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HomeMy WebLinkAbout12-06-05 REl/-l500 EX (6-001 REV-1500 OFFICIAL USE ONLY COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1 - 0 5 0 3 0 2- couNricoDE -YEAR- ----- NUMBER DECEDENTS NAME (lAST, FIRST, AND MIDDLE INITIAL) SDC~LSECURITYNUMBER I- Sunday, walter D. 174 - 20 - 1822 Z W DATE OF OEATH (MM-DD-YEAR) DATE OF BIRTH (MM-OD-YEAR) THIS RETURN MUST BE RLED IN DUPUCATE WITH THE 0 W March 14, 2005 June 11 , 1925 REGISTER OF WILLS 0 W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOC~ SECURITY NUMBER 0 Sunday, Gwendolyn D. - w !Xj1. Original Return o 2. Supplemental Retum o 3. Remainder Return (<laIecfdealhptilr1ll12,'3.a2) ... :.:~O') o 4. Limited Estate o 43. Future Interest Compromise (date of ~ alter 12-11--R2) [XJ 5. Federal Estate Tax Return Required "o:x wQ." ",00 00 6. DecedentDiedTestate(Attact'I<:c!l~(llWi\\) o 1. Decedent Maintained a Living Trust (AlladlalpyofTflJ51) ~ 8. Total Number of Safe Deposit Boxes ,,0:'" .... Q. o 9. Liligatlon Proceeds Received o 10. Spousal Poverty Credit (date ofdeatl1 be\Wl!en 11-31-91 and 1-1-95) o 11. Electlon to tax under Sec. 9113(A) (Attach 5th 0) '" lZ ~E1EQ.; 't. QRRESPi:!' DEN~.E 'NP'l:ONFJb" F..ORMAT10~tSfl9!Jtlf~~' w COMPLETE MAILING ADDRESS '" William L. Sunday '" 0 39 West Main street .. F1RM NAME (If Applicable) " w Mechanicsburg, FA 17055-6230 0: 0: TELEPHONE NUMBER '" (717 ) 766-9622 " 1. Real Estate (ScI1edule A) (1) 0 OFFICIAL USE ONLY 2. Stocks and Bond. (Schedule B) (2) 885865.30 (3) 0 i-"), 3. Closely Held Corporation, Partnership or Sole-Proprietorship C-::J ::0 C) C~.:'l '-'=.? <~ nj 4, Mortgages & Nole. ReceivablelScI1edule D) (4) 0 CJ C) \-;, C) (5) 77298.25 C) -:.r'J 5. Cash, Bank Deposits & Miscellaneous Personal Pro~ 1,'::~_J (ScI1edule E) 1 en Z - G' 0 0 6, JOIntly Owned Property (Schedule F) (6) 0 C") ~ ' ' --0 ,I o Separate Billing Requested -1, - 2"~ ..J 221202.31 - ,"n ~ 7. tnterNi'/Os Transfers & Miscellaneous Non-Probate Property (7) ., I- (Schedule G or L) - -,'\ s: N <( 8. Total Gross Assets (totat Unes 1-7) (8) 1184365.86 0 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 35453.11 W c::: 10. Debts of Decedent. Mortgage liabilities, & Uens {Schedule \} (10) 3196.58 11. Total Deductions (total Lines 9 & 10) (11) 38649.69 12. Net Value of Estate (line 8 minus Line 11) (12) 1145716.17 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) 0 made (ScI1eduJe J) 14. Net Value Subject to Tax (Line 12 minus Line 13) . (14) 1145716.17 SEE INSTRUC'lION5 ON REVERSE SlOE FOR APPLICABLE RATES Z 15. Amount of line 14 taxable at the spousal tax 0 0 395716.17 x ,0 00 (15) ~ rate. or transfers under Sec. 9116 (a)(l.2) 16. Amount of Une 14 taxable at lineal rate 750000.00 x.o 45 (16) 33750.00 .... ~ 0 c.. 11. Amount of Une 14 taxable at sibling rate x .12 (17) :: 0 x .15 (18) 0 0 18. Amoonl of Line 14 taxable at conaleral rate X 19. Tax.: Que (191 33750.00 ~ 200 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: . . STREET ADDRESS 1 Hoover Road CITY Carlisle I STATE PA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) (1) 33750.00 2. CreditslPayments 0 A. Spousal Poverty Cred~ B. Prior Payments 32062.50 C. Discount 1687.50 Total Credits (A+ B + C) (2) 33750.00 3. InteresVPenalty if applicable D. Interest 0 E. Penalty 0 TotallnteresUPenaity ( D + E ) (3) 0 4. If line 2 is greater than Une 1 + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0 5. If Une 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX DUE. (S) 0 A. Enter the interest on the tax due. (5A) 0 B. Enter the total of line 5 + SA. This is the BALANCE DUE. (5B) 0 Make Check Payable to: REGISTER OF WILLS, AGENT <~~j!~'-"'~<<~""Jl.:;';..~~~~~::'.i!<<.~.....t~4;;;; ~",l <l-~~~':..:':.:""'~-;"~~-:::~ -.;t~~~",#;i:1W-~~~",~~.