HomeMy WebLinkAbout12-01-05
REV-1500 EX (6-<0)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
FILE NUMBER
21 05
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
0492
COUNTY CODE YEAR
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
STETSON CALVIN A
SOCIAL SECURITY NUMBER
043-18-7890
DATE OF BIRTH (MM-DD-YEAR)
01/02/1914
DATE OF DEATH (MM-DD-YEAR)
04/30/2005
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
N/A
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~ 1. Original Return
o 4. limited Estate
o 6. Decedent Died Testate (Allach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale ofdealh after 12-12-82)
07. Decedent Maintained a Living Trust (AllachcopyofTrust)
o 10. Spousal Poverty Credit (dale of dealh between 12-31-91 and 1-1-95)
o 3. Remainder Return (dale ofdealh poor 10 12-13-82)
o 5. Federal Estate Tax Return Required
...L 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (AttachSch 0)
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NAME
Manufacturers and Traders Trust Company
FIRM NAME (If Applicable)
COMPLETE MAILING ADDRESS
One West High Street, Carlisle, PA 17013
TELEPHONE NUMBER
(717) 240-4504
(1)
(2)
(3)
(4)
(5)
0.00
193,779.53
0.00
0.00
219,077.80
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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)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
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. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
37,650.63
439,504.64
0.00
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(6)
64,297.94
(...)
(7)
0.00
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477,155.27
(9)
(10)
(8)
32,689.60
4,961.03
(11)
(12)
(13)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14)
439,504.64
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x .0 (15)
..-4-:3fl,i5Q-4-,t34 x.O -4-15 (16)
0.00
19,777.71
0.00
0.00
19,777.71
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
x .12 (17)
x .15 (18)
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
(19)
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
REV-1503 EX+ (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
CALVIN A. STETSON
FILE NUMBER
21-05-0492
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
FHLM 6.80% DUE 8/22/05
25,281.25
321.11
2
Interest to 000, Item 1
3
998 shs. Bank of America Corp.
44,815.19
38,288.75
24,078.76
23,868.19
92.92
4
500 shs. IBM Corp.
5
227.523 shs. Vanguard Institutional Index Fund
6
2389.208 shs. MTB Intermediate Term Bond Fund
7
Dividend to 000, Item 6
8
3848.513 shs. MTB Short Duration Government Bond Fund
9
Dividend to 000, Item 8
36,945.72
87.64
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
193,779.53
~:;05/08/2005 13:30
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M AND T BANK RECORDS
PAGE " 01/01
499 MItchell Road
Millsboro, DE 19956
Mall code DE.MS.12
Phone: 668-502-4$49
Fax: 302.934.2955
rmM&TBank -I
Fax
1'0: Jane F Burke M&'l' Investment Group
From: Nancy Clagett
Fax: 717-240-4559
Date: June 8, 2005
Re;
Estate of: Calvin A Stetson
Social Security: 043-18-7890
Date of Death: April 30, 2005
Pages: 1
Dear Jane:
Per your inquiIy received June 06, 2005, please be advised that at the time of death, the
above.named decedent had on deposit with this bank the following:
l. Type of Account Checking Account
Account Number 1171224
Ownership (Names of) Calvin A Stetson *
Opening Date 03/08/93 Closed 06/03/05
Balance on Date of Death $8,438.79
Accrued Interest $ 0.00
Total $8,438.79
Please be advised, there was no safe deposit box found for the above decedent.
.. For further account information, regarding oWnershil), closures aJ:1d/or reimbursement of
funds. etc., please call the High street Carlisle Office * 717-2404536.
