HomeMy WebLinkAbout03-09-06 (2)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
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DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL)
Moyer Robin L.
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 06
00072
DATE OF DEATH (MM-DD-YEAR)
01/14/2006
COUNTY CODE YEAR
NUMBER
SOCIAL SECURITY NUMBER
207 -52-8565
DATE OF BIRTH (MM-DD-YEAR)
03/07/1960
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(iF APPliCABLE) SURVIVING SPOUSES NAME (LAST. FIRST. AND MIDDLE INITIAL)
w ~ 1 Original Return
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G ii: ~ i ~ Llnlited Estate
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u g: a5 6. Decedent Died Testate iAllach cOeY 01 Willi
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<l: D 9. litigation Proceeds Received
o 2. Supplemental Return
o 4a Future Interest Compromise (dale 01 death after 12-12-82)
D 7. Decedent Maintained a living Trust (Attach copy of Trust)
D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
o 3. Remainder Return (dale of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION 'SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Gregory R. Reecj,Esqu.i~e_____n_ 3120 Parkview Lane
FIRM NAME ill Applicable) Harrisburg, PA 17111
(1)
(2)
(3)
(4)
(5)
97,330.00
TELEPHONE NUMBER
(717) 238-0434
1. Real Estate (Schedule A)
Stocks and Bonds (Schedule B)
Mortgages & Notes Receivable (Schedule Dj
Closely Held Corporation, Partnership or Sole-Proprietorship
Cash. Bank Deposits & Miscellaneous Personal Property
I Schedule Ei
43,819.45
6,148.19
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:!O.'!1.tly Owned Property (Schedule F)
_J Separate Billing Requested
(6)
(7)
7 'IYR' VIVOS Transfers & Miscellaneous Non-Probate Property
I.Scl1edule G or L;
Total Gross Assets (total Lines 1-7)
147,297.64
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent. Mortgage liabilities, & liens (Schedule I)
(9)
(10)
(8)
16,852.95
57,556.39
(11)
(12)
(13)
74,409.34
72.888.30
11 Total Deductions (total lines 9 & 10)
12 Net Value of Estate (line 8 minus Line 11)
13 Chantable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J\
1~ Net Value Subject to Tax (Line 12 minus Line 13)
72,888.30
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
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15. Amount of Line 14 taxable at the spousal tax
rate. or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
. 2 "",10JI'1 I]: UnE . 4 taxable at collateral rate
19 Tax Due
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
(19)
3,279.97
20
x .0 (15)
72,888.30 X.o 45 (16)
3,279.97
x .12 (17)
x 15 (18)
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
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Decedent's Complete Address:
STREET ADDRESS
313.Thir<LSJr~~t
CITY Summerdale STATEpA
ZIP 17093
Tax Payments and Credits:
1 Tax Due (Page 1 Line 19)
2 Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
3,279.97
314.00
Total Credits ( A + B + C ) (2)
2,965.97
3. Interest/Penalty if applicable
D. Interest
E Penalty
4.
Total Interest/Penalty ( 0 + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(3)
(4)
(5)
(5A)
(5B)
0.00
5.
If Line 1 + Line 3 is greater than Line 2, enter the difference This is the TAX DUE.
2,965.97
A. Enter the Interest on the tax due
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
2,965.97
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 ~
b retain the right to designate who shall use the property transferred or its income; .......................................... 0 ~
c. retain a reversionary interest; or.......................................................................................................................... 0 ~
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 ~
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 ~
3. Did decedent own an "in trust for" or pqyable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ..... ....................................................................................................... 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 thai I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG~URE OF PERSON RESPONSIBLE. FO~fILlNG RET.~RN
r~::J;::: a. /7jc~ ~ )
ADDRE;S . , '..
DATE
.3/7/rJtp
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
ADDRESS
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 PS S9116 (a) (1.1) (i)l.
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)].
Tne 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 PS ~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. 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 siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
,ndlvldual who has at least one parent in common with the decedent, whether by blood or adoption.
