HomeMy WebLinkAbout07-20-84
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINAnON
P.O. BOX 8327
HARRISBURG, PA 17105
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FilED IN DUPLICATE
WITH REGISTER OF WillS)
FILE NUMBER 21-78-590
REV.1500 EX+ (8.83)
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DECEDENT'S NAME JLAST, FIRST, AND MIDDLE INITIAL!
Burnhisel, Clara E., a/k/a
m Clara E.
SOCIAL ECURITY NUMBER
DECEDENT'S ADDRESS
11 East Louther Street
Carlisle, PA 17013
Co. Cumberland
DATE OF DEATH
199-38-9841
XX1.
04.
October 4,
1978
o 2. Supplemental Return
o 4a. Future Interest Compromise
o 3. Remainder Return
05. Federal Estate Tax
Return Required
Q... 8. Total Number of safe deposit boxes
Original Return
Life Estate
XX6. Decedent died testate 0 7. Decedent maintained a living trust
(Attach cop of Will) (Attach cop of trust)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME ADDRESS
Wa ne F. Shade Es uire
TELEPHONE NUMBER
Five South Hanover Street
Carlisle, PA 17013
(717) 243-5838
CITY
STATE
ZIP
7.000.00
None
None
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1. Real Estate (Schedule A) ( 1)
2. Stocks and Bonds (Schedule B) ( 2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Mortgages and Notes Receivable (Schedule D) ( 4)
5. Cashi Bank Deposits & Miscellaneous Personal Property( 5)
(Scnedule E)
6. Jointly Owned Property (Schedule F)
7. TransFers (Schedule G) (Schedule L)
8. Total Gross Assets (total lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous ( 9) 11. 408 . 06
Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule I) (10)
11 . Total Deductions (total lines 9 & 1 0)
12. Net Value of Estate (line 8 minus line 11)
13. Charitable and Governmental Bequests (Schedule J)
14. Net Value subject to tax (line 12 minus line 13)
15. Amount of line 14 taxable at 6% rate
(include values from Schedule K or Schedule M)
16. Amount of line 14 taxable at 15% rate
(include values From Schedule K or Schedule M)
17. Principal tax due (add tax from line 15 plus tax from line 16)
(17)
None
350.97
( 6)
(7)
None
None
( 8)
7.350.97
None
(11)
(12)
(13)
(14)
x.06 =
11. 408.06
None
None
None
(15)
(16)
x .15 =
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18. Total Prior payments:
Amount Paid
Discount
Interest
(18)
(19)
+
19. IF line 18 is greater tha n line 17, enter the difference on line 19. This is the OVERPAYMENT.
A. OCheck here if you are requesting a refund of your overpayment.
20. IF line 17 is greater than line 18, enter the difference on line 20. This is the BALANCE DUE.
A. Enter the interest on the balance due on line 20A.
(20)
(20A)
(20B)
B. Enter the total of line 20 and 20A on line 20B.
Mak. Check Payabl. to: R..lster of Will., A..nt
..BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH....
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, corred and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representative is
base n all information of whi h preparer has any knowledge. r#-;-. .....4-/1
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OF E SON RESPONSIBLE FOR FILING RETURN ADDRESS / DATE
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
DATE
YES NO
1. Did decedent make a transfer and:
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a. retain the use or income of the property transferred,
b. retain the right to designate who shall use the property transferred or its income,
c. retain a reversionary interest or
d. receive the promise for life of either payments, benefits or care?
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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?
3. Did decedent own an 'in trust for' bank account at his or her death?
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--------------------------------------------------------------------------------------------------------------------------- -----~-----
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
REV-1502 EX+ (7-83)
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "A"
REAL ESTATE
ESTATE OF FILE NUMBER
Clara E. Burnhisel, a/k/a Clara E. Comp 21-78-590
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule "F") All real estate should be reported at fair market
value which 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.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1. Undivided one-half interest in a tract of
unimproved mountain land located in Saville
Township, Perry County, Pennsylvania, containing
35.64 Acres and being described by adjoiners only
in Perry County Deed Book 174, Page 279.
