HomeMy WebLinkAbout11-21-05 (2)
~~
*
w
...
:o:~:!
l;llL8
:z:i...
UlLlD
~
OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
RLE NUMBER
II
05
I-
Z
W
Q
W
o
W
Q
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
Powers, John Patrick
DATE OF DEATH (MM-DO-YEAR) DATE OF BIRTH (MM-OD-YEAR)
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
186-12-3254
0749
NUMBER
THIS RETURN MUST BE RLED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[!] 1. Original Return
D 4. Limited Estate
[!] 6. Decedent Died Testate (Attach
copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D
D
D
4a. Future Interest Compromise (dele of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Pover:tY- Credit (dele of deeth between
. 12-31-91 anc:l1-1-95)
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sell 0)
...
z
W
Q
Z
o
lL
."
W
It:
It:
8
NAME
Michael L. Bangs
FIRM NAME (If applicable)
TELEPHONE NUMBER
717/730-7310
08-06-2005
12-29-1922
COMPLETE MAILING ADDRESS
429 South 18th Street
Camp Hill, PA 17011
(1)
(2)
(3)
(4)
(5)
(6)
(7)
None OFFICIAL USE ONL Y
282,983.84 r~
c::::> ~
c::::>
..0 c.n ~o
None x
'-:0 0 00
:0-0 .- ::0
None . n::cO < ':!:3 CJ
.t!.~>M N ccitS
:Z;:O .J.,J
82,937.04 U)7' (.~JO
00 -0 "" -n
-n
None ",011 :x B
.....)c.=
2,898.15 -::0 'i? ,.!Ii
. :..-t cnO
--u 0 -n
::r>
(8) 368,819.03
(9)
(10)
8,700.26
49.17
(IF APPLICABLE) SURV1VING SPOUSE'S NAME ( lAST, FIRST AND MIDDLE INITIAL)
z
o
j:
:s
::::I
l-
ii:
~
w
a::
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) D Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I)
(11)
(12)
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
20.0
(13)
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
Copyright 2002 form software only The Lackner Group, Inc.
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
0 (16)
j: 16. Amount of Line 14 taxable at lineal rate 360,069.60 x .045
~
::::I
a. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
:Ii
0
0 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
)( x
~ 19. Tax Due
(19)
CHEr~r< f--<E t~f Ir "-),1 f\.....r Rf \)~)t ',' I,,'. ,rilt ....~T
8,749.43
360,069.60
0.00
360,069.60
0.00
16,203.13
0.00
0.00
16,203.13
Fonn REV-1500 EX (Rev. 6-00:
~
Decedent's Complete Address:
STREET ADDRESS
1820 Signal Hill Drive
CITY Mechanicsburg
ISTATE PA
IZIP 17050
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
16,203.13
15,386.46
809.81
Total Credits (A + 8 + C) (2)
16,196.27
3. InterestlPenalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPA YMENT.
Check box on Page 1 line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + 5A. This is theBALANCE DUE
(3)
(4)
(5) 6.86
(5A)
(58) 6.86
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;............................................................................. D D
b. retain the right to designate who shall use the property transferred or its income;................................ D D
c. retain a reversionary interest; or.............................._........................................................................... D D
d. receive the promise for life of either payments, benefits or care?........................................................... D D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?............................ ............................................................................ ......... D D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?~........ D D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?............................ ...........................................................................,....... D D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS pART OF THE RETURN.
Under penalties of perjury, I dedare thai I have examined this ralum, lncIucIing acc:omp8llying achedulu and al8Iemanla, and to tha beat of my knowledge IincI belief, R is true, corrac:t and
complale. Declaration of preparar other than tha peraonaI raprasentative is baaed on all infonnalion of which preparar has any knowtadge. (
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
J It nne M. B~~ -4.. d'1,..,. 1820 Signal Hill Drive 1'"" 1<1 ~7
\J -"Y I ""Ie.). V'v-....- Mechanicsburg, PA 17050 \ \ OIU /
" "''"'''' OF '''''''''' """ON'." '0 '" G '''''ON ....... ~'7\t to)
ADDRESS
DATE
429 South 18th Street
Camp Hill, PA 17011
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. ~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%
[72 P.S. ~9116 (a) (1.1) (Ii)]. The statutedoes not exemDt 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. ~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%, except as noted in 72 P.S.
