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HomeMy WebLinkAbout06-13-05 (2) ''''''''''''''''''''-01) ~ '. COMMO~SYtVANIA DEPARTMENT OF REVENUE DEPT. 260601 HARRloBURG, PA 17128-0601 DECEDENT'S NAME (LAST, ARST, AN) MIOOlE 1NI11AL) use a blank l*lck tl.... words I- Z W C W o W C I!! ::.:::!;cn U.'" W"U ,,00 U"'" .... .. . z o ~ :5 ;:) l- ii: c( o W 0:: z o ;:: ~;!: I-~ ::Ii o o REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFACIAL USE ONLY FI.E_ 2 1 0 5 0 1 1 9 ..... COUNTY COIlE YfM B est Richard E SOCIAL SEClRTY NI.JABER DATE OF DEATH o 1 /2 6 /2 0 0 5 DATE OF B1R1l-1 o 8 /0 1 /1 9 1 6 1 5 9 -2 7 -8 2 4 5 (IF APl'LICABLE) SURVIVING SPOUSE'S NAME (LAST, ARST, AND MIDDLE 1Nl11Al) SOCIAl SECURfTY NUMBER THIS REl\JRN IIUST BE FILED" DUPLICATE WITH THE REGISTER OF WILLS .... z W Q Z Q .. '" W " " o U IXI1.OIiginalRetum D2.SuppJemenlalRetum 0 3. RemainderRetum ("'~_""""".1>>2) o 4. Limited Estate 0 40. Future Interest Compromise (...~_...".,,""l 0 5. Federal Estate Tax Retum Required IXI 6.lJecedenIDied Testate (_h"",~M) 0 7. Decedent Maintained a Living Trust(_"",~T""l 1... 8. Total Number of Safe OepooftBoxes o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credft I.... ~_ _".".91 ..,.,.85) 0 11. Election to tax under See. 9113(Ali_ Soh 0) ntIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX IIIFORIIATION SHOULD BE DIRECTED TO: NAME COMPlETE MAILING ADDRESS John M. Eakin Market Square Building FIRM NAME (If Appicable) 12. NelValu. 01 Eltato (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusls forwhich an election to tax has not been made (Schedule J) 14. Net Value SUbjoclto Tax (Line 12 minus Line 13) ,8 3 3 ,5 6 7 .6 9 (12) (13) (14) ,8 3 3 ,5 6 7 .6 9 3 7 ,5 1 0 .5 5 15. Amount of line 14 taxable 8 3 3 5 6 7 .6 9 at the spousal tax rate , , See Instructions on reveille side for applicable pen:entaQe 16. Amount of line 14 taxable at 6% rate 17. Amount of line 14 taxable at 15% rate x .045 (15) x .06 (16) (17) (18) 3 7 ,5 1 0 .5 5 X .15 o .0 0 18. Tax Duo 19. o d f C I te Add ece en s omDle ress: STREET ADDRESS 124 Weslev Drive CITY I STATE I ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due (Page 1 Une 18) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 37,510.55 35.00000 1 750.00 Total Credits (A + 8 +C) (2) 36,750.00 3. InteresUPenally ~ applicable D. Interest E. Penalty T otallnteresUPenalty ( D + E ) (3) 4. If line 2 is greater than line 1 + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 19 to request. refund (4) 5. If line 1 + line 3 is grealerthan iine 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58) 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 a. retain the use or income of the property transferred; ..............................................................0 b. retain the right to designate who shall use the property transferred or ~s income; ................. 0 c. retain a reversionary interest; or ..............................................................................................0 d. receive the promise for life of either payments, benems or care? ...........................................0 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................... 