HomeMy WebLinkAbout09-15-15 Fennsrlvania 1505618403
PMITNE OF"'TX(03-14)
REV-15010 OFFICIAL USE ONLY
Bureau Of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 21 15 0800
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
07 11 2015 03 20 1948
Decedent's Last Name Suffix Decedent's First Name MI
SHANK DENNIS K
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
SHANK DARA
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
51 1. Original Return 2. Supplemental Return ❑ 3. Remainder Return(date of death
prior to 12-13-82)
4. Agricultural Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
❑X 7. Decedent Died Testate ❑ 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
0 13. Business Assets ❑ 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
GEORGE F DOUGLAS III ESQ 717 249 6333
First Line of Address
354 ALEXANDER SPRING RO
Second Line of Address
City or Post Office State ZIP Code
CARLISLE PA 17015
Correspondent's email address: gdouglas(ED-salzmannhughes.com
REGISTER OF WILLS USE ONLY
REGISTER OF WILLS USE ONLY
DATE FILED MMDDYYYY
�rnj
DATE FILED STAMP )
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Side 1r-n
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III���II��I'llll 1505618403
5 IIII�'l1 II4 I�III 1505618403
1505618411
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Shank, Dennis K.
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. 11 ,7 8 0 • 61
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............ 7.
8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 11 ,780 - 61
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 8 -%974 - 98
10, Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10.
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 8 ,9 7 4 • 9 8
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 2 -1805 - 63
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. 2 ,805 - 63
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.00 21805 - 63 15. 0 . 110
16. Amount of Line 14 taxable
at lineal rate X .045 0. 0 0 16. 11 -110
17. Amount of Line 14 taxable
at sibling rate X.12 11 - 00 17. 0 . 1111
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE................................................................................................................ 19. 0 . 011
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.
SIGNATURE OF PERSON RESPQNSIBLE FOR FI N RETURN D ra Shank DATE
9 S
ADDRESS
1203 White Birch Lane, Carlisle, P& 17013
SIGNATU E OF PREPARER 0- AN REPRE NTATIVE�George F Douglas, III Esq. I DA i
ADDRESSt
354 Alexander Spring Road, Suite 1,Carlisle, PA
L. 111111111111111111111111111111111111111111111111111111111111 Side 2 1505618411 .1
REV-1500 EX Page 3 File Number 21-15-0800
Decedent's Complete Address:
DECEDENT'S NAME
Shank, Dennis K.
STREET ADDRESS
1203 White Birch Lane
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 0.00
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. (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) 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;............................................................................... ❑ ❑x
b. retain the right to designate who shall use the property transferred or its income;.................................. ❑ ❑x
c. retain a reversionary interest;or............................................................................................................... ❑ ❑x
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑ ❑x
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑x
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. ❑ ❑x
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 January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
172 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:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1508 FX+(08-12)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OFPERSONAL PROPERTY
INHERITANCE TAXAXRETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Shank, Dennis K. 21-15-0800
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Charles Schwab Account#7334-9199-solely in decedent's name 11,780.61
TOTAL(Also enter on Line 5,Recapitulation) 11,780.61
(N more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev.08-12)
Payee: Check No:
DARA J SHANK 1554985
t
From: Issue Date:
DARA J SHANK __ 08/11/2015
1203 WHITE BIRCH LN Gross Amount: 11,780.61
'MB01 001283 06931 E 8 B
DARA J SHANK Federal Tax:0.00
1203 WHITE BIRCH LN
CARUSLE PA 17013-3581
t State Tax:0.00
N (III,III'I'IlIlli"I{I{I'1'I11"I'IIIIJ�IIIIlI1111!'III"ilil'i Check Amount:$11,780.61
S
Purpose: Account.
I CLIENT REQUEST NETCSH 7334-9199
PLEASE DETACH BEFORE DEPOSITING
Charles SCHWAB Bank Of America No 1554985
211 Main Street,San Francisco,CA 94105 Commercial Disbursement Account 70-2328
Northbrook,IL 0719
Pay: ' _ Date: 08/11/2015
'ELEVEN THOUSAND SEVEN HUNDRED EIGHTY DOLLARS SIXTY-ONE
R CENTS''`*
To The Order Of: PAY $11,780.61
DARA J SHANK -
Memo:. f ` j` Present For Payment Within 180 Days
.e',, y4 .f ✓.�2 � ,1.. .�_ :�'a `:si � � r ..^C_ _`t �' Y,... �1�:1__a�.r.l' -?,Crt.� � _r ��t�}F
11. 155498511• 1:07` 19232841: 87658-"0335011'
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
In
INHERITANCE TAX
RESIDENTDECEDENTTURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Shank, Dennis K. 21-15-0800
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s)attached 4,569.48
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Dara Shank
Street Address 1203 White Birch Lane
city Carlisle state PA zip 17013
Year(s)Commission Paid Waived
2. Attorney's Fees Salzmann Hughes, P.C. 750.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) 3,500.00
Claimant Dara Shank
Street Address 1203 White Birch Lane
city Carlisle State PA zip 17013
Relationship of Claimant to Decedent Spouse
4. Probate Fees 155.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
TOTAL(Also enter on line 9,Recapitulation) 8,974.98
Copyright(c)2013 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.08-13)
REV-1513 EX+(01-10)
W-.� pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Shank, Dennis K. 21-15-0800
NAME AND ADDRESS OF RELATIONSHIP TOSHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List stee s
I� TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
Dara Shank Spouse 100%of residue 2,805.63
1203 White Birch Lane
Carlisle, PA 17013
Total 2,805.63
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10)
LAST WILL AND TESTAMENT
OF
DENNIS K. SHANK
I, DENNIS K. SHANK, of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking all
other Wills and Codicils heretofore made by me .