Sincerely ,
~
Nancy Clagett
Records Management
PERSONAL PROPERTY APPRAISAL--ESTATE OF CALVIN A. STETSON
Location Item Ownr Value
L.R English grandfather clock LSA $2,600.00
L.R Two drawer stand (at end of sofa) LSA $125.00
D. R Oriental rug (back of sofa) IRAN LSA $285.00
D. R Small oriental rug (by door) LSA $35.00
D. R Plant stand LSA $110.00
Den Chinese lamp (tall) LSA $55.00
Den Mahogany slant front desk LSA $1,575.00
Den Vienna regulator LSA $225.00
Den Brass apple butter kettle LSA $210.00
Den 2 prints over sofa (frames old) LSA $50.00
Den Half trunk LSA $85.00
Sun R Schoolhouse clock - Seth Thomas LSA $225.00
Buffet Serving pieces in sterling/plate LSA $135.00
G. Bed R Frame crochet doily - Grandma S. LSA $20.00
Sun R. Picture - A street in Venice LSA $20.00
Den Butler's Table LSA $85.00
Kitchen Table LSA $115.00
Kitchen Snack Trays (2) LSA $5.00
Den $5.00 Gold Piece in Frame LSA $525.00
T.R Small One Drawer Stand by Door LSA $165.00
L.R Upright Lamp LSA $50.00
L. R. Two Person Couch LSA $125.00
L.R Knick Knacks LSA $71.66
M. Bed R Dad's Tall Chest of Drawers LSA $285.00
M. Bed R Bed LSA $145.00
G. Bed R Hurricane Lamp LSA $20.00
G. Bed R Rolled Up Oriental Rug (4x7?) LSA $135.00
L.R Flow Blue China LSA $335.00
D. R Hummels LSA $137.50
Total For LSA $7,954.16
Location Item Ownr Value
L.R Vienna Regulator RWS $65.00
D. R 10 piece D. R set (Drexel) RWS $3,800.00
D. R Hummels RWS $137.50
D. R Serving table RWS $265.00
D. R Large Oriental Rug (table) RWS $365.00
D. R Dad's jewelry box RWS $75.00
Den Chinese lamp (squat) RWS $55.00
Den Large Chinese rug RWS $225.00
Den Schoolhouse clock (En Welsh) RWS $195.00
Den Small blue Oriental rug RWS $30.00
Sun R Large PA blanket chest RWS $1,150.00
G. Bath R, He Jelly's clock - master bath RWS $185.00
G. Bath R, He Oriental hall runner RWS $35.00
Buffet Linens (mostly table) RWS $45.00
M. Bed R Antique stand by bed (14 x 17 x 29) RWS $265.00
M. Bed R Cane bottom chair (1 of 6) RWS $25.00
Page 1
M. Bed R.
G. Bed R.
G. Bed R.
G. Bed R.
Den
Den
L.R.
M. Bed R.
G. Bed R.
Kitchen
L.R.
Oriental rug at foot of bed
Gingerbread clock
Spool towel rack
Federal chest (MTF)
TV
TV Stand
Picture Over Desk
Overstuffed Chair
Twin Beds
3 Cane Bottom Chairs (3 of 6)
Knick Knacks
Total For RWS
RWS
RWS
RWS
RWS
RWS
RWS
RWS
RWS
RWS
RWS
RWS
$215.00
$150.00
$85.00
$1,375.00
$20.00
$5.00
$110.00
$120.00
$130.00
$75.00
$71.66
$9,274.16
Location Item Ownr Value
L.R. Marble top coffee table SSR $225.00
L.R. What-not (in corner of room) SSR $225.00
L.R. Upholstered chair (Victorian) SSR $75.00
L.R Steeple clock (Dnaiel Pratt) SSR $150.00
L.R Wall Sconce (3 candles) SSR $110.00
L.R Marble top stand SSR $275.00
L.R 2 cane bottom chairs SSR $50.00
L.R. 2 Staffordshire dogs SSR $220.00
L.R. Magazine holder SSR $55.00
L.R Octagonal mirror SSR $125.00
D. R French marble clock SSR $375.00
D. R Dining and hall chandeliers SSR $175.00
D. R Frame Chinese silk SSR $45.00
Den Mirror over sofa SSR $125.00