0 3. Did decedent own an "in trust fo(' or payable upon death bank account or security at his or her death? .......................................................................................................................0 4. Did decedent own an individual retirement account, annuity, or other non-probate property? ..... 0 760.55 760.55 No 00 00 00 00 00 00 00 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN 72 P.S. !i9116 (a) (1.1) (i) provided for the reduction of the tax rate imposed on the net value oftransfers to or for the use of the surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995. 72 P.S. !i9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving spouse from 3% to 0% for dates of death on or after January 1, 1995. The statute does not exemDl 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 JANUARY 1, 1995 - Please answer the following question by placing an ">(' in the appropriate space. Did the decedent create a trust or similar arrangement which is soley for the surviving spouse's benefit for his or hsr entire lifetime? Yes 0 No 00 If you answered yes to the above question, the tax on the trust or similar arrangement is I Due.. l...\ \ D . ()\) spouse, at which time it will be fully taxable at the rate(s) applicable to the remainder ben "Pel 3/0. OD Schedule J, Part II, in order to remove ~ from the calculation of the tax due in this estate. make the eIecIion available underSeclion 9113. If the eIecIion is made, the trustor simik APb 100. OD first decedent spouse, the portion of the trust or similar arrangement which benefits the s and the remainder is taxed at the rate(s) applicable to the remainder beneficiary(ies). If y attach Schedule 0 to a timely-filed tax return, along with Schedule(s) K and/or M in ordet similar arrangement between the surviving spouse and the remainder beneficisry(ies). and JUst on order to . ofthe tax rate, Jrnust rust or J.~ REV.1502EX+\1..(7),~_ .~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Best Richard E 21 05 0119 All real property owned sotefy or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property wouki be exchanged between a willing buyer and a willing _. neither being compelled to buy or seii. both having reasonable knowledge of the relevant facts. Real property which is jointly_ _ right of suNlvolShio mUll be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION House and lot, Lower Allen Township, Cumberland County, 124 Wesley Drive, Mechanicsburg, Sale price reported VALUE AT DATE OF DEATH 115,000.00 " TOTAL (Also enteron line 1. Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 115000.00 , 1 1 1 1 1 1 1 .! .! 1: 1: 1: "B 11 " .. OMS NO. 2502-0266'1. A. B. TYPE OF LOAN: U.S. DePA~F HOUSING & URBAN DEVELOPME 1nFHA 2.0FmHA 3. DCONV. UNINS. 4.DvA 5. ~CONV. INS. 6. FILE NUMBER: 17. LOAN NUMBER: SETTLEMENT STATEMENT GATES 648666715 8. MORTGAGE INS CASE NUMBER OLD MORTGAGE IN.S CASE NUMBER: 5.8751FJ64626 MMO . C. NOTE: This fonn is furnished to give you 8 statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POer were paid outside the eraSing; they ani showrr here for infannaUonal ptJfpOSfJ$ and are not included in the totals. 1.0 3Ill8 IGATES.Pfo.