, Recapitulation) $ 4,040.00 If more space is needed, use additional sheets of paper of the same size. REV-1509 EX+(02-15) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Rodney F Wolf 21-14-1199 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. Assonia Wolf 307 Avon Drive spouse Carlisle, PA 17013 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 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 DECEDENTS INTEREST 1 A 307 Avon Drive, Carlisle, PA. Valuation is Cumberland County 231,200.00 50.00% 115,600.00 assessed fair market value. Members 1st FCU,Account No. 241429-00 32.00 50.00% 16.00 Members 1st FCU,Account No. 241429-05 21,550.00 50.00% 10,775.00 Members 1st FCU,Account No. 241429-11 11,839.00 50.00% 5,919.50 TOTAL(Also enter on Line 6, Recapitulation) $ 132,310.50 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(02-15) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Rodney F Wolf 21-14-1199 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 ITEM INCLUDETHE NAME OF THE TRANSFEREE.THEIR RELATIONSHIPTO DECEDENTAND DATE OF DEATH % DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Janus G&I Fd., JNGTX, 377.543 sh., Money Purchase Pension Plan 18,413.00 100.00% 0.00 18,413.00 2. Janus Worldwide Fd., JANWX, 121.553 sh., Money Purchase Pens' 7,832.00 100.00% 0.00 7,832.00 3. Janus Enterprise Fd., JANEX, 65.473 sh., Money Purchase Pensior 5,845.00 100.00% 0.00 5,845.00 4. Janus Overseas Fd., JNOSX, 500.197 sh., Money Purchase Pensio 17,252.00 100.00% 0.00 17,252.00 5. Janus Global Life Science Fd., JNGLX, 273.456 sh., Money Purchai 15,245.00 100.00% 0.00 15,245.00 6. Janus Global Tech Fd., JNGTX, 371.869 sh., Money Purchase Pen 9,520.00 100.00% 0.00 9,520.00 7. Janus Contrarian Fd., JACNX, 336.978 sh., Money Purchase Pensi 7,916.00 100.00% 0.00 7,916.00 8. Janus Global Fd., JANRX, 232.09 sh., Money Purchase Pension Pk 3,152.00 100.00% 0.00 3,152.00 9. Janus Enterprise Fd., JANEX, 87.195 sh., Money Purchase Pensior 7,784.00 100.00% 0.00 7,784.00 10. Janus Global Tech Fd., JNGTX, 167.966 sh., Money Purchase Penc 4,300.00 100.00% 0.00 4,300.00 11. Janus Global Fd., JANRX, 531.362 sh., Money Purchase Pension P 7,216.00 100.00% 0.00 7,216.00 12. Alger Smaill Cap Growth Fd.,ALSAX, 4500.2 sh., Money Purchase 40,232.00 100.00% 0.00 40,232.00 13. Allianz Health Sciences Fd., DGHCX, 301.656 sh., Money PurchaSE 11,210.00 100.00% 0.00 11,210.00 14. Allianz G&I Tech Fd., DGTNX, 99.726 sh., Money Purchase Pensior 6,606.00 100.00% 0.00 6,606.00 15. American Funds Amcap Fd.,AMCPX, 3302.213 sh., Money Purchac 94,439.00 100.00% 0.00 94,439.00 16. American Funds American Mutual Fd.,AMRMX, 1482.041 sh., Mon 57,133.00 100.00% 0.00 57,133.00 17. American Funds Capital World G&I Fd.,CWGIX, 908.132 sh., Mone 43,027.00 100.00% 0.00 43,027.00 18. American Funds Euro Pacific Growth Fd.,AEPGX, 1457.005 sh., M 71,437.00 100.00% 0.00 71,437.00 19. American Funds Growth Fund ofAmerica,AGTHX, 2310.294 sh., M 109,046.00 100.00% 0.00 109,046.00 20. American Funds Investment Co. ofAmerica Fd.,AIVSX, 1645.616 s 67,931.00 100.00% 0.00 67,931.00 21. American Funds New Economy Fd,ANEFX, 989.203 sh., Money PIL 39,697.00 100.00% 0.00 39,697.00 22. American Funds New Perspective Fd.,ANWPX 1746.356 sh., Mone 68,300.00 100.00% 0.00 68,300.00 23. American Funds New World Fd.,, NEWFX, 613.118 sh., Money Pur 36,211.00 100.00% 0.00 36,211.00 24. American Funds Small Cap.World Fd., SMCWX, 1522.865 sh., Mor 75,686.00 100.00% 0.00 75,686.00 25. American Funds Washington Mutual Fd.,AWSHX, 1560.313 sh., Mc 