Den Small medicine chest SSR $110.00
Den Small rack on wall SSR $85.00
Den Small blue leather chair SSR $45.00
Den Maine 3 drawer chest SSR $325.00
Den Carriage clock SSR $85.00
Den Calendar clock SSR $325.00
Den Victorian bench SSR $85.00
Den Stoneware jug SSR $475.00
Sun R. Pine secretary SSR $365.00
Sun R. American Eagle clock SSR $155.00
Sun R. Blanket chest (with drawer) SSR $365.00
Sun R. Oriental rug SSR $45.00
Sun R. Stoneware crock SSR $160.00
G. Bath R, He Victorian table - end of hall SSR $140.00
G. Bath R., He Japanese teapot and stand SSR $85.00
Buffet Our Lenox china SSR $385.00
M. Bed R. 7 spindle straight chair SSR $145.00
G. Bed R. OG clock SSR $225.00
G. Bed R. N. Rockwell needlepoint (GG) SSR $60.00
G. Bed R. 2 cane bottom chairs (2 of 6) SSR $50.00
G. Bed R. Crewel needlepoint by LSA SSR $35.00
Page 2
REV-1510 EX+ (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
CALVIN A. STETSON
FILE NUMBER
21-05-0492
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. Wachovia Securities, IRA Accl. 100072801 64,297.94 100 64,297.94
Beneficiaries:
Linda Stetson Amar, 11970 Wedge Drive, Fort Myers, FL 33913
Robert W. Stetson, 46 Scott Avenue, Berkeley Heights, NJ 07922
Susan S. Reynolds, 122 Fox Hill Drive, Holden, MA 01520
TOTAL (Also enter on line 7 Recapitulation) $ 64,297.94
(If more space is needed, insert additional sheets of the same size)
, ,
II . WACHOVIA SECURITIES
Retirement Statement
ACCOUNT STATEMENT
4/01/2005 thru 4/30/2005
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048711 1 MAAD 146 AUTO**MIXED AADC 280
1 111111...111......11..11.1...1.11,,111111.11111.1.1111,1.1.11
CALVIN A STETSON
58 MAGAW AVE
CARLISLE PA 17013-7619
4,17:
053
4 024 XXXXX7890
XXXXXX7890
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For Customer Service
Call: (800) 669-2136
Or write to:
WACHOVIA SECURITIES
401 SOUTH TRYON STREET
CHARLOTTE, NC 28288-1164
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Plan Overview - IRA
Retirement Plan ID: XXXXXX7890 Participant's date of birth: 01/02/1914
Taxpayer ID: XXX-XX-7890 Bank Tax 1D: 561354525
Investment Objective/Risk Tolerance: Growth & Income + Moderate
Asset & Eamings Summary
Type of asset
Money Market Deposit Account
Brokerage Account
Stocks
Bonds
Mutual Funds
Brokerage Account Subtotal
Total
Market
value 4/01/2005
$ 0.54
Market Percent
value 4/30/2005 of assets
$ 0.54
Earnings paid"
this period
Earnings paid"
this year
65,278.16
65,278.16
$65,278.70
64,297.40 100.00%
64,297.40
$ 64,297.94 100.00%
36.23
36.23
$ 36.23
282.11
282.11
$ 282.11
"Earnings are shown to help track how your IRA is performing. You are not required to report these as taxable earnings on your tax return.
Tax Information: Contributions & Distributions
Contributions
For tax year 2004
For tax year 2005
Rollover Deposits
$ 0.00
$ 0.00
$ 0.00
2005 Distributions
Amount (gross)
Federal tax withheld
Net amount
$0.00
$0.00
$0.00
WILL YOUR IRA BE READY FOR YOU?