<o5.2lJ5,lm" D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: PAUL R. GATES, JR. and MARYlYN F. EBERLY & SUSAN J. ASN AMRO MORTGAGE GROUP, INC. KAREN C. GATES LUMNITZER, EXECUTRICES OF THE 2600 W. Big Beaver Road 124 Wesley Drive ESTATAE OF RICHARD E. BEST Troy, MI 48084 Mechanlcsburg, PA 17055 G. PROPERTY LOCATION: H. SETILEMENT AGENT: 25-1857112 1. SeTTLEMENT DATE' 124 Wesley Drive Midstate Abstract Company Mechanicsburg, PA 17055 Apri122,2005 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 2331 Market Street Camp Hili, PA 17011 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Ptice 115,000.00 401. Contract Safes Price 115000.00 102. Personal Pro 402. Personal Pro 103. Sel/fement Cha es 10 Borrower UIl8140D 4,482.16 403. 104. 404. 105. 405. Ad ustments For Items Pairi 8 S6((er in sdvancs A .ustmenfs For Items Paid 8 Seifer in advance 106. C' !Town Taxes to 406. Cl fTown Taxes to 107. Coun Taxes 04122105 to 01101106 322.24 407. Co"" Taxe$ 04122105 to 01101/06 322.24 106. School Taxes 04122105 to 07/01105 2OB.94 400. School Taxes 04122105 to 07101105 2"08.94 109. 2nd aIr. SewerlRefuse 04/22105 to 07101105 61.04 409, 2nd Qtr. Sewer/Refuse 04/22105 to 07101105 61.04 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 120,074.38 420. GROSS AMOUNT DUE TO SELLER 115.592.2~ 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 5Ol). REDUCTIONS IN AMOUNT DUE TO SELLER: 201. sltore8f'rlo8$f 5000.00 501. Exce.ssDe sit Seelnstruc:tlons 202. Ptincl al Amount of New Loan s 109 250.00 502. Settlement Cha es to Seller ne 1400 1697.4' 203. Exlsti 108n s taken sub ctto 503. Exlstin loan s taken su dlo 204. 504. Payoff of first Mo ... 205. 505. P of second Mort . 206. 500. De osit retained seller 5,OOO.OC 207. 5OT. 208. 'OlI. 209. SOlI. 'u8!menfs For /tems Un IdB Seller A 's/mtmfs For Items B Seller 210. Ci trown Taxes to 510. Ci fTown Taxes to 211. Cau T.... to 511. Coun Tax.. 10 212. School Taxes to 512. School Taxes to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 114,250.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 6,697.4., 300. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TOIFROM SELLER: 301. Gross Amount Due From Borrowt!r Line 120 120074.38 601. Gross Amount Dutt To SeHer Line 420 115,592.22. 302. Less Amount Paid B /For Borrower LIne 220 ( 114.250.00 60:Z. Less Reductions Due Seller (Line 520 ( 6,697.41 303. CASH ( X FROM) ( TO) BORROKtE'R 5,824.38 603. CASH ( X TO)( FROM) SELLER 108,B94.8j '- c The undersigned hereby a Borrower Seller MARYl YN F. EBERLY & SUSAN J. LUMNIT2ER. EXECUTRICES OF THE ESTATAE OF RICHARD E. BEST i fbJ: ?j~y , ~~ \ r $ L SETTLEMENT CHARGES % 700. TOTAL CO ON Based on Prlct' Divi,s," sSion line 700 as Follows: 701.$ to 702. to 703. Commiss on aid at SeWement 704. to BOO. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan On Jnstlon Fee % to 802. Loan Discount % to aD . Processing Fee to 804. Lender Administration Fee to 805. Application Fee 10 60 . Flood Gert. to 807. Deferred Premium to 808. 809. 810. 81 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901.lnterestfrom 04/22/05 to 05101/05 tftI $ 17.830000lday ( 9 days 90 . Mo a e Insurance Premium for months to 903. Husrd In.surance Premium for 1.0-vears taErie Insurance 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 3.000 1002. Mort e Insurance 1003. Ci !fown Taxes 1004. Coun Taxes 1005. School Taxes '006. 1007. 1008. ate Ad" ustman! 1100'. TITLE CHARGES 1101. Settlamenl or Closln Fee 1102. AbstraclorTltleSearch 1103. Title Exarninalion 1104. Title Insurance Binder 110$. Electronic Document Pre . 1106. Closing Service letter 1107. Wire Fee "includes above m,m numbers.: 110. Titlelnsuance to MIDSTATEA TRACT includes abOve item /lumbers! 