~~5;~'~~~~~~~~o.\.-wt~~~..::tT..>t.c.~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and' * Except ~s an incident of joint Yes No . ownershJ.p a. retain the use or income of the property transferred:........................................................................:................. 0 !XI * b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 !XI * C. retain a reversionary interest; or.......................................................................................................................... D !XI * d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 !XI 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [XI 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 IX] 4. Did decedent own an Individual RetirementAccount, annuity, or other non~probate property which contains a beneficiary designation? ........................................................................................................................ []j 0 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 pe~ury, I declare that I have examined this return, including accompanying sctIedules and statements, and to the best of my knowledge and belief. it is true, correct and complete. Dectaration of preparer other than the personal representative is based on aU information of which preoarer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ~.-L. "tJ-.. ~cember .6- 2005 Carlisle, PA 17013 HAN REPRESENTATIVE DATE December -5- 2005 ADDRESS 39 West Main st eet, MechanicsbuqJ., PA 17055-6230 ~J::iT.'.:';""?~ $':$ ~-;..., '~~~ ~-";:'i~J~~'"" E:r,;::Z:;;--k';";l ,:;,4" -: :-..:l-";".:~~.h.<:6_ ~~ '... -' ~ - .' ....;: "'-_:\;-..": _~r~ -,oJ. ,.'~.- ._-, .;-.;...~..-:-~~W--~!,}~-m.' 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. 99116 (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. 99116 (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 I 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 af age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the chiid is 0% [72 P.S. 99118(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's iineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's sibUngs is 12% (72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as ar individual who has at ieast ooe parent in common with the decedent, whether by blood or adoption. """""""'".* SCHEDULE B COMl,l()NWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER WalterD. Sunday 21-05-0302 All property jointly-owned with right OfsUMvO",hip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Securities held by Wachovia Securities Financial Network, LLC (Pursel1 Associates, Inc. - Registered Representative) in Account No. 7641-7570 of Walter D. Sunday on the date of his death Shares Companv Per Share Value 733 Alcatel $13.145 $ 9635.29 1000 Crown Holdings, Inc. 16.815 16815.00 1000 HealthSouth CorporatIon - Com 5.675 5675.00 400 IAC/Interactive Corp. 22.56 9024.00 1000 Nextel Communications - Class A 28.93 28930.00 2000 Nortel Networks Corp. 2.985 5970.00 6000 Rite Aid Corporation 4.16 24960_00 2. Securities held by Citizens Investment Services in Account No. L7W-048550 of Walter D. Sunday on the date of his death Shares Companv Per Share Value 660 Alcoa, Inc. 31.125 20542.50 Dividend paid 2/25/05 See Item 2 Sch E 240 Armstrong Holdings Inc. 2.005 481.20 1620 Bank of America Corp. 45.56 73807.20 Dividend paid 3/25/05 - Record 314/05 729.00 1166 Exelon Corp. 46.305 53991.63 Dividend paid 3/10/05 See Item 2 Sch E 300 General Electric Co. 36.00 10800.00 Dividend paid 4/25/05 - Record 2/28/05 66.00 600 Home Depot Inc. . 