67,296.00 100.00% 0.00 67,296.00 26. Eaton Vance Greater China Growth Fd., 1750.98 sh., Money Purchz 37,278.00 100.00% 0.00 37,278.00 27. Kinetics Medical No-Load Fd., MEDRX, 304.343 sh., Money Purch 9,009.00 100.00% 0.00 9,009.00 28. Invesco Real Estate Fd., IARCX, Money Purchase Pension Plan 47,436.00 100.00% 0.00 47,436.00 29. Invesco American Franchise Fd.,VAFAX, 194.417 sh., TOD 3,540.00 100.00% 0.00 3,540.00 30. Invesco Diversified Div. Investor Fd., LCEIX, 72.176 sh.,TOD 1,337.00 100.00% 0.00 1,337.00 31. Invesco Energy Investor Fd., FSTEX, 54.884 sh., TOD 2,348.00 100.00% 0.00 2,348.00 32. Invesco Mid Cap Growth Fd.,VGRAX,60.048 sh.,TOD 2,412.00 100.00% 0.00 2,412.00 33. Invesco Small Cap Growth Fd., GTSIX, 75.254 sh., TOD 3,275.00 100.00% 0.00 3,275.00 34. Invesco Tech.Trader, FTCHX, 41.492 sh., Money TOD 1,731.00 100.00% 0.00 1,731.00 35. Kinetics Global No-Load Fd., WWWEX, 264.57 sh., Money Purcha 1,490.00 100.00% 0.00 1,490.00 36. Touchstone Capital Growth Fd.,TCGYX, 28.80 sh., Money Purchas 4,785.00 100.00% 0.00 4,785.00 37. Touchstone Focused Y Fd., 615.319 sh., Money Purchase Pension 22,662.00 100.00% 0.00 22,662.00 38. Wells Fargo Advantage Enterprise Fd., SENTX, 76.761 share, Roth 3,776.00 100.00% 0.00 3,776.00 39. Wells Fargo Advantage Growth Fd., SGROX, 32.285 share, Roth IR 1,702.00 100.00% 0.00 1,702.00 40. Wells Fargo Large Company Growth, WFPNX, 74.411 share, Roth 1 1,144.00 100.00% 0.00 1,144.00 41. Janus 20 Fd. JNTFX, 319.769 sh.,Traditional IRA 31,850.00 100.00% 0.00 31,850.00 42. Janus Enterprise Fd. JANEX, 74.448 sh., Traditional IRA 6,646.00 100.00% 0.00 6,646.00 43. Janus Global Fd. JANRX, 373.294 sh., Traditional IRA 5,069.00 100.00% 0.00 5,069.00 44. Royce Opportunity Investment Fd., RYPNX, 1361.585 sh., Roth Co 20,383.00 100.00% 0.00 20,383.00 45. Royce PA Mutual Investment Fd., PENNX, 1104.98 sh., Roth Co-Mii 16,065.00 100.00% 0.00 16,065.00 See continuation on Schedule G, Pae 1 TOTAL Also enter on Line 7, Recapitulation) $ 1,116,664.00 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+(02-15) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERRESIDENT DECEAX DENT MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Rodney F Wolf 21-14-1199 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 ITEM INCLUDETHE NAME OF THE TRANSFEREE,THEIR RELATIONSHIPTO DECEDENTAND DATE OF DEATH % DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. Page 2 46. Royce Micro Cap Fd., RUOTX, 1153.811 sh., Roth Co-Mingled IRA 18,126.00 100.00% 0.00 18,126.00 47. Royce Low Priced Stock Service, RYLPX, 1209.508 sh., Roth Co-M 16,074.00 100.00% 0.00 16,074.00 48, Royce Small Cap Value, RYVFX, 1115.328 sh., Roth Co-Mingled IR 15,113.00 100.00% 0.00 15,113.00 49. Janus Perkins Small Cap Value Fd., JNPSX, 244.456 sh.,TOD 6,625.00 100.00% 0.00 6,625.00 50. Janus Perkins MidCap Value Fd., JNMCX, 294.504 sh., TOD 7,445.00 100.00% 0.00 7,445.00 TOTAL Also enter on Line 7, Recapitulation) $ 63,383.00 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(02-15) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RESIDENT DECED NTTURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Rodney F Wolf 21-14-1199 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman Roth Funeral Home 7,350.00 2. Other funeral and burial expenses 13,201.00 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: 30,000.00 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: 1,325.00 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. Expenses of Sale of Real Estate sold: 10 Fox