102 1103 & 1104 1109. LElnde(s overage 109,250,00 11'.OwnetsCoverage $ 115,000.00 11 1. ndorsements 1 ,3 ,6.1 10 Midslate stract Company 111 . Notary eEl to Midsts/e ~tracl mpany. 111;;,;. Overnight Mail to Mldstale Ab51rad Company 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recotding Fees: Deed $ 38.50; Mortgage' 60.50; 120 . C fCoun TaxtStam s: d ,150.00' Mort II. e 1203. State Tax/Starn 5: Deed 1150.00; Mae 120.4. 1205. 1300. AODlTIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Pest Ins ed:lon to 1303.2005 Cou fTownshl Taxes 10 Bonnie K. Miller, Treasurer 1304. 2nd Quarter Trash to Lower Allen Towl\$hl Authori 1305. 1-400. TOTAL SETTLEMENT CHARGES ntftr on Lines 103, SltCtlon J and 502, Section lly~pagtl1ctlillllatolmenr,lIw~~~lPIct.~""llYoI~2ctlhll"""~~ ./ Mldstale Abstrac.t ~pany Settlement Agent "\ Premier Funding, Inc. ABN AMR MORTGAGE GROUP, INC. Premier Funding, Inc. Premier Fundin Ine.. Premier Funding, lne.by ABN AMRO %) 3.000 11.000 months mOnths months months months months months mollths $ $ $ $ $ @ $ $ 31.17 er month r month eT month 38.59 r month 88.98 per month r montll e month r month to to to to to Midslate Abstract Com an to Midstafe Abstract c 8TT to Midstate Abstract Company 33.75 Releases S Certified to be a true copy. ~ f>I'JOFRO"l BQRROWEfl'S """''' SETTLEMENT POCl36S.63L 150.00 475. 325.0 10.00 160.41 POC374.00b 115.71 978.78 .279,12 f>....OfROM SELLER'S FlJNOSAT SETTLEMENT 93.51 50.00 35.00 10,00 ... 933.75 150.00 10.00 5. 5.00 99.00 1150.00 1,150. 4,482.16 {GATES I 05-205 I 11 I 463 ~. 79. ~ 1,697.41 """"."'"* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN INT SCHEDULE B STOCKS & BONDS FILE NUMBER 21 05 0119 ESTATE OF Best Richard E All property joinlly-owned wlth right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 2732 Shares Aegon NV, Common@ 13.41 2. 800 Shares Exxon, Common @ 51.15 3. 1000 Shares Pa Power & Light, Common @ 52.81 4. 4488 Shares Providian Financial, Common @ 16.53 5. 192 Shares Chase Manhattan, Common @ 37.02 6. 2000 Shares Rite Aid, Common @ 3.63 7. 623 Shares Deimler Chrysler, Common @ 45.34 VALUE AT DATE OF DEATH 36,636.12 40,920.00 52,810.00 74,186.64 7,107.84 7,260.00 28,246.82 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 247 167.42 .""..,,;,,~. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RlETURN RESIDENT DECEDENT ESTATE OF Best Richard E FILE NUMBER 21 05 0119 Include the proceeds of litigation and 1he _the proceeds were received by the estale. All property joinUy-owned _ the right of survivorsbip must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. DESCRIPTION PNC Account # 50-701042891- Checking Account, see attached PNC Account # 0000303- Savings Account, see attached PNC Account # 6503191, Savings Account, see attached Miscellaneous fumiture, sale price reported 1982 Chrysler New Yorker, see attached Refund- Homecare insurance policy PP&L Dividend (declared prior to death) Travelers - Car Insurance Refund Homeowners Insurance refund School Tax refund - 5/22/05 - 711/05 VALUE AT DATE OF DEATH 23,378.09 47,379.52 54,531.36 345.00 300.00 764.91 410.00 102.00 335.00 208.94 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 127754.82 Checking Acconnt Account #5070104289 Established07-07-1989 RICHARD E BEST DOD balance: $23,377.33 + $0.76 accrued interest Savings Account Account #5003503191 Established 02-20-200 I RICHARD E BEST DOD balance: $54,494.22 + $37.14 accrued interest Account #5030000303 Established 01-01-1979 RICHARD E BEST DOD balance: $47,376.93 + $2.59 accrued interest I I I !! ; Safe deposit box The decedent maintained safe deposit box #454. It was in one name only. RICHARD E BEST It is located at: 1 , WINDSOR PARK 5288 SIMPSON FERRY RD. MECHANICSBURG PA 17055 717-697-3001 Page 2 of3 FEB. 811\ 2005 p..