39.215 23529.00 Dividend paid 3/24/05 - Record 3/10/05 60.00 2091 M & T Bank Corp. 102.075 213438.83 Dividend paid 3/31/05 - Record 2/28/05 836.40 500 Office Depot Inc. 20.78 10390_00 400 Schlumberger Ltd. 72.205 28882.00 Dividend paid 4/8/05 - Record 3/2/05 84.00 77 Transocean Inc. 47.92 3689.84 1200 Tyco International Ltd. 35.22 42264.00 1200 Williams Companies Inc. 18.36 22032,00 Dividend paid 3/28/05 - Record 3/1l/05 60.00 3_ 1700 BP-PLC 64.425 109522.50 Dividend paid 3/14/05 - Record 2/16105 Included in Item 4 Sch F 4. 452 Citigroup 48.00 21696.00 Carried Forward TOTAL (Also enter on line 2, Recapitulation) $ 737911.39 (If more space is needed. insert additional sheets of the same size) {I: ( """"""'''''".. SCHEDULE B STOCKS & BONDS COMMONWEALTH DF PENNSYLVAN~ INHERITANCE TAX RETURN RESIOENT OECEDENT ESTATE OF FILE NUMBER WalterD. Sunday 21-05-0302 All property jointly-owned with right o!survivorship must be dls<losed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Brought Forward 737911.39 Shares Company Per Share Value 5. 1056 Kroger 16.105 17006_88 6. 400 Eli Lilly and Company 54.265 21706.00 Dividend paid 3/10/05 - Record 2/11105 Included in Item 4 Sch F 7. 3300 Pfizer 26.43 87219.00 Dividend paid 3/8/05 - Record 2/11105 Included in Item 4 Sch F 8_ 477.271 T. Rowe Price - Growth Fund @ $26.0300 12423.36 9. 328.947 T. Rowe Price - New Horizons Fund @ 29.1800 9598.67 TOTAL (Also enter on line 2, Recapitulation) $ 885865.30 (If more space is needed, Insert addllianal sheets af the same Size) "":,,,,,,.,,.,,.. SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RET\JRN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Walter D. Sunday 21-05-0302 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointty-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Cash held by Wachovia Securities Financial Network in Bank Deposit Sweep Account of Walter D. Sunday on his date of death $75128.74 Accrued Interest to Date of Death (14/31 of$97.67) 44.11 2. Cash and cash equivalents held by Citizens Investment Services in account of Walter D. Sunday on his date of death Alcoa Dividend Paid 2/25/05 99.00 Exelon Dividend Paid 3/10/05 466.40 3. 1991 Ford Truck @ Appraisal 1000.00 4. 1994 Plymouth Voyager@Appraisal 500.00 5. Timex Watch 10.00 6. Man's Gold Wedding Band 25.00 7. Clothing 25.00 TOTAL (Also enter on line 5, Recapitulation) $ 77298.25 (If more space is needed, insert additional sheets of the same size) . ~ SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEA1.TH OF PENN5' .VAN~ INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATEO\v FILE NUMBER alter D. Sunday 21-05-0302 If an asset was made joint within one yea, of the decedent's dam of _, h must be reported on Schedule G. SURVMNGJOINTTENANTlSI NAME ADDRESS REl.AnONsHIP TO DECEOENT A. Gwendolyn D. Sunday 1 Hoover Road, Carlisle, P A 17013 Spouse 6, C. :OINTL Y -OWNEJ FROFS::\TY: I LmC' I DAll: \ OESCRJFTICN OF ?RaF=;;TY I ..aF DA'l::-JFCE...TH -:.'A feR ~CINT MACE [nCUde name of MatlCal insiltUfion and bank ac:::::unt nurr.ner Of similar identifying numr;.er. Atta:.'l DATECFDE.~7H CE.::;; "JAU.lE OF _ '.\E:::1 TE!'V<N'T lOlNT deed for 100ntly-he!d :UI mate. V.AWe OF ASS=-: !NTE.=i.i:Si oe:SE."IrS ;NTE:;:ES, ,. A. 6/19/ All that certain lot of ground situate in the 2000 Township of Middlesex, County of Cumberland and State of Pennsylvania being Lot No.7 on the Final Version Subdivision Plan for Robert R. Line, Jr. and J. Edward Clouse prepared by Stephen G. Fisher, R.S. dated January 17, 1985 and recorded in Cumberland County Plan Book 48, Page 75, Owned as Having thereon erected a dwelling house Tenants by known and numbered as I Hoover Road, Carlisle, Entireties PA See attached Deed. (Book 223 Page 787) 230000.00 Not Taxable 2. A. 12/29/82 All that certain unimproved tract ofland 2/5 th containing 13,8670 acres situate in Owned as Middlesex Township, Cumberland County, Tenants by 12/22/97 Pennsylvania