~9116 1.2) [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% [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 1;>1000 or adoption.
Rev-1503 EX+ 16-18)
*'
SCHEDULE B
STOCKS & BONDS
COMMONWEAl. TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Powers, John Patrick
FILE NUMBER
21-05-0749
ESTATE OF
All property joIntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 650 shares of Merrill Lynch - Enerplus Res Tr Ut 41.740 27,131.00
account
2 660 shares of Merrill Lynch - ING Prime Rate Tr 7.2 4,752.00
3 2,471 shares of Merrill Lynch - Liberty All Str Fd 9.150 22,609.65
4 300 shares of Merrill Lynch - Oracle Corp. 13.280 3,984.00
5 1,820 shares of Merrill Lynch - Pitney Bowes 44.560 81,099.20
6 461.73 shares of Merrill Lynch - Pioneer High Yield 11.370 5,249.87
7 365.569 shares of Merrill Lynch - American New Fd 27.940 10,214.00
8 599 shares of Merrill Lynch - Emerald Banking 28.960 17,347.04
9 583.445 shares of Merrill Lynch - American Capital Fd 34.960 20,397.24
10 376.334 shares of Merrill Lynch - American Capital 53.350 20,077.42
Income Fd
11 643.95 shares of Merrill Lynch - American Investment 31.350 20,187.83
Fd
12 1,106.511 shares of Merrill Lynch - American Balanced 18.030 19,950.39
Fd
13 366.776 shares of Merrill Lynch - Seligman 26.150 9,591.19
Communications Fd
Total of Continuation Schedule(s) See attached page
TOTAL (Also enter on Line 2, Recapitulation) 282,983.84
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form P~-1500 ScheduleS (Rev. 6-98)
Rev-1503 EX+ (6-911)
.
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEAI.11i OF PENNSYLVANIA
IMiERITANCE TAX REl\JRN
RESIDENT DECEDENT
Powers, John Patrick
FILE NWMBER
21-05-0749
ESTATE OF
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
14 598.853 shares of Merrill Lynch - Davis NY Venture FD 31.970 19,145.33
15 28 shares of Pitney Bowes Common Stock 44.56 1,247.68
TOTAL (Also enter on Line 2, Recapitulation) 282,983.84
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form P~.1500 Schedule B (Rev. 6-98)
~ Merrill Lynch
Private Client Grouo
96 South Geor2e Street
Ydtk. Penrt!lvlvariia 17401
717-843-0011
866-780-6193 Matthew's Toll Free
866-780-6194 Fred's Toll Free
FAX 717-771-0026
The Levv-Odell Group
Matthew J. Levv. CFM
Vice President
Senior Financial Advisor
J. Fred Odell
Vice President
Senior Financial Advisor
Heather D. Gross
Re2istered Client Associate
August 30, 2005
Bangs Law Office
c/o Michael L. Bangs
429 South 18th Street
Camp Hill, PA 17011
RE: John P. Powers
Date of Death Evaluation
Dear Michael,
Please find enclosed the date of death evaluation as per your request. The account was opened on July 5,
2005 and opened in joint ownership. It has remained that way, with John P. Powers and Joanne M. Bova
Joint with Rights of Survivorship.
Thank you in advance for your patience with this request. If you have any questions or concerns please feel
free to give me a call.