Lane, Broomall. Itemization attached 21,169.00 8. Filing expenses to US Treasury 2,300.00 9. Advertising in the Sentinel 191.00 10. Advertising in the Cumberland Law Journal 75.00 TOTAL(Also enter on Line 9, Recapitulation) $ 75,611.00 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+(02-15) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE INHERITANCE TAX RETURN DEBTS OF DECEDENT, RESIDENT DECEDENT MORTGAGE LIABILITIES$ LIENS ESTATE OF FILE NUMBER Rodney F Wolf 21-14-1199 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. Pa. Department of Revenue 2,680.00 2. Pa. Department of Revenue 2,636.00 3. US Treasury 69,650.00 4. US Treasury 8,841.00 TOTAL(Also enter on Line 10, Recapitulation) $ 83,807.00 If more space is needed, insert additional sheets of the same size. OMB Approval No.2502-0265 a,'i�ulli A.Settlement Statement (HUD-1) B.T e of Loan 1.❑FHA 2,❑RHS 3.❑Corn.Unins. 6 File Number: 7.Loan Number. 8.Mortgage insurance Case Number. , PLT-PA-26590 4.❑VA 5.❑Conv.Ins. C.Note:This farm is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown,Items marked `(p.o.r-r were paid outside the dosing;they are shown here for informational purposes and are not Included in the totals. D.Name&Address of Borrower. E.Name&Address of Seiler, F.Name&Address of Lender. Timothy P.Brown and Carolyn M,Brown Asonia H.Wolf,Executrix of the Estate of Rodney F.Wolf, Patrick J.Bums 10 Fox Ln,Broomall,PA-19008.2007 G.Property Location: H.Settlement Agent I.Settlement Date:February 17,2015 10 Fox Ln,Broomall,PA 19008-2007 ,Patriot Land Transfer,LLC Township of Marple,County of Delaware 5001 Route 42,Suite A Disbursement Date:February 17,2015 Tumersville,NJ 08012 856 227.4990 Place of Settlement BHHS-Newtown Square 3409 West Chester Pike,Newtown Square,PA-19073 J.Summary of Borrower's Transaction 1 K Summary of Sollar's Transaction 100.Gross Amount Due from Borrower 400.Gross Amount Due to Seller 101.Contract sales price 255,000.00 401,Contract sales price 255 000.00 102.Personal 402.Personal propent ' 103.Settlement charges to borrower 2ine 1400) 5,455.00 403. 104. 404. 105. 405. Adjustment for items paid by seller In advance Adjustments for Items paid by seller In advance 106.CityAown taxes 2/17/2015 to 12/31/2015 762.55 1 406.CI flown taxes 2117/2015 to 12/31/2015 762.55 107.County taxes 2/17/2015 to 12/312015 968.31 407.Countv taxes 2117/2015 to 12131/2015 968.31 108.Assessments to 408.Assessments to 109.Trash 2/172015 to 12/312015 187.32 409,Trash 2/172015 to 1213112015 187.32 110.School Taxes 2/172015 to 6/302015 1,314.79 410.School Taxes 2/172015 to 6/302015 1,314.79 111. 411. 112. 412. 113. 413. 114. 414. 120.Gross Amount Due from Borrower. 263 687.97 420.Gross Amount Due to Seiler 258.23i97 200.Amounts Paid by or In Behalf of Borrower 50D.Reductions In Amount Due to Seller 201.Deposit or earnest money 15 000.00 501.Excess deposit see instructions 202.Principal amount of new loans 248 687.97 502.Settlement charges to sailer line 1400 20 546.fi8 203.Existing Inertial taken Subject to 503.Existing Iban s taken subiect to 204. 504,NO EXISTING MORTGAGES 205. 505. 206. 506, 207. 507, 208. 508, 209. 509. Adjustments for items unpaid by seller Adjustments for Items unpaid by seller 210.Ci flown taxes to -510.Ci /town taxes to 211.County taxes to 511.County taxes to 212.Assessments to 512.Assessments to 213. 513. 214. 514, 215. 515. 216. 516. 217. 517. 218. 518. 219, 519. 