Assessed value - $595.00
7,000.00
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed insert additional sheets of same size.)
s
7,000.00
REV-150S EX+ (7-S3)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "E"
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF
Clara E. Burnhisell a/k/a Clara E. Camp
(All property Jointly-owned with the Right of Survivorship must be disclosed on Schedule UFU)
FILE NUMBER
21-78-590
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
59.17
291. 80
1.
2.
Cash
Proceeds of sale of personalty
TOTAL (Also enter on line 5, Recapitulation)
$
350.97
!if more spece is needed insert additional sheets of same size)
REV-15H EX+ (1-83)
COMMONWEALTH OF PENNSYLVANIA
INHERIT ANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE"H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
FILE NUMBER
21-78-590
ESTATE OF
Clara E. Burnhise1. a/k/a Clara E. Comp
ITEM
NUMBER
A.
1.
2.
B.
C.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
DESCRIPTION
AMOUNT
Funeral Ex~ses:
Ewing Brothers Funeral Home, funeral services
Rice Memorial Works, gravestone
3,349.18
310.00
Administrative Costs:
1.
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commlssiona ..id
2.
Attorney Fees Wayne F. Shade, Esquire
4,000.00
3.
Family Exemption
Claimant. Michael L. Burnhiseillelationship Son
Address of Claimant at decedent's death 11 East Louther Street.
c'ar1is1e, Pennsylvania 17013
2,000.00
4.
Probate Fees
36.00
Miscellaneous Expenses:
Carlisle Community Ambulance Club, ambulance service
UGr Corp., gas service
Pennsylvania Power & Light Co., electrical service
Cumberland Law Journal, advertising letters
Carlisle Hospital, medical services
The Evening Sentinel, advertising letters
Prothonotary, local rules
Thomas L. Palm, survey fees
Clerk of Orphans' Court, file petition
George L. Ebener & Assoc., realtor commission
Recorder of Deeds, transfer tax
Recorder of Deeds, recording fees
Register of Wills, reserve for filing account, etc.
35.00
4.88
9.35
18.00
21. 00
16.65
20.00
315.00
22.00
980.00
196.00
27.50
75.00
TOTAL (Also enter on line 9, Recapitulation)
$ 11,435.56
(If more space is needed insert additional sheats of same size)
REV-1513 EX+ (7-83)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Clara E. Burnhisel, a/k/a Clara E. Comp
SCHEDULE II J"
BENEFICIARIES
FILE NUMBER
21-78-590
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
1.
Elsie I. Miller
P. O. Box 160
Millerstown, FA 17062
Daughter
One-fifth
Frank E. Comp
R. D. iHO
Carlisle, PA 17013
Son
One-fifth
Janet L. Benner Daughter
343 South 16th Street
Harrisburg, PA 17104
Wanda M. Wolfe Daughter
Perry Manor Apts., F-1
Newport, PA 17074
One-fifth
One-fifth
Michael L. Burnhise1, now Michael J. Morr s Son
c/o Mr. and Mrs. David K. Morris
823 Erford Road
Camp Hill, PA 17011
One-fifth
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enmr on line 13, Recapitulation)
"'
$ 1\1,....,.., a
(If more space is needed insert additional sheets of same size)
LAST WILL AND TESTAME~IT
I, CLARA E. BUm~HISEL, Also Known As CLARA E. COMP, of the
Borough of Carlisle, County of Cumberland, Commonwealth of Pennsyl
vania, being of sound and disposing mind, memory and understanding
- do make, publish and declare this as and for my Last Will and
;t. Testament, hereby revoking and.making void all former wills and
1 I codicils by me at any time heretofore made.
I FI~ST. I order and direct that all my just debts and funeral
I
. expenses be paid by my Executor, hereinafter named,' as soon as
conveniently may be done after my decease.
SECOND. All the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situate, 1
give, devise and bequeath unto my children absolutely and in fee
'simpel, in equal shares, share and share alike, my said children
: being ELSIE I. MILLER, born November 14, 1947; JANET L. STRUNK,
l>orn July 7, 1949.; FRANK. E. COMP, born February 27, 1952; WA~DA M.
I WOLFE, born April 23, 1959; and MICHA~L L. BURNHISF.L, born
~1,August 16, 1973.