Sincerely,
~fG08S-
Registered Client Associate for
The Levy-Odell Group
Enclosure
Cc: Mrs. Joanne M. Bova
Quantitv
650.000
660.000
2,471.000
300.000
1820.000
461.730
365.569
599.000
583.445
376.334
643.950
1106.511
366.776
598.853
74287.010
Estate of John P. Powers
Date of Death: August 6,2005
DescriDtion
Enerplus Res Tr Ut
.ING Prime Rate Tr
Liberty All Str Fd
Oracle Corp
Pitney Bowes
Pioneer High Yield
American New Fd
Emerald Banking
American Capital Fd
American Capital Income Fd
American Investment Fd
American Balanced Fd
Seligman Communications Fd
Davis NY Venture Fd
Merrill Lynch Deposit Program
We are providing the above information as you requested.
The information is provided as a service to you and is
obtained from data we believe is accurate. However,
Merrill Lynch considers your monthly statements to be the
official documentation of all transactions.
Price
$41.740
$7.200
$9.150
$13.280
$44.560
$11.370
$27.940
$28.960
$34.960
$53.350
$31.350
$18.030
$26.150
$31.970
1.000
PrinciDal
$27,131.00
$4,752.00
$22,609.65
$3,984.00
$81,099.20
$5,249.87
$10,214.00
$17,347.04
$20,397.24
$20,077.42
$20,187.83
$19,950.39
$9,591.19
$19,145.33
$74,287.01
$356,023.17
Rev-1508 EX+ (1-88)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAlTH OF PENNSYlVAN....
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
FILE NUMBER
21-05-0749
Include the proceeds of litigation and the date the proceeds were receivad by the estata.
All property jolnUy-ownecl with the rlght of eurvlvorahlp muat be dlecloead on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Citizens Bank - Account 610469-729-5 5.573.51
2 Merrill Lynch Deposit Program 74.287.01
3 Pitney Bowes Dividend 8.68
4 Refund from ROBC 2.961.60
5 Wachovla Bank - Cash in Account 106.24
TOTAL (Also enter on Line 5, Recapitulation)
82.937.04
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
~,~ Citizens Bank1M
525 William Penn Place
Suite 153-2510
Pittsburgh, PA 15219
November 1, 2005
BANGS LAW OFFICE
429 SOUTH 18TH STREET
CAMP HllL PA 17011
Estate of JOHN P POWERS
Date of Death: Aug 06, 2005
SSN: 186-12-3254
Dear Sir/Madam:
In accordance with your request, the attached information sheet has been provided in the aijove decedent's
name as of his/her date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please
call 412-867-2205
~~
Daniel Peters
Operations Services
a Citizens Bank~
Account Number 6104697295
Account Title JOHN P POWERS
Date Opened 7/18/1973
Account Type Checking
Principal Balance as of DOD $5573.51
Interest from Last Posting to DOD $.00
Account Balance as of DOD $5573.51
YTD Interest to DOD $.00
.
~ llerrill Lynch
Private Client Group
96 South George Street
York. Pennsylvania 17401
717-843-0011
866-780-6193 Matthew's Toll Free
866-780-6194 Fred's Toll Free
FAX 717-771-0026
The Levv-Odell Group
Matthew J. Levv. CFM
Vice President
Senior Financial Advisor
J. Fred Odell
Vice President
Senior Financial Advisor
Heather D. Gross
Registered Client Associate
August 30, 2005
Bangs Law Office
c/o Michael L. Bangs
429 South 18th Street
Camp Hill, PA 17011
RE: John P. Powers
Date of Death Evaluation
Dear Michael,
Please find enclosed the date of death evaluation as per your request. The account was opened on July 5,
2005 and opened in joint ownership. It has remained that way, with John P. Powers and Joanne M. Bova
Joint with Rights of Survivorship.
Thank you in advance for your patience with this request. If you have any questions or concerns please feel
free to give me a call.
Sincerely,
~fG~
Registered Client Associate for
The Levy-Odell Group
Enclosure
Cc: Mrs. Joanne M. Bova
Estate of John P. Powers
Date of Death: August 6.2005
Quantity DescriDtlon
650.000 Enerplus Res Tr Ut
660.0001NG Prime Rate Tr
2,471.000 Liberty All Str Fd
300.000 Oracle Corp
1820.000 Pitney Bowes
461.730 Pioneer High Yield
365.569 American New Fd
599.000 Emerald Banking
583.445 American Capital Fd
376.334 American Capital Income Fd
643.950 American Investment Fd
1106.511 American Balanced Fd
366.776 Seligman Communications Fd
598.853 Davis NY Venture Fd
74287.010 Merrill Lynch Deposit Program
We are prOViding the above information as you requested.