being Lot No.3 on Final Entireties 1110 th Subdivision Plan Walter D. Sunday and Gwendolyn D. Sunday, Clyde O. & Diane L. Not Taxable Beam Lot No.3 i&W See attached Deed. (Book 264 Page 4853) 132000.00 urah.sed other 112 on 8/26104 Carried Forward 362000.00 $ Not Taxable (If mare space is needed, insert additional sheets of !he same size) . ~"---r" ~ SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEAlTH OF PENNS\ LVANIA INHERITANCE TAX RETURN Continued RESIDENT DENT ESTATE OFWalter D. Sunday FILE NUMBER 21-05-0302 Wan ..set was made joint orilhin one year 0' dte decedent's dale 0' _, a must be reported on Schedule G. SURVMNG JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT ~.. Gwendolyn D. Sunday I Hoover Road, Carlisle, P A 17013 Spouse -, - " ~JINTL Y -CWNEJ FROFERiY: \ LE ,~, I CATE I DESCR~T1CN OF ?RCF"R" I I '.~F aA'c:CF~E...~ :~3.:~ FCR':CINT ""CE Include narr.eaf finanC:31 insutulion and ~Ir. ac:::::Ut1t numoer or simila" identifying numcer. Anac." CArE.-:::F::E..l,7"l"l. CE.::rs \IAI,.l..'E:JF . _ "S::o.. TE.~NT JC1NT deedforIOlntlv-l'1e!d~a1estate, VALUE OF" ASS~ IN'~;"lI:.;)' CE.:EDENiS iNTE.=:E57 1-.. Brought Forward 362000.00 Not Taxable , A. 12/29/82 An undivided one-half (112) interest in and to ". 2/5 th all that certain tract ofland situate in Middlesex Township, Cumberland County, Pennsylvania 2/22/97 bounded as described as follows: f10th Beginning at a point in South Middlesex Road opposite the former School House Lot; thence by land formerly of Sheldon K. Garber South 72 degrees East 1943.70 feet to a stone; thence by land formerly of William Cornman South 6 degrees' 30 minutes East 1640.10 to a stone; thence by same North 86 degrees 30 minutes West 549.50 feet to a point; thence by same and lands now or late of Harper Wetzel North 81 degrees 45 minutes West 1554.30 feet to a point in South Middlesex Road; thence in said road by land now or late of Lehman Brandt Northl degree 15 minutes East 173.25 feet to a point in said road; thence by same North 67 degrees West 572.55 feet to a point; thence by lands now or late of Lee Deitch North 74 degrees 30 minutes West 478.50 feet to a point; thence by lands now or late of Lee Brenneman North 5 degrees West 844.20 to a point; thence still by same North 14 degrees Westl036.00 feet to a point in Horner Road; thence alon!! said Horner Carried FOrw~Trl 7""{"\(\ 1\1\ $ "T~. (I' mcre space is needed, insert additional sheets of !he same size) . m....__._ "C'.''''''~ '"" .\'-~" '* SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEALTH OF PENNS) LVAN~ INHERITANCE TAX RETURN RES NT DECEDENT ESTATE OF FILE NUMBER Walter n ~l1nci:1Y 71.0~.mO? II an as.el was made joint within one year of 1111 decedent's date of death, 11 must be reported on Schedull G, SURVMNG JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDE.'lT A. Gwendolyn D. Sunday I Hoover Road, Carlisle, P A 17013 Spouse .' C. ". JOINTLY -OWNEJ FROF=~iY: cs;a, I CATC: I DESCRlPTICN OF PRCFS,TY I '.OF CA,c:,JFOE...Th ~~A FeR olelNT MACE Include "-alT.e af financ:31 institution and barlk ac::::lunt I'tLU1Wer or sirmiaf identifying nutrooer. Att:lC."I CA TE OF t:lE.~ LH CE.::::rS VALUE:lF .'~ '.1eE~ TE.~NT JOINT deed forr01nt!y-he!dreaestare. VALUE OF ASS;; tNTE.=ieSi OE'~E."'IiS ;~:.E.Si Brought Forward 362000.00 Not Taxable 3. A. 12/28/82 Road North 52 degrees East 435 feet to a point Contin ed 2/5 th at the southwest comer of other lands of Walter 12/22/97 D. Sunday and Gwendolyn D. Sunday, his wife, 1/10 th (Item 2 of Schedule F above); thence by the centerline of Homers Road in an eastwardly direction on a curve to the right having a radius of275 feet an arc distance of 106.42 feet to a point in the centerline of Homers Road; thence still by the centerline of Homers Road South 88 degrees 13 minutes 10 seconds East 216.32 feet to a point in the centerline of Homers Road; thence by said centerline South 88 degrees 13 minutes 10 seconds East 295 feet more or less to a point; thence South 9 degrees 15 minutes East 49.50 feet to the Owned as point and place of Beginning, Tenants by Being part of Tract No.1 and all of Tracts Entireties Nos. 2 and 3 described in Deed Book 169 at Page 772 (See attached Deed). 