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Home My WebLink About11-23-05 (2) " ,. ..~ RE\l-1500..EX + (6-00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I- Z W Q W (.) W Q DECEDENT'S NAME (LAST, FIRST, AND MIDDlE INITIAL) Lucas Helen W DATE OF DEATH (MM-OO-Year) DATE OF BIRTH (MM-DO-Year) 2/25/2005 4/11/1917 (IF APPUCABlE) SURVMNG SPOUSE'S NAME (LAST, FIRST, AND MIDDlE INITIAL) I!! ~J~ UA-u woo :a:.... UtlD .c 00 1. Original Return o 4. Limited Estate 00 6. Decedent Died Testate (AIlach copy 01 WI) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dllleoldealh ....12-12-82) o 7. Decedent Maintained a Living Trust (AlIach copyofTIUII) o 10. Spousal Poverty Credn (dIlt of death ~ 12-31-91l1ld 1-1-95) OFFICIAl USE ONLY FILE NUMBER 2 1 -0 5 0 2 4 3 Ciiiivcooe ---viM- - - iUiiR- - SOCIAL SECURITY NUWlER 1 37- 0 5 - 0 3 9 3 THIS RETURN MUST BE FLED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURIl'Y NUMBER o 3. Remainder Return (d.ofdeathpriorlDI2.1~ o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under see. 9113(A) lAlIach Sell 0) .... z w c z o A- m ~ a: o U THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPlETE MAILING ADDRESS David H. Stone Es uire 414 Bridge Street FIRM NAME (If Applicable) Stone LaFaver & Shekletski TELEPHONE NUMBER 717 774-7435 New Cumberland PA 17070- z o j :) l- ii: c( (.) w Q: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or SoIe-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate BiDing Requested 7. Inter-VIVOS Transfeni & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross As.... (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Lile 11) 13. Charitable and Governmental Bequests/see 9113 Trusts for which an election to tax has not been made (Schedule J) (1) (2) (3) (4) (5) (6) (7) (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) SeE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ :) D. :IE o o ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under see. 9116 (a)(1.2) 0.00 X _ (15) 0.00 X _ (16) 0.00 X .12 (17) 146,625.05 X .15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due O~IAL USE O~ ~ fn -.. 9 ~.,-- "-::> o -'XJ -:: I"") "-" ("'r", W 0 C') --'j:~'\ --n c'S rn C"'- ~J) (=) -n .' ' 17 ,904.82 ; c=~ s) ':"._~ n )c_ ':U - ---I :0- 3 C?- O N (8) 162,599.89 15,192.94 781.90 (11) (12) (13) 15,974.84 146.625.05 (14) 146.625.05 0.00 0.00 0.00 21.993.76 21,993.76 20. D TH << . Decedent"s Complete Address: STREET ADDRESS . 20 North 12th Street CITY lemovne I STATE PA I ZIP 17043- Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. CreditslPayments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 21,993.76 3. InterestlPenalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C ) (2) 0.00 T otallnterestIPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPA YMEHl. Check box on Page 1 Line 20 to request a refund (4) 5. If Une 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + SA. 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 No a. retain the use or income of the property transferred; ........................ ................. ..................................0 l&J b. retain the right to designate who shaH use the property transferred or its income; ........................................0 1&1 c. retain a reversionary interest; or ......................................................................................................0 l&J d. receive the promise for life of either payments, benefits or care? ............................................................. 0 l&J 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................................................... 0 l&J 3. Did decedent own an "In trust for" or payable upon death bank account or security at his or her death? ................. 0 1&1 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 1&1 0.00 0.00 21.993.76 21.993.76 PA 17011 DATE . ~r PA 17070 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. S9116 (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% [72 P.S. S9116 (a) (1.1) (Ii)}. The statute does not exemot 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent. or a stepparent of the child is 0% [72 P.S. S9116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in 72 P.S. S9116(1.2) [72 P.S. S9116(a)(1)J. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. S9116(a)(1.3)}. A sibllng;s defined. under Section 9102, as an individual who has at least one parent in common with the decedent whether by blood or adoption. ~ . REV-1503 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Lucas. Helen. W FILE NUMBER 21 05 All property jolntly-owned with right of survivorship must be disclosed on Schedule F. 0243 ITEM NUMBER 1 DESCRIPTION 13,604.202 shares PNC Inv.-Fed Fixed Inc.