The information is provided as a service to you and is
obtained from data we believe is accurate. However,
Merrill Lynch considers your monthly statements to be the
official documentation of all transactions.
Price
$41.740
$7.200
$9.150
$13.280
$44.560
$11.370
$27.940
$28.960
$34.960
$53.350
$31.350
$18.030
$26.150
$31.970
1.000
PrinclDal
$27,131.00
$4,752.00
$22,609.65
$3,984.00
$81,099.20
$5,249.87
$10,214.00
$17,347.04
$20,397.24
$20,077.42
$20,187.83
$19,950.39
$9,591.19
$19,145.33
$74,287.01
$356,023.17
.
Rev-1510 EX+ (8-18)
.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COIolMClN\I\EALlH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
FILE NUMBER
21-05-0749
This schedule must be completed end filed W the answer to any of questions 1 through 4 on the raversa side of the REV-1500 COVER SHEET is yes.
ITEM "....... ..... T DATE OF DEATH % OF DECO'S EXGLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 IRA - Davis New York Ventue Class A 2.648.91 2.648.91
2 Janney Montgomery Scott, LLC - IRA Cash 249.24 249.24
Account #6728-2933
TOTAL (Also enter on Line 7, Recapitulation) 2.898.15
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA..1500 ScheduleG (Rev. 6-98)
, ~ '" . ~ ,. '1-" ,t "
anne'l ^
'" Smcl' 1832 . ,).
Janney Montgomery Scott LLC
September 12, 2005
Mr. Michael L. Bangs
Bangs Law Office
429 South 18th Street
Camp Hill, PA 17011
RE: John P. Powen (IRA)
Account # 6728-2933
Dear Mr. Bangs,
As you requested, here is the date of death value for Mr. Power's account held at
Janney Montgomery Scott LLC priced as of August 6, 2005.
82.856
Davis New York Ventue
Class- A
31.97
Value
$2648.91
Ouantitv
DescriDtion
l!:S
Cash + ;49.24
Total $2898.15
If you need any additional information, please call our office.
~~.Jh~
Christina M. Thompson
Assistant to Harry C. Hannigan
/cmt
This infonnation is not the official record of your account and is subject to changes, errors and omissiOJlS and cannot by
guaranteed as to its 8CCUl'lICY or completeDess. Your priIted confirmations and periodic account stat.emt.nts constitute
yoW" official account record. 1bis information is not 8 substitute foc otbc:r important information that >>as sends to
you. The above may not be used for tax reporting pmposes. JMS win provide ofticia11Bx documentatiQll regauding
yoW" accOWlt to you by mail.
1801 Market Street, Philadelphia, PA 19103-1675 . 215.665.6000
Member New York Stork Exchange, Inc. and other principal exc:hanges
Member Securities Investor Protection Corporation
REV-1151 EX+ (12-"1
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-05-0749
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 4,005.71
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees Michael L. Bangs 3,500.00
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 418.00
5. Accountant's Fees 500.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 276.55
TOTAL (Also enter on line 9, Recapitulation) 8,700.26
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H (Rev. 6-98)
RlIY-1502 EX+ (8-lI8)
.
SCHEDULE H.A
FUNERAL EXPENSES
continued
COMMONWEAl. TH OF PENNSYlVANIA
INiERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
FILE NUMBER
21-05-0749
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Kirk & Nice, Inc.
2.815.20
2
Spring House Tavern - Funeral Luncheon
788.70
3
St. Katharine Drexel - Memorial Mass/Reception
401.81
Subtotal
4.005.71
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 ScheduleH-A (Rev. 6-98)
.
Rev-1502 EX+ (8-88)
.