&B SER'lICE CENiER, INC. 4\5 soUill ~i S'fRBEi ~c~\CSBtnlG.pp...\7055 ME illp..i 'fllE \982 CllR'iSLER NEW 1'f IS OUR ES'flMp..i\ON p..i illtRlS~".n B "ESf. """ AN "",,,o,,u.<hTIl 'iO~RBELONGING'fOMR'='~ . WORill OF $ 300.00. p..&B SER'l\CE CENiER. INC. --- ~ ....J~i c.Ultil. \tlC- ..~.._,'-J'. ...",.." .~'~~.(..".. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF Best Richard E. tf an asset was made joint within one year of the decedents date of death, it must be reported on Schedule G. FILE NUMBER 21 05 0119 SURVIVING JOINT TENANT(S) NAME RELATIONSHIP TO DECEDENT ADDRESS A Susan J. Lumnitzer B Marylyn F. Eberly c 994 Oak Hill Road Lewisberry, PA 17339 203 E. Coover Street Mechanicsburg, PA 17055 daughter daughter JOINTLY -OWNED PROPERTY: lffiER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include neme of finmcial institution and balk a::cotmt number or simHar identifying number. Atta:h DATE OF DEATH DEClYS VALUE OF NUMBER TENANT JOINT deed br jointly-l1eld real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST See Attachment Page(s) TOTAL (Also enter on line 6, Recapitulation) $ 371 169.61 .. (If mOle space IS needed, Insert additional sh€ets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Best, Richard E. 21 05 0119 PaQe 1 Schedule F-2 - Jointly-Owned Property LETTER DATE DESCRIPTION OF PROPERTY 'I OF DATE OF DEATH ITEM FOR JOINT MADE Include nerne of finmcial institution and balk a::counl rnJmber or similar identifying number. Atta::h DATE OF DEATH DEWS VALUE OF NUMBER TENANT JOINT deedforjoinUy-heklreal eslate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 1/17/95 PNC CD 1029454,10,000.00 issued 6/17/04 matures 10,008.04 50. 5,004.02 7/17/06, Interest 3.26% pd monthly ($8.04) 2. A. 5/5/02 PNC CD 1029456, 16,956.86 issued 5/5102 matures 17,004.57 50. 8,502.28 6/5/07, interest 4.89% pd monthly ($47.71) 3. A 5/5/02 PNC CD 135266, 20,000.00 issued 5/5/02 matures 20,056.27 50. 10,028.14 6/5/07, interest 4.89% pd monthly ($56.27) 4. A. 6/8/00 PNC CD 189147, 25,000.00 issued 5/8/04 matures 25,033.53 50. 12,516.76 6/8/06, interest 2.72% pd monthly ($33.53) 5 B. 6/30/94 PNC CD 13266,10,000.00 issued 4/30/04 matures 10,015.52 50. 5,007.76 5/31/06, interest 2.179% pd monthly ($15.52) 6 B. 5/5/02 PNC CD 135908, 10,000.00 issued 5/5/02 matures 10,028.13 50. 5,014.06 6/5/07, interest 4.89% pd monthly ($28.13) 7 B. 6/8/00 PNC CD 188816, 25,000.00 issued 5/8/04 matures 25,033.53 50. 12,516.76 6/8106, interest 2.72% pd monthly ($33.53) 8 B. 6/30/01 PNC CD 214083,20,000.00 issued 4/30/04 matures 20,031.04 50. 10,015.52 5/31/06, interest 2.179% pd monthly ($31.04) 9 B 8/26/01 Merrell Lynch CD 59020W, $87,000.00 issued 9/21/04 87,337.75 50. 43,668.88 matures 9/3012024, interest 5.45% pd monthly ($337.75) 10 B. 121901 First Bank of Puerto Rico CD 337627, $70,000.00 issued 70,308.77 50. 