-Sees Inc Strat Inc Fd CI C @ $8.89 each VALUE AT DATE OF DEATH 120,941.35 2 2,671.96 shares PNC Inv.-Fed. Fixed Inc-Secs Inc Strat Fd CI B @ $8.89 each 23,753.72 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 144 695.07 REV-1'508 EX + (6-98) ~ '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lucas. Helen. W SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ITEM NUMBER 1 FILE NUMBER 21 05 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with right of survivorship must be disclosed on Schedule F. 0243 DESCRIPTION VAlUE AT DATE OF DEATH 135.28 Highmark-Blue Shield-refund 2 PA Dept. of Revenue-refund on decedents PA40 8.00 3 PNC Bank-Checking Acct. #5003669167, Prine. $12,534.57, Int. $.33 12,534.90 4 PNC Bank-Savings Acct. #5004276736, Prine. $5,225.64, Int. $1.00 5,226.64 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 17904.82 REV-1'511 EX + (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lucas. Helen. W ITEM NUMBER A. 1. B. 1. 2. 3. 4. 5. 6. 7. 2 3 4 5 6 7 8 9 10 11 Debts of decedent must be reported on Schedule I. DESCRIPTION FUNERAl EXPENSES: Tilghman Funeral Home-funeral expenses FILE NUMBER 21 05 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Edwin J. Kriens Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 658 St. Johns Drive City Camp Hill State PA Zip 17011 Year(s) Commission Paid: 2005-06 Alfomey Fees David H. Stone, Esquire Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Probate Fees Register of Wills Accountanfs Fees Tax Retum Preparer's Fees Cumberland Law Journal-advertising grant of letters The Patriot News-advertising grant of letters US Treasury-bal due on decedents 1040 ret PA Dept. of Revenue-bal. due on decedents PA40 PA Dept. of Revenue-est. taxes for 2005 Bricker House-storage for March and April Verizon-telephone services at home PNC Bank-check printing fee Moving truck and boxes Register of Wills-filing Inh. Tax Return and Inventory Reserve for closing expenses Zip 0243 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT 579.78 8,129.00 5,000.00 311.00 75.00 113.61 2.00 290.00 71.00 200.00 43.01 28.08 120.46 30.00 200.00 15,192.94 REV-1512 EX + (6-98) . SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lucas. Helen. W FILE NUMBER 21 05 0243 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Country Meadows-services rendered VALUE AT DATE OF DEATH 293.01 2 Country Meadows-services rendered 488.89 TOTAL (Also enter on line 10, Recapitulatio~) $ (If more space is needed, insert additional sheels.of the same size) 781.90 ....,,""'.'.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Illr~!:: H ~IAn W 21 nfi n?.d.~ 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 pnclude outright spousal dlslributlons, and transfers under Sec. 9116 (a) (1.2)] 1. Nancy Johnson Worth Collateral 24,437.51 1400 West Sweet Valley Rd., PO Box 493 Paulden, AZ 86334 2. Jeanette Worth Hatos Collateral 24,437.51 8869 NW Martin Sewell Road Clarksville, FL 32430 3. Janice Worth Barty Collateral 24,437.51 16 Leeward Circle I Tequesta, FL 33459 4. Helen Worth Lawrence Collateral 24,437.51 2812 Palamore Drive Tampa, FL 33618-1136 5. Lois Sholtis Kriens Collateral 24,437.51 658 St. Johns Drive Camp Hill, PA 17011 6. Regina Deblin Havens Collateral 24,437.50 16 Oakford Avenue New Egypt, NJ 08533 ENTER DOllAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 II - 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) .. If}... APELL a DETIIICK. ~.c. ATTORNEYS AT LAW 57 LAlCEHf..NtST ROAD "0. -.ox tHII ."OWN. MJLL.8 N..... oeo'" TEl. (_I etPI-l000 LAST WILL AND TESTAMENT OF HELEN LUCAS '( I, HELEN LUCAS, a resident of the township ofPlumsted, CountY of Ocean and State of New Jersey, being of sound mind and memory, do make, publish and declare this my last Will and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: I direct that all my just debts and funeral expenses be paid as soon after my decease as may be found convenient. SECOND: All the rest, residue and remainder of my Estate, whether real, personal or mixed, of whatsoever nature and wheresoever situate, which I may have the right to dispose of at the time of my decease, I hereby give, devise and bequeath, equally, to my five nieces, NANCY JOHNSON WORTH of Peoria, Arizona, JEANETIE NORTH HATOS ofClarksville, Florida, JANICE WORTIJ BARTY ofJupiter, Florida, HELEN WORTH LAWRENCE of Florida, LOIS SHOLTIS KRIENS of Camp Hill, Pennsylvania and to my friend. REGINA DIBLIN HA YENS of New Egypt, New Jersey, share and share alike. THIRD: I own a Treasury Note jointly with REGINA DIBLIN HA VENS;and ;() t;.rl ....r. .': _> , :"'~ i j I it is my wish that any share that she receives from my Estate shall be reduce.d.;b.~1he :'; , ." :~.::_ i~.