SCHEDULE H-B5
ACCOUNTANT'S FEES
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
FILE NUMBER
21-05-0749
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Boyer & Ritter
500.00
Subtotal
500.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-15bO Schedule H-B5 (Rev. 6-98)
.
.
Rey-1502 EX. (8-98)
*'
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMON'IVEAL 1M OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
FILE NUMBER
21-0$-0749
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Computershare - Fee for lost stock certificate (Pitney Bowes)
86.30
2
Cumberland Law Journal
75.00
3
The Sentinel
115.25
Subtotal
276.55
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1Spo Schedule H-B7 (Rev. 6-98)
..
.
Rev.1512 EX+ (1-18)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Powers, John Patrick
FILE NUMBER
21-05-0749
Include unrelmbursed medlc.1 expens..
ITEM
NUMBER DESCRIPTION
1 Alert Pharmacy Services, Inc.
VALUE AT DATE
OF DEATH
37.87
2 MSHMC Physicians Group
11.30
TOTAL (Also enter on Line 10, Recapitulation)
49.17
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA~1500 Schedule I (Rev. 6-98)
.
.
REV-1513 EX+ (9.001
ESTATE OF
NUMBER
I.
1
2
3
4
*'
SCHEDULE ..
BENEFICIARIES
COMMONWEAlTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Powers, John Patrick
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
Clistributions and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-05-0749
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
RELATIONSHIP TO
DECEDENT
Do Not LIst TAlstHIs'
Joanne M. Bova
1820 Signal Hill Drive
Mechanicsburg, PA 17050
Kristine L. Bova
1820 Signal Hill Drive
Mechanicsburg, PA 17050
Matthew C. Bova
1820 Signal Hili Drive
Mechanicsburg, PA 17050
Michael J. Bova
1820 Signal Hill Drive
Mechanicsburg, PA 17050
Daughter Rest, residue
and remainder
Granddaughter 10,000.00
Grandson 10,000.00
Grandson 10,000.00
Total 30,000.00
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate, 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-15oo COVER SHeET
0.00
Copyright (c) 2002 fonn software only The Lackner Group, Inc.
Fonn PA-1500 ScheduleJ (Rev. 6-98)
r ·
,
.
LAST WILL AIm TES'l'AMBlft'
OF
JOB PATRICK POWERS A/K/A
JOB P. POWERS A/K/A
JOB BDIfARD POWERS
I, JOHN PATRICK POWBRS A/RI A JOB P. POWERS A/RI A JOBH
EDWARD PONBRS, of 50 Weiss Avenue, Flourtown, pennsylvanfa 19031,
..... being of sound mind, memory and understanding, do hereblt' make,
publish and declare this as and for my Last Will and Te~tament,
hereby revoking and making null and void any and all Wills and
Testaments or Writings in the nature thereof by me at any time
heretofore made.
FIRST:
I order and direct that all my just debts,
expenses of my last illness and funeral expenses be paid out of my
Estate, as soon after my death as may be convenient.
SECORD:
I direct the payment of the cost of the perpetual
care and maintenance of the burial plot in which I shall be buried
should arrangements for the same not have been concluded and paid
for at the time of my death.
THIRD:
All my personal effects, clothing, ~urniture,
shings, jewelry, automobile(s), other tangible prpperty of
every kind, and all policies of insurance thereon, I give in
,. ,.
Il
accordance with a memorandum which accompanies my wi~l.
This
provision authorizing reference to such a separate memorandum does
not necessarily mean that such a memorandum has been made by me or
that such a memorandum will be in existence at the tillne of my
death.
If any such memorandum fails to dispose of all personal
""'"
property or if a memorandum is not in existence at my death, any
items not so disposed of by memorandum shall be sold by my
Executrix and the proceeds added to my residuary estate.
POUR'rII :
I give and bequeath the sum of Ten Thousand
($10,000.00) Dollars to each of my following named Grandchildren:
KRISTINE L. BOVA; MICHAEL J. BOVA; and MATTHEW C. BOVA.