?if ~IRD. If any of my said childr~n should fail to survive me,
~,'then and in that event, I give, devise and bequeath the share of
~I said child or children unto his or her issue per stirpes. For
the purpose of this my Last Will and Testament the term "issue"
~shall be interpreted to include children and the issue of children
~i legitimately born to or lev.ally adopted by any of my issue, I
~:whether born or adopted before or after my death.
1 ~QURTH. If any of my said children should fail to survive
lime and leave no issue, then his or her share shall lapse.
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I NATIONAL ~~K, to serve without bond as the Guardian of any
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II property which shall pass, either under this my Last Will and
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i'Testament or otherwise to a minor or to a person who is then, in
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Wu". .'. SHA'" : the opinion of my personal representative unless determined to the
F:':FTH.
I nominate, constitute and appoint THE COMMONWEALTH
Attwup et r...w
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contrary by a court of law, subject to any other le~al disability
',-' , whatsoever and with respect to which I air. authorized to appoint
r a Guardian and have not otherwise specifically done so, such
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( property to be held in se~arate trust by said Guardian until such
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,'. beneficiary reaches the age of eir,~teen (18) years or during such ~
r other leEal disability; provided that, in the event that the
~-f'\I, amount of this trust does not warrant the cOc.ts of its continuatio
~,or ~ts administration would be otherwise impractical, this appoint-l
oLent ~f Guardian ehall not eupenede the right of any fiduciary I
~ lin its discretion to distribute such share to the said minor or I
'person subJect to other legal disability or to another for the I
~Ii:en~fit 'Of' the said minor or person gub~ect to other legal dis- .
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':' I~ability. The said Guardian is' hereby vest(.d with the power to !
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~sell, assign, transfer, pledge, mortgage, lease, manage, control, !.'
r:ret~in, invest and reinvest the corpus of said guardianship in
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Isuch securities and other prooerty as shall be deemed prudent,
Ilwithout being restricted to investments known as legal investments
rl for fiduciaries under the laws of the Cotnll!onwealth of PennSYlVania.l
\~The Guardian shall have the power to manioulate the proceeds of I
, i; the guardianship in any manner th.::t w'.ll euarantee maximum '
__\. " d,
~ !i conservation of the gua,rdianship funds and the greatest production i
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~!Iof income for the beneficiaries. I hereby authorize the said
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~~Guardian to expend any monies from principal or interest for the
( 'Hbeneficiaries that in the sole discretion of the Guardian is
~jdeemed necessary for their c~re, hea:th, education, maintenance,
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l.t ,i culture, travel and ger:cral welfare; the word "education" shall
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r':'~ :1 be constured to mean a pre-colle!1;e course, high school educati.on, I
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. I college education and post-graduate education. It is my intention
1 that the foregoing powers may be exercised by the said Guardian
I without prior Court approval and without further responsibility
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1III to the beneficiaries, their parents or to any other person or
: persons taking care of the minor beneficiaries. The balance of
WAn.. F. SH.AD. Ii
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Iii such income and principal shall f,e Di1i.d to such beneficiary when
I[ he reaches the age of eighteen (13) years or when his other legal
II disability shall cease or to such beneficiary's estate in the
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II event of his death prior thereto.
Ii SIXTH. I nominatE', constitute and anpoint my daughter,
I'ELSIE I. MILLER, as the Guardian of the nersons of such of my
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:1 children, natural or adopted, who, bein~ minors or subject to any
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!i legal disability at the time of my decease, shall survive me.
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LASTLY.
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constitute and appoint WAYNE F. Sl~DE,
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: Esquire,
to serve without bond as the Executor of this my Last
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Cf~. C0. '2 ~'\V)J'
Clara E. BurnhiseI
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(SF.AL)
The preceding instrument, consist-ng of this and two (2)
WAY". F. SHAD"
:' other typewritten pages, each identified by the siganture of the
!:Testatrix, was on t~e date thereof sir-ned, sealed, published and
i declared by CLARA E. BU~~HISEL, Also Known as CLARA E. COMP, the
j';Testatrix therein named, as for her Last Will and Testament, in
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II the presence of us, who, at her request, in her uresence, and in I
II the presence of each other, h2ve subscribed our names as witnesses!
!I hereto.
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