35,154.38 12/29/04 matures 1/1412024, interest 5.75% pd semi annually ($308.77) 11 A. 121901 Lehman Bros. CD 52519H, $90,000.00 issued 12/29/04 90,379.73 50. 45,189.86 matures 1/13/2020, interest 5.5% pd semi annually ($379.73) 12 A 1/14/04 Commerce Bank CD 20653, $56,521.77 issued 1/14/04 57,456.47 50. 28,728.24 matures 4/14/05, interest 1.64% accumulated 13 B 1/14/04 Commerce Bank CD 20652, $56,521.77 issued 1/14/04 57,456.47 50. 28,728.24 matures 4/14/05, interest 1.64% accumulated 14 A 7/6/94 Sovereign Bank CD 242502, $82,475.59 issued 7/6/04 82,598.51 50. 41,299.26 matures 3/6/06, interest 2.72 pd monthly ($123.92) 15 B. 121503 M&T Bank CD 616784, $75,000.00 issued 12/15/03 75,071.05 50. 37,535.52 matures 6/15/06,interest 2.47% pd monthly ($71.08) SUBTOTAl SCHEDULE F-2 328,909.68 Continuation of REV-1500 Inheritance Tax Return Resident Decedent Best, Richard E. 21 05 0119 PaQe 2 Schedule F-2 - Jointly-Owned Property LETTER DATE DESCRIPTION OF PROPERTY "'OF DATE OF DEATH ITEM FOR JOINT MADE loclude naneoffillCllCial institutkln aid balk a::count number orsimila' identifying nuntJer. AIta:h DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 16 B. 121303 M&T Bank CD 519178, $14,000.00 issued 12/13/03 14,015.16 50. 7,007.58 matures 6/13/06, interest 2.47% pd monthly ($15.16) 17 A. 1/3/04 M&T Bank CD 579172, $44,401.53, issued 1/3/04 44,476.54 50. 22,238.27 matures 7/3/06, interest 2.37% pd monthly ($75.01) 18 A. 121303 M&T Bank CD 519186, $26,000.00, issued 12/13/03 26,028.16 50. 13,014.08 matures 6/13/06,interest 2.47% pd monthly ($ 28.16) SUBTOTAL SCHEDULE f.2 42,259.93 GRAND TOTAL SCHEDULE f-2 $ 371,169.61 ...0-7.-........02 .', .I ' 05 11:31a p.l / 499 Milchell Road MlIIsboro, DE 19966 I\IalI code DE-MB-12 Phone: 888-602-4349 Fax; 302-934-2955 1P:\1M&TBank I Fax To: Belinda Lawrence From: Nancy Clagett Fax: 717-691-3197 Re: Estate of: Richard E Best Dale: March 2, 2005 Social Security: 159-24-8245 Date of ~th: 1/26/2005 Dear Belinda: Per your inquiry received FebrollIY 22, 2005, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: /to Type of Account Account Number Certificate of Deppsit 031003914519178 Ownership (Names of) Richard E Best, Marilyn Eberly Opening Date 5/13/96 $14,000.00 Balance on Date of Death Accrued Interest $ 15.16 Total $14,015.16 .j2. Type of AccoUnt Account Number Certificate of Deposit 031003914519186 Ownership (Names 01) Opening Date Richard E Best, Susan J Lumnitzer Balance on Date of Death 5/13/96 $26,000.00 $ 28.16 $26,028.16 Accrued Interest Total vh. Type of Account Account Number Ownership (Nemes 01) Certificate of Deposit 031003914579172 Richard E Best, Susan J Lumnitzer Opening Date 9/3/97 $44,401.53 Balance on Date of Death Accrued Interest $ 75.01 Total $44,476.54 Commerce flBank.. June 6, 2005 Re: Richard E. Best To Whom It May Concern: This letter is to confirm information on 2 CDs that Richard E. Best had with Commerce Banle Name on Certificate And Number Date Opened Interest as of 1/26/2005 Value as of 1/26/2005 Richard E. Best & Marylyn Eberly # 20652 10/15/1997 $33.57 , $57,456.47 ;. Richard E. Best & Susan Lumnitzer # 20653 10/15/1997 $33.57 $57,456.47 If you need any further information please feel free to contact us at (717) 766-6800. Thank you and have a great day. \~.:~~ ;~>> '~1:"~~: '..