350000.00 Not Taxable Dwelling house rent for January, February and March due decedent & spouse to date of death 582.26 4. A. 9/1/67 Joint Checking Account No. 2674041112 in Owned as M&TBank Tenants by Date of Death Value 47303.96 50% Entireties Accrued Interest 0 Not Taxable Carried Forward , 759886.22 $ Not Taxable ([f mere space is needed, insert additional streets of Ille same size) ~~-i.'~~.i1,j.-, .. SCHEDULE F JOINTlY.OWNED PROPERTY COMMONWEALTH OF PENNS\ ,VANIA INHERITANCE TAX RETURN Continued RESIO DECEDENT ESTATE OF FILE NUMBER WalterD. Sunday 21-05-0302 If an a..et was made joint within on. ye... of tII. decadent's dale of death. ~ must be reporled on Schedule G. SURVMNG JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEU€NT A. Gwendolyn D. Sunday I Hoover Road, Carlisle. P A 17013 Spouse 6. C. --, JOINTLY -OWNEJ FROF:RTY: ILE"~; I CATE I QESCRiPTICN 0' ?Rep.", I '.0' OA'c::':iFCE.':'ik ':~~_ FeR ':CINT MACE Indude name of finanC:a1 inslItuticn and :::anlr. ac;::::unt numoer or Slmliar :dentifylng numcer. Att.;c.i CA TE CF ::;E.~ 7H CE;:::rs V.ALUEJF '._ .lE:=.:"\ TE.l.JANT JOINT deed forIOlnllv-he!d:-ealestate. VALUE CF ASS~ INTE.=i.eS. CE.::ECE....rs jNre.~ESi Brought Forward 759886.22 Not Taxable 5. A. 9/1/67 Refund due from overpayment of2004 Payments from Federal Income Tax. The payments of Joint Bank Estimated Taxes were made from the Account joint bank account listed as Item No.4 above. 314.96 50% Not Taxable 6. A. Over Household goods and furniture Owned as 1 year Valued at Appraisal 12168.00 50% Tenants by priorl Entireties death Not Taxable Total 772369.18 $ Not Taxable (If mere space is needed, insert aec1itional sheets of tile same size} REV.15IQEJ\-(1-17) '* SCHEDULE G INTER.VIVOS TRANSFERS & COMMONWEALTH OF PENNSYLVANIA MISC. NON.PROBATE PROPERTY INHERlTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER 21-05-0302 Walter D. Sunday 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 %OF ITEM 10000UOl: TliE NAME OF"TliE TRANSFEREE. TH6R REtATl~IP TO DECEDENT NlO"TliE DATE OFTRANSFEt DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE ATTACH P-CQP'fOF THE DEED FQR REAl.ESTATE. NUMBER VALUE OF ASSET INTEREST nFAPPUCABtE' 1 . IRA Account # 2094310-5 held by T. Rowe Price Trust Co. Cust for the IRA of Walter D. Sunday 876.401 shs - New Horizons @ 29.24 25625.97 100% 0 $ 25625.97 Beneficiary: Gwendolyn D. Sunday, Spouse 2. Surviving Spouse's Pension under the U.S. Civil Service Retirement System payable to Gwendolyn D. Sunday for life Federal Survivor Benefits: $1832.00 per month Birthdate of Survivor: October 15, 1928 Present Value - See attached computation 195576.34 100% 0 195576.34 Transfers Made Within One (1 ) Year of Death 3. Darrell F. Sunday - Son - Cash Christmas Gift 12/23/04 $2500.00 50% 3000.00 0 4. Douglas D. Sunday - Son - Cash Christmas Gift 12/23/04 2500.00 50% 3000.00 0 5. Deborah 11.. Mills - Daughter - Cash 2500.00 50% 3000.00 0 Christmas Gift 12/23/04 TOTAL (Also enter on line 7, Recapitulation) $ 221202.31 (If more space is needed, insert additional sheets of the same size) """''''',,.,,'''''. SCHEDULE H FUNERAL EXPENSES & CDMMO~THOfPENNSYlVAN~ INHERriANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER WalterD Sund'IY 21-05-0302 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A FUNERAL EXPENSES 