FIRST
I direct the payment of my just debts and expenses of
my last illness and funeral from my estate as soon after my
death as conveniently may be done . If there be no cemetery
lot available for my interment owned by me at the time of my
death, I authorize my personal representative to purchase
such cemetery lot with a contract for perpetual care, using
therefore funds from my estate in such amount as they shall
consider necessary and desirable, and I authorize my
personal representative to cause title to or ownership of
such lot so purchased to be vested in such person as my
SAIDIS personal representative shall designate .
SHUFF, FLOWER
& LINDSAY Further, I authorize my personal representative to
ATTORNEYS•AT•LAW
26 W.High Street
Carlisle,PA expend funds from my estate, in such amount as my personal
representative shall consider necessary and desirable for
the purchase, erection and inscription of a suitable marker
for my grave.
SECOND
I give, devise and bequeath all the rest, residue and
remainder of my estate to my beloved wife, DARA SHANK,
absolutely and in fee simple if she survives me by thirty
(30) days .
THIRD
In the event that my wife, DARA SHANK, fails to survive
me by thirty (30) days, then I give, devise and bequeath all
the rest, residue and remainder of my estate in equal shares
unto my son, BRETT SHANK, per stirpes.
FOURTH
In the event that my son, BRETT SHANK, predeceases me,
I give, devise and bequeath, 50% to my brother, THOMAS
M.SHANK, and 50% to my wife' s brother, JAY F. MCGRATH.
FIFTH
I direct that any and all inheritance, estate, and
transfer taxes imposed upon my estate passing under this
Will or otherwise shall be paid out of the principal of my
residuary estate .
SAIDIS SIXTH
SNUFF, FLOWER
& LINDSAY In addition to the powers conferred by law, I authorize
ATTORNEYS•AT•LAW
26 W. High Street
Carlisle,PA any personal representative acting under this instrument, in
their absolute discretion:
2
A. To retain in the form received, or to sell
either at public or private sale any real or personal
property;
B. To exercise any options to subscribe for stocks,
bonds, or other investments;
C. To join in any plan of lease, mortgage,
consolidation, exchange, reorganization or foreclosure
of any corporation in which my estate or any trust may
J
hold stocks, bonds or other securities;
D. To sell, transfer, convey, mortgage, pledge,
lease or exchange any property, real or personal, which
at any time may form part of my estate, for the payment
of debts or taxes, or for any purpose of administration
or distribution, for such prices and upon such terms as
my personal representative, in their sole discretion,
may deem wise, and to execute and deliver deeds of
conveyance or transfer thereof;
E. To make settlements and compromises on such
terms as my personal representative in their sole
SAIDIS discretion may deem wise without the necessity of
SHUFF, FLOWER
& LINDSAY obtaining any court approval thereof;
ATTORNEYS•AT•LAW
26 W. High Street
Carlisle,PA F. To make distribution hereunder either in cash or
kind, as my personal representative in their discretion
may deem wise .
3
SEVENTH
I do hereby nominate, constitute and appoint my wife,
DARA SHANK, to act as Executrix of this my Last Will and
Testament. Provided, however, that if she is unwilling or
unable to act as Executrix, I direct the duties of Alternate
Executor to be performed by my son, BRETT SHANK. Provided,
however, that if he is unwilling or unable, then THOMAS M.
SHANK and JAY F. MCGRATH will serve as Alternate Executors .
EIGHTH
I direct that no personal representative, guardian,
trustee or other fiduciary appointed under this instrument
shall be required to give bond for the faithful performance
of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, DENNIS K. SHANK, have hereunto
set my hand and seal to this my Last Will and Testament,
consisting of five typewritten pages, the first three of
which bear my initials in the margin for identification,
this day of
DENNIS K.SHANK, Teslator
SAIDIS
SHUFF, FLOWER Signed, sealed, published and declared by the above-
& LINDSAY
ATTORNEYS-AT-LAW
26 W.High Street named DENNIS K. SHANK, Testator, as and for his Last Will
Carlisle, PA
and Testament in the presence of us, who have hereunto
4
subscribed our names at his request as witnesses thereto, in
the presence of said Testator and of each other.
ADDRESS
ADDRESS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, DENNIS .K. SHANK, bQz�Ox,, FSU . and
the Testator and witnesses,
respectively 'whose names are signed to the foregoing or
attached instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testator'
signed and executed the instrument as his Last Will and
Testament and that he signed willingly and that executed as
his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence
and hearing of the Testator signed the Will as witnesses and
that to the best of their knowledge the Testator was at the
time eighteen (18) or more years of age, of sound mind and
under no constraint or undue influence.
kat'l-vei
DENNIS K. SHANK, Testator
,witness
�qitness
SAIDIS
SHUFF, FLOWER Subscribed, sworn to and acknowledged before me by
& LINDSAY DENNIS K. SHANK, the Testator, and subscribed to and sworn
ATTORNEYS-AT-LAW
26 W. High Street or affirmed t o before me b y and
Carlisle,PA witnesses, t.Kis (30`-`-stay of
2 0
itar ublic'
NOTARIAL SEAL
LMERLENE J.MWARHEVKA,NOTARY PUBLIC
CARLISLE.
_ CUM
)COU P
�0
CARLISLE,CUMBERLANI)COUNTY,�PAA
MY COMMISSION EXPIRES JUNE 8.20D6 5