~.; j. ::; amount of the Treasury Certificate, which she will receive upon my death. " i; ~~ -. :'.::,-"t/ - . FOURTH: I hereby nominate and appoint my brother, JAMES W..QRTH, .;c~ I'" 1'1 I:; .~.., Executor of this my Last Will and Testament but ifhe fails to qualify or ceases to act~ Executor, I then appoint EDWIN KRIENS, Execu.tor of this my Last Will and Testament. I direct that no bond or other security shall be required of my Executors hereunder. I further direct that my Executors shall have full power at their discretion to do any and all things necessary for the complete administration of my Estate, including the power to sell at public sale and without Order of Court, any real or personal property belonging to my 1 . .. HL APItLL. DETRICK, ".C. ATTOltNEYS AT LAW 57 LAKEHURST ROAD P'.O.~X" "-OWNS"'~ N.J. oecns TEL t_1 03-1000 Estate, granting unto my said ExecutoI'll the power to execute good and sufficient deeds and other instruments necessary or proper to convey and transfer any real or personal property and to compound, compromise or otherwise to settle or adjust any and all claims, charges, debts and demands whatsoever against or in favor of my Estate as fully as I could do ifliving. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my seal the 2nd day of January in the year of our Lord, Two Thousand Three. 1/ ~~ ;;f:~ -~ HELEN LUCAS We, whose names are hereto subscribed, do certify that HELEN LUCAS, the Testatrix, subscribed her name to this instrument in our presence and in the presence of each ofus and at the same time, she declared in our presence and hearing that the same was her last Will and Testament and requested us and each ofus to sign our names thereto as witnesses to the execution thereof and which we hereby do in the presence of the Testatrix and each other, this 2nd day of January, Two Thousand Three, the day of the date of the said Will and Write opposite our names our respective places of residence. whose address is 57 Juliustown Road. Browns Mills. New Jersev 08015 whose address is b5"8 gf. 00'" r [)riVe ~/J HilI r tVJ /7/J// I I "~ fd",,~ ~r,en5 2 jUL-21-2005 16:56 PNCBRNK 412 768 3458 P.01/01 ,. . o PNCBAN< July 21, 2005 David H. Stone 414 Bridge Street P.O. Box E New Cumberland, P A 17070 RE: Estate of Helen W. Lucas, deceased SSN: 137-05-0393 000: 212512005 Dear Mr. Stone: In response to your request for Date of Death balances for the eustomer noted above, our records show the following: CJaec:kbag Accouat Account #5003669167 Established 04125/2003 HELEN W LUCAS DOD balance: $12,534.57 + $.33 accrued interest Saviap AeeoUDt Account #5004276736 Bstablished O4I2SflOO.3 . HELEN W LUCAS DOD balance: $5,225.64 + $1.00 accrued interest The ~ maintained Invostmcmt Acocount (lNV #54181532). For fUrther information, you may call the Brokerage Department at 1.800-162-6111. Please note that this office only provides date of death balances for deposit accounts (JRAs, CDs, Chceking and Savings accounts). We do Dot proceu all)' fiDucial traasaetio... or provide ItatemCDta. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your Jocal PNe Bank branch office. Sin~ly, ~ LJi1h- Rachelle Wells 1-800-762-1775 P7.PFSC-04-F SOO fitst Ave. Pittsburgh PA J5219 Member FDIC TOTRL P.01 . ; . 0. PNC1NVESTMENTS MemKT NASD and SlPC August 5, 2005 David H. Stone Stone LaFaver & Shekletski 414 Bridge Street PO Box E New Cumberland, P A 17070 Regarding: Estate of Helen W. Lucas, Deceased Social Security No. - 137-05-0393 Date of Death - February 25,2005 Dear Attorney Stoner: The following is in response to your letter dated June 7, 2005: · PNC Investments account number: 54187532 · Account type: Titled: Helen W. Lucas, Edwin Kriens POA, Individual Account · Balance of Account as of February 25, 2005 was $144,695.07. If you have any further questions, please feel free to contact my office at 717-534-3233. " Good NC Investments Sales Assistant for Scott Carter A member of The PNC Financial Services Group 9 West Chocolate Avenue Hershey Pennsylvania 17033 www.pncinvestments.com Imporblnt Investor Information: Securities and brokerage services are provided by PNC Investments llC, member NASD and SIPC. Annuities and other insurance products are offered by PNC Insurance Services, Inc. a licensed insurance agency. II .MayWe~ I I .No Bank Guaianree : ../ . I[~ P /i" IEii!I ~i z~ .. 0 0 if fa !l:'~ f~ !r ~~ ~El ~I f~ ~n ~l ~ ~ ~ i ~ g: II- ~.. ~1Il 'ilj;~lf Ii l .[ ~ I ~ if ~l!. .. a - l ~;~!f l'i-. rl!l~{! f; l~m r-il Ii .e ~~ ~ ~ l ~ ~ ~f ~~ ~~ o > en ~ .. .. m ... I: - >c 3: 5. c !!!. " C ::J 0- m ..... o o o #. ~f ~lii 01.... ~~ ~ ~ .oo~L9. IIIIIIII - '< - -- Z g~ClJcl < -.CD . ~~~f :: gag> ... urm3i 0 ~::!!O- :II ~ ~ ~.! - CD02.. Z - m"::J "t:I -lC '1'1 ~ 0'< 0 cgg :II mm-' ~~8 I: oa~ ~ -. 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