~ ., Thomas Roh, Jr. Assistant Branch Manager Simpson Ferry Branch Commerce Bank I Harrisburg. N.A. P.O. Box 8599 100 Senate Avenue Camp Hill. Pennsylvania 17001.8599 ~ri.J.v \',L-. -. ,-.r n-,'.;.:,:""." ',. . p.2 /4. Type of Account Account Number Certificate of Deposit 031003914616784 Ownership (Names oj) Opening Date Richard E Best. Marilyn Eberly 7/15/98 $75.000.00 Balance on Date of Death Accmed Interest $ 71.08 Total $75,071.05 Thank you for your anticipated assistance. U you have any questions, please do not hesitate to call me at 888-502.4349. Have a great day! Nancy Clagett@ M & T Bank ....,"'''".,'"'''.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Best Richard E FILE NUMBER 21 05 0119 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Myers Funeral Home 8,908.00 2. Grave Opening 875.00 3. James R. Gingrichman, lettering marker 100.00 B. ADMINISTRATIVE COSTS: 1. PelSOllal Representative's Commissions Name of POISOnal Representative (s) Social Security Number(s) I EIN Numbef of Personal Representalive(s) Street Address City Sta1e Zip Yea~s) Commission Paid: 2. A_ey Fees John M. Eakin and J. Robert Stauffer 14,000.00 3. Fami~ Exemption: (~decedenfs address ~ not the same as c1aimanfs, a\tach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. P_Fees Letters testamentary 380.00 5. Accountanfs Fees 6. Tax Return Prepare!s Fees 7. Cumberland Law Journal, Estate Notice 75.00 8. The Sentinel, Estate Notice 144.29 9. AI Whitcomb, 2004 Income Tax Preparer 195.00 10. Susan Lumnitzer, Reimbursement for preparing real estate for sale 100.00 11. Cost of Selling Real Estate 1,260.82 + - Transfer Tax $1,115.00 - Notary $5.00 - Co. and Township Tax $140.82 TOTAL (Aiso enter on line 9, Recapitulation) $ 26 038.11 (~more space is needed, insert additional sheets of the same size) REV.""EX.""'.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF Best Richard E Include u"reimbursed medical ..pen.... ITEM NUMBER DESCRIPTION 1. Keystone Oil, Book account 2. Pa Water Co., water bill 3. PP&L, Electricity 4. Verizon, telephone 5. AT&T, telephone 6. Harrisburg Gastroentology, medical bill 7. 2004 Federal Income Tax 8. 2004 Pennsylvania Tax 9. Bonnie Miller - real estate tax FILE NUMBER 21 05 0119 AMOUNT 771.60 57.09 135.81 83.20 14.55 110.00 180.00 124.00 9.80 TOTAL (Also enter on line 10, Recapitulation) $ (~more space is needed, insert additional sheets of the same s,ze) 1 486.05 REV,,,,,,,,.,,..,,,. COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Besl. IE. 71 m; n11Q 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) 1. Susan Lumnizter Daughter 1/4 of real estate and 994 Oak Hill Road 1/2 of residue Lewisberry, PA 17339 2. Marylyn Eberly Daughter 1/4 of real estate and 203 East Coover Street 1/2 of residue Mechanicsburg, PA 3. Palli A. Yeingst Step-daughter 1/4 of real estate 1223 Third Avenue Altoona, PA 16602-3601 4. Michael Rosney Step-grandson 1/8 of real estate 225 Calle Serena San Clemente, CA 92672 5. Mark Rosney Step-grandson 1/8 of real estate 86 Via Lampara Rancho Santa Margarita, CA 92688 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART IT - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space Is needed, insert additional sheets of the same size) "'C."lillnl~~'r"1"K~:.T';."""l:!r LAST vlILL AND TESTAHENT OF RICHARD E. BEST I, RICHARD E. BEST, of the 'rownship of Lower Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I direct that my personal residence located at 