WHEN THE TIME COMES FOR YOUR IRA TO PROVIDE INCOME
FOR YOUR RETIREMENT, WILL THAT INCOME KEEP UP WITH
INFLATION? FOR OUR IDEAS ON HOW IT CAN, TALK WITH YOUR
FINANCIAL ADVISOR TODAY. WE START WITH YOUR LIFE AND
PLAN YOUR MONEY AROUND IT.
WACHOVIA SECURITIES
048711123055159003 NNNN NNNNNNNN 000001 RRNCPST
page 1 of 4
REV-1511 EX+ (12-99)W
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
CALVIN A. STETSON
FILE NUMBER
21-05-0492
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
AMOUNT
B.
1.
2.
DESCRIPTION
1.
FUNERAL EXPENSES:
Hoffman-Roth Funeral Home
Robert W. Stetson, reimburse for funeral meal and expenses
Susan S. Reynolds, reimburse for funeral expenses
Linda S. Amar, reimburse for funeral expenses
Sunnyside Restaurant, funeral dinner after internment
Vermont Wholesale Granite, date of death engraving
8,330.60
455.75
589.00
118.80
780.68
170.00
2
3
4
5
6
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) Manufacturers and Traders Trust Company
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address One West High Street
16,450.00
City Carlisle
Year(s) Commission Paid: 2006
,State PA Zip 17013
Attorney Fees
5,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
4.
Claimant
Street Address
City
State
.Zip
Relationship of Claimant to Decedent
Probate Fees
480.00
5. Accountant's Fees
7.
6. Tax Return Preparer's Fees
8
Rowe's Antiques, personal property appraisal
Cumberland Law Journal, advertising Letters Testamentary
The Sentinel, advertising Letters Testamentary
110.00
75.00
129.77
9
32,689.60
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
CALVIN A. STETSON
FILE NUMBER
21-05-0492
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
Met-Ed, utility service
99.18
2
Central Penn Medical Group Emergency, service
39.75
3
Cumberland Crossings, balance due
2,021.50
190.75
4
Family Home Health Care Products
5
Betra In Home Care, balance due
518.50
6
UGI, utility service
453.44
7
First Energy, utility service
52.67
8
Check #2195 M&T Bank, presented after 000
60.00
9
Carlisle Regional Medical Center, balance due
14.88
10
Sprint, telephone service
165.87
11
Belvedere Medical Corp., balance due
57.21
12
Robert W. Stetson, reimburse for shipping of personal property
256.12
13
First Presbyterian Church, balance due pledge
425.00
14
Fidelity Investments Institutional, pension overpayment into Checking Account
606.16
4,961.03
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
'*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
CALVIN A. STETSON
FILE NUMBER
21-05-0492
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, and transfers under
Sec. 9116 (a) (1.2)]
1 Linda Stetson Amar, 11970 Wedge Drive, Fort Myers, FL 33913 Daughter 145,698.45
2 Robert W. Stetson, 46 Scott Avenue, Berkeley Heights, NJ 07922 Son 145,698.45
3 Susan S. Reynolds, 122 Fox Hill Drive, Holden, MA 01520 Daughter 145,698.45
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
" 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-1500 COVER SHEET $ 0.00
(If more space is needed, insert additional sheets of the same size)
G. Bed R.
Den
Den
Den
Den
L.R.
L.R.
L.R.
TOTAL
Stand between beds (not old)
Blue Recliner
Mahogany One Drawer End Table
Upright Lamp
Wall Lamp by Slant Top Desk
Desk Lamp
Chineese Wall Shelf
Knick Knacks
Total For SSR
SSR
SSR
SSR
SSR
SSR
SSR
SSR
SSR
The above items were appraised for the Estate of Calvin A. Stetson.
May 9, 2005
.,.;;
$275.00
$65.00
$125.00
$50.00
$5.00
$35.00
$45.00
$71.66
$6,651.66
$23,879.98
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Be. . Rowe. -
Rowe's Auction Service
2505 Ritner Highway
Carlisle, PAl 70 13
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