SCHEDULE "A"
REAL ESTATE
ESTATE OF:
FILE NO. 21-06-00072
ROBIN L. MOYER
ITEM
NUMBER
DESCRIPTION
VALUE AT DEATH
1.
313 Third Street, Summerdale, Pennsylvania
$ 97,330.00
Parcel #09-12-2994-043
ALL THAT CERTAIN lot or tract of land with
improvements thereon erected, situate in East Pennsboro
Township, Cumberland County, Commonwealth of
Pennsylvania, bounded and described in accordance with a
survey and plan thereof made by D.P. Raffensperger,
Registered Surveyor, dated October 5, 1959, as follows:
BEGINNING at a point on the West side of Third Street 66
feet wide, which point is 390 feet North of the northwest comer
of Third and Wayne Streets; also at the dividing line between
Lots Nos. 35 and 36 on the hereinafter mentioned Plan of Lots;
thence along said dividing line South 72 degrees, no minutes
West, 160 feet to a stake on the East side of a 16 foot wide
unnamed alley; thence along same North 18 degrees, no
minutes West 65 feet to a stake at the dividing line between
Lots Nos. 36 and 37 on said Plan; thence along said dividing
line North 72 degrees, no minutes East 160 feet to a stake on
the West side of Third Street; thence along the same South 18
degrees, no minutes East 65 feet to a point, the Place of
Beginning.
BEING the eastern part of Lot No. 36 on Section "B" the Plan
of Summerdale said Plan being recorded in Plan Book 1, Page
44, Cumberland County Records.
(See attached tax record, marked Exhibit "1"
and incorporated herein by reference.)
SCHEDULE "E"
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF:
FILE NO. 21~06-00072
ROBIN 1. MOYER
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1. Account #51-3011-3874 995.46
PNC Bank
(See copy of letter attached, marked
Exhibit "2" and incorporated herein by reference)
2. Norfolk Southern IRA 31,823.99
(See copy of letter attached, marked
Exhibit "3" and incorporated herein by reference)
3. 2001 Subaru 11,000.00
4. Smoker's Collection and Indian Collection 0.00
(Items given to nieces, ANDREA 1. BLAINE
and MANDl LYNN BLAINE over more than
one year prior to death.
Total: $43,819.45
ESTATE OF:
ROBIN L. MOYER
l.
Patsy A. Moyer
SCHEDULE "F"
JOINTL Y -OWNED PROPERTY
313 Third Street
Summerdale, P A 17093
JOINTL Y -OWNED PROPERTY:
Item Date made Description
Number Joint
Date of Death
Value Asset
1. 10/25/2005 BlueChip FCU
$9,148.19
(See a copy of letter attached hereto,
marked Exhibit "4" and incorporated
herein by reference).
FILE NO. 21-06-00072
Mother
%of
Deed's
Interest
50%
Date of Death
Value of
Interest
$ 6,148.19*
*Transferred within a year of date of death less $3,000.00 gift.
SCHEDULE "H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ESTATE OF:
FILE NO. 21-06-00072
ROBIN L. MOYER
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
A. Funeral Expenses:
I. Richardson Funeral Home, Inc. $ 6,854.52
2. Grave Stone 1,965.00
3. After funeral luncheon 356.87
B. Administrative Costs:
I. Personal Representative's Commissions
2. Attorney Fees 2,900.00
3. Family Exemption - 313 Third Street 3 ,500.00
Summerdale, P A
4. Filing fees - Register of Wills 306.00
5. Pamela's Flowers 34.00
6. Pennsylvania Power and Light (Electric Bill) 98.03
7. Comcast (Cable TV bill) 45.25
8. American Water 30.21
9. Verizon Wireless 40.28
10. Verizon Home Phone 29.57
II. Hospice 500.00
12. Costs to record deed 38.50
13. Andrews & Patel (Last Illness) 99.60
14. MCI (Telephone Bill) 16.13
15. Postage 39.00
TOTAL $ 16,852.95