124 Wesley Drive, Mechanicsburg, Lower Allen Township, Cumberland County, Pennsylvania, be sold and converted into cash, and for this purpose, I authorize and empower my Executrices hereinafter named, to sell the same at either public or private sale. A. After my residence has been sold and converted into cash, as directed above, I give and bequeath the net proceeds realized from said sale to my two (2) children and two (2) stepchildren, to wit, my daughter, }~RYLYN F. EBERLY, my daughter, SUSAN J. LUMNITZER, my stepdaughter, PATTI A. YEINGST and my stepson, THOMAS J. ROSNEY, share and share alike, per stirpes. -1- 3. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to WY two (2) daughters, the aforesaid, HARYLYN F. EBERLY and SUSAN J. LUHNITZER, share and share alike, per stirpes. LASTLY, I nominate, constitute and appoint my two (2) daughters, HARYLYN F. EBERLY and SUSAN J. LUHNI'l'ZER, Co-Executrices of this my Last Will and Testament, and direct that they be excused from posting bond or other security for the faithful performance of their duties. this IN tVITNESS WHEREOF, I have I' ~ ~ day of ~t' /-.1-- - I hereunto set my hand and seal , A. D., 1992. , 'A ~'.E' --;r--7 { // /. ( r_s-," - ;- ~ '::'''<''' /~ '- ~ Richard E. Best (SEAL) -2- Signed, sealed, published and declared by the above named, RICHARD E. BEST, as and for his Last Will and Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testator, in his presence and in the presence of each other. Q/A ~ ~ftdw~~) v -3- . COMMONWEALTH OF PENNSYLVANIA ) 55. COUNTY OF CUMBERLAND ) 1, RICHARD E. BEST , the testat Ol' 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 and Testament; that I signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknOWledged RT~~q'l' . the testat or of . A. D., 1992. before me~b~ . this o<~ day 4".;,- ~ Q. COMMONWEALTH OF PENNSYLVANIA ) ) 55. ......... ~~ iaM"-Y",,* ftll.......,..... QI.,"""..4CW11f ..,o....._'~'*"'6 ,. ....~........ ........... COUNTY OF CUMBERLAND We, the undersigned. J. ROBERT STAUFFER and RUTH ANN FULltlIDER , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testat or " RICHARD E. BEST , sign and exe- cute the instrument as his~ Last Will and Testament; that the said testat or HICHARD E. BEST . executed it as his~ free and voluntary act for the purposes therein expreased; that each of us. in the hearing and sight of the testat np . signed the Will as witnesses; and that to the best of our knowledge, the testator was, at the time. eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. Sworn and, me .this ~~Jcribed to before I'Y"L.- day of 1992. &~~+ t4 D-. . . J ...8eaI ~KafUlQn,'-w P\H, .......AtlI...... CW~<l C<u1' ..,O'.4....~~ e. 're:' Peo.wllllllla_'~'''''''''' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128-0601 REV-1162 EX(1 1-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT STAUFFER J ROBERT MARKET SQUARE BUILDING MECHANICSBURG, PA 17055 n~__u_ fold ESTATE INFORMATION: SSN: 159-24-8245 FILE NUMBER: 2105-0119 DECEDENT NAME: BEST RICHARD E DATE OF PAYMENT: 06/13/2005 POSTMARK DATE: 06/13/2005 COUNTY: CUMBERLAND DATE OF DEATH: 01/26/2005 NO. CD 005424 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $760.55 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 1066 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $760.55 GLENDA FARNER STRASBAUGH REGISTER OF WILLS