PIP'l'H: All the rest, residue and remainder of my Estate,
real and personal, of whatsoever nature and wheresoever s~tuate, I
and bequeath to my Daughter, JOANNE M. !JOVA, per
stirpes.
SIX'.rII:
I direct that all property and shares of my
Estate given to any person under Twenty-two (22) years of age shall
be held IN TRUST for such person by my Trustee hereinafter named.
income and principal of any such Trust shall be distributed at
time and in such amounts as my Trustee, in her sole
discretion, shall consider advisable, after considering all sources
of income available to such person, solely for the eduoation of
such person. Education expenditures may include, in ad4ition to
2
" .
J
..
normal education expenditures, board and tuition in a preparatory
school, vocational school, college or professional or' graduate
school.
My Trustee is under no obligation to make equal
distribution among such persons.
As each such person shall
successively attain Twenty-two (22) years of age, each Shall
be entitled to withdraw his/her share of both principal and
accumulated income.
SBVBlft'II :
I order and direct that all legacies 4nd all
shares or interest in my Estate, whether principal or inc<;>me, while
in the hands of my Executrix, shall not be subject to at~achment,
execution or sequestration for any debts, contract, obligation or
liability of any legatee or beneficiary, and shall not be subject
to pledge, assignment, conveyance or anticipation; and the personal
receipt by such legatee or beneficiary shall be the sufficient and
only discharge of my Executrix.
EIGII'.rII:
In the absolute discretion of my Executrix, all
inheritance and succession taxes on property pas,ing under
in any other manner, may be paid immediately or
postponed in payment with respect to future or remainder
interests until the time possession thereof accrues to the
beneficiary. All such taxes shall be paid out of the principal of
my residuary estate just as if they were my debts, and rtone of
these taxes shall be charged against any beneficiary.
3
,.
.
.
.
RIftH:
In addition to the rights, powers and p~ivileges
granted by law, my Executrix and Trustee shall have the 'following
.....
powers:
1) To retain any or all of the assets of my
Estate, real or personal, without regard to any principle of
diversification, risk or productivity;
2) To retain and to invest in all fOrIllis of real
estate and personal property, regardless of any limitations imposed
by law on investments by executors;
3) To sell at public or private sale, to
exchange or to lease, for any period of time, any real or personal
property and to give options for sales, exchanges of lea$es, for
such prices and upon such terms or conditions as they deem proper;
4) To compromise any claim or controvezjsy and to
abandon property which in the opinion of my Executrix is orf little
value.
~JSII"J."I1 :
I appoint my Daughter, JOANNE M. BOVA, Trustee of
st created by this my Last Will.
BLBVElft'II :
I nominate, constitute and appoint my Daughter,
JOANNE M. BOVA, as sole Executrix of this my Last Will and
Testament.
TWBIiP'rH :
I direct that my Executrix and Trustee shall not
be required to give bond or other security in this or any
4
" , ..
.
jurisdiction in which they may be called upon to act.
'.rIIIRDBR'1'II: Words used in the singular may be read to include
I
the plural or the plural may be read as the singular. S~ilarly,
the masculine form may be read to include the feminine a~ neuter;
the feminine may be read to include the masculine and ne~ter; and
the neuter may be read to include the masculine and feminine.
t:d IB WI~_, I
~ day of W
Ninety-Eight (1998).
hereunto set my hand and ~eal this
, One Thousand, Nine Huindred and
SIGHED, SBALBD, PUBLISHED and DBCLARED by the above-named
Testator, JOHN PATRICK POWERS, as and for his Last Will ~nd
?
Testament, in our presence, at his request, in his presencie, and in
i
the presence of each other, have at the same time subscribed our
I
,
names hereto as witnesses.
"ZZO't Jt"". ~~
~ /2 /qolTf
! ~
i OJr?tp>l-ttv ~)~ ~
lfITNESS 5
<5<' ..:l.. d Cf ~SY - C~n-eL '<<'~~?L'("<J.-
dd:__,c;~, J (;:-7'/9- (9 C' 3J'l
/' /
5