1. Westminister Cemetary - Opening Grave $ 1045.00 Hoffman-Roth Funeral Home, Inc. - Funeral Expense 7090.05 Noss Wayne Flowers - Funeral Flowers 190.80 Sunnyside Restaurant - Funeral Dinner 420.93 Total Funeral Expenses 8746.78 3, AOMINISTRA TIVE COSTS 0 1, Personal RepresentatiVe's CommiSSions Name at Personal Representati'Je {s} Social Security Numter(s) / EiN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid' 2. Attorney Fees -- William L. Sunday 24000.00 3. Family Exemption; (If decedents address is not the same as claimanfs. attac~ explanation) C:aimant Street Address City State lip Relationship of Claimant to Decedent 4, Probate Fees 640.00 5. Accountant's Fees . 50.00 Greenawalt & Company, P.e. - Value AnnUIty 6, Tax Return ?reparers Fees 7, Register of Wills - (4) Short Certificates 16.00 8. Postmaster. Certificates of Mailing - Notice of Administration 5.08 9. Register of Wills - (4) Short Certificates 16.00 10. Cumberland Law Journal- Executrix's Notice 75.00 11. The Sentinel- Executrix's Notice 122.51 12. U.S. Postal Service - Certified and Registered Mail, Return Receipts Requested to transfer stocks into Estate name 36.74 13. Roy D. Gottshaul, Auctioneer - Appraisal 75.00 Carried Forward $ 33783.11 (If more space is needed, Insert additional sheets of !he same Size) RE\I-lflllEX-(l.971 '* SCHEDULE H FUNERAL EXPENSES & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Walter D. Sunday 21-05-0302 Debts 01 decedent must be reported on Schedule I. Continued ITEM NUMBER DESCRIPTION AMOUNT Brought Forward $ 33783.11 14. S. W. Barrett Real Estate & Appraisal Service - Appraisal for Form 706 1050.00 15. Register of Wills - Certify Wills 5.00 16. Register of Wills - Additional Probate Fee 50.00 17. Register of Wills - Filing Fees: Inheritance Tax Return $15.00 Inventory 15.00 30.00 18. Dawn S. Sunday - Notary Fees 20.00 Reserved for filing account, recording releases, etc. 515.00 TOTAL (Also enter on line 9, Recapitulation) $ 35453.11 (If more space is needed, insert addltronal sheets of the same size) 'EV.''''''.''," *' ,~. ,-' SCHEDULEl ~.... -'. DEBTS OF DECEDENT, COMMONWEALTH OF PENNSYLVANIA INHE.RITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT OECEOENT ESTATE OF FILE NUMBER Walter D. Sunday 21-05-0302 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT Date Paid Payee 1. 3/24/05 PPL Electric utilities (2/1/05-3/3/05) $ 53.07 2. 3/31/05 ATT Universal Card (2/11/05-3/13/05) 3032.00 3. 4/5/05 Sprint (Monthly statement dated 3/13/05) 24.43 4. 4/4/05 PA Dept. of Revenue - (1/2 of $36.00) -- 2004 PA Personal Income Tax 18.00 5. PPL Electric Utilities (3/4/05-4/3/05) 58.13 6. PA Dept. of Revenue - ( 1 /2 of $ 21 .91 ) 2004 PA Personal Income Tax - Estimated Tax Underpayment Penalty 10.95 TOTAL (Also enler on line 10, Recapitulation) S 3196.58 {If more space is needed. insert additional sheets af the same size} "".""".,,.,". SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE HUMBER 21-05-0302 Walter D. Sunday RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Hat Ust Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 . Darrell F. Sunday Son $ 250000.00 142 Horner Road Carlisle, PA 17013 2. Douglas D. Sunday Son $ 250000.00 5567 Spring Drive Center Valley, PA 18034 3. Deborah A. Mills Daughter $ 250000.00 7712 Cross Creek Circle South Breinigsville, PA 18031 4. Gwendolyn D. Sunday Spouse Non-Probate 1 Hoover Road Property Carlisle, PA 17013 Sch G $221202.3 Residue of Probate Estate ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 17, AS APPROFRIA TE, ON REV 1500 COVER SHET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN E~CTlON TO T M IS NOT BE!NG MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PARTll. 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)