220.Total Paid /for Borrower 263,687.9T 520.Total Reduction Amount Due Seiler 20 546.68 300.Cash at Settlement fromlto Borrower 600.Cash at Settlement tolfrom Seller 301.Gross amount due from borrower fine 120 263 687.97 601.Gross amount due to seller olne 420 258 232,97 302.Less amounts Paid by/for borrower line 224 263 687.97 602.Less reductions in amount due sellar ine 521) 20 546.68 303.Cash FROM BORROWER 603.Cash TO SELLER 237 686.29 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data.This agency may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB control number.No confidentiality Is assured;this disclosure is mandatory This is designed to provide the parties to a RESPA covered transaction with infornation during the settlement process, �0'i7wer othy P, row Seller. Asonla H.Wolf,Executrix of a Estate of Rodney F.Wolf Borrower, Caro M.B The HUD-1 Settlement Sletement witch 1 have prepared Is a We end eswrate account of this transaoNon.I hems caused Orwin csuse the funds to be diebursad In accordance with this statement February 17,2015 Settlement Agent Patriot Land Transfer,LLC Date: POGPald Outside of Closing(B)-Buyer(*Seller ,:haroes .eat Estate Broker Fees Paid From Paid From ,on of commission line 700 as follows: Borrower's Setters 150.00 to BHHS Fox&Roach Funds at Funds at /,945.00 to BHHS Fox&Roach Settlement Settlement Commission paid at settlement 15 595.00 .4.Flat Fee Commission BHHS Fox&Roach 295.00 800.Items Payable in Connection with Loan 801.Our origination charge from GFE#1 802.Your credit or charge(points)for the specific interest rate chosen from GFE#2 803.Your adjusted origination charges from GFE A 804.Appraisal fee to from GFE#3 805.Credit report to from GFE#3 806.Tax service to from GFE#3 807.Flood certification from GFE#3 808. from GFE#3 809. from GFE#3 810. from GFE#3 811. from GFE#3 812. from GFE#3 813. from GFE#3 814. from GFE#3 815. from GFE#3 816. from GFE#3 900.Items Required b lender to Be Paid in Advance 901.Daily Interest Charles from 2/172015 to 2/282015 $ /day from GFE#10 902 Mortgage insurance premium for months to from GFE#3 903.Homeowner's insurance for years to from GFE#11 904. 905. 1000.Reserves Deg)osited with Lander 1001.Initial deposit for your escrow account from GFE#9 1002.Homeowner's insurance months $ per month 1003.Morta e insurance months A$ per month 1004.Property taxes months 0$ per month 1005. months a$ per month 1006. months @$ per month 1007.Aggregate Adjustment 1100.Title Cha es 1101.Titie services and lender's title insurance Patriot Land Transfer LLC from GFE#4 2,175.00 1102 Settlement or closing fee Patriot Land Transfer LLC 300.00 1103.Owners title insurance Patriot Land Transfer LLC from GFE#5 1104.Lenders title insurance 1,750.00 1105.Lenders title policy limit$270,000.00 1106.Owners fide policy limit$255,000.00 1107.Agents portion of the total title insurance premium Patriot Land Transfer LLC $1,487.56 1108.Underwriters portion of the total title insurance premium China o Me insurenoe Cornparry $262.50 1109. 1110.Deed Prep Fee Patriot Land Transfer LLC 100.00 1111.Notary Fee Notary 15.00 1112. 1113. 1114. 1115. 1200.Government Recording and Transfer Charges 1201.Government recording charges Clerk of DELAWARE County from GFE 300.00 1202.Deed$100.00 Mortgage$200.00 Releases 1203.Transfer taxes Clerk of DELAWARE County from GFE#8 2,550.00 1204.City/County tax(stam s Deed$2,550.00 Mortgage$ 1,275.00 1205.State tax/stamps Deed$2,550.00 Mortgage$ 1,275.00 1206. 1207. 1300.Additional Settlement Charges 1301.Required services that you Can shop for Jfrom GFE#6 1302.2015 Township Taxes Ma le Township 875.25 1303.2015 County Taxes Delaware County Treasurer 1,111.43 1304.20142015 School Taxes POC$3,509.71 S 1305.Refuse Collection Ma le Township 215.00 1306.Reimbursement Tax Certification Patriot Land Transfer LLC 135.00 1307.Reimbursement for Certs Fox&Roach LP 185.00 1308. � 1309. 1310. 1400. 5 455.00 20 546.68 POC-Pald Outside of Closing(B)-Buyer(S)-Seller f:A42"t?t°ti;.f:, ^Y34k Sz 3 ;s f_i:i <^r'iL> ,rft:f..fil).^It,{4`ffii'2#aii.i £ti?3Sr,L', ::z1tkS;.'�l•:?!1Eif. +[it':fS't <.z1*:;tsttfEG i:Sid 41.,)+).:trig; 22;indt nlrtiit�£yi.;;fHE.:f,I12if t4#',3C}CftF'i"!, £#G 14 rahy,tngkk 'p stisb.,and dcdarr'.tfit•as t##tif for m #,t�N1vx Iu.i!i`ra::F:tnirrrt,i#L.rs 3y reg +,i:�n�. <.a,f ttl.if:iitF Qit'f R,'3i32ti al;: 3it0,3i w:IV tit#it'�heft`'Qfii?ft fll'k&: ift'>"CC:f'3i2� FL'f ii:,�rFt°r norff?Su 1,'i'.'L<ifFl:?r Ei:f4:2sfYf3 a•r•'kYY''c'.GCJf:t;f:t+'tEit:ft,i;.fts.'E:rBafti. utti F% t.' #Mu ns i+f my..filtiac. 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"""t ssb" L. ;'011.61ff 4'e rq;ir t,S'rt}4ii tti f£'sH 3.3r t'i s;e t.,)pf,'.)11.1: d.To sell at public or private sale for cash or upon credit,or partly for cash and partly on credit,and upon such terms and conditions as shall be deemed proper,any part or parts of the trust estate,and no purchaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase money arising therefrom. e.To keep on hand and uninvested such moneys as may be deemed proper and for such period as may be found expedient. f.To compromise,settle,or arbitrate any claim or demand in favor of or against the trust estate. g.And authorized in the discharge of fiduciary duties,to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged against the principal or income of the trust fund,and shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administration of the trust estate. It.In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust,to make such division or distribution,either in cash or in kind,or partly in cash and partly in kind,as shall be deemed most expedient,and in making any division or distribution in kind may allot any specific security or property or any undivided interest therein to any one or more of such shares,and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution i' thereof. L Authorized to register any shares of stock or other assets of any trust in their own i names or in the name of a nominee. j. To retain and invest in shares of stock of my Trustee. k. To retain any investments including mutual funds which I may own at the time of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual funds as may be deemed advisable or proper,irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. I. To determine from time to time whether all or some portion of realized capital gains shall be treated as ordinary income for distribution to a beneficiary or treated as principal to be [[[ retained as part of the corpus,and such designation need not be consistent from one year to another. .t „ IN WITNESS WHEREOF.I have hereunto set my hand and seal to this my Last Will �I and Testament written on 3 pages,this 4iD day of November,2014. 1 .; (SEAL) �i RODNEY F.OLF Signed, sealed, published and declared, by RODNEY F. WOLF, the Testator above t 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. The La It t S I Page 2 of 3 pages :Ci4lt{:3zi�l!l.tt€.",'"€�.��'l'i�3�:\�':'i..•'t''�3,•S. r 3".' ;•Ii23~�'i'. I!k£F3lzt*.T'^-tfi.iifjtl- #..,'•:v;t„:;' :::'... -: iliE:£v.ittilt;.List Wil3.nts;1"f'"'admeh” tile: ffi3'C.€'£Y.tm, €ava,i-svdfl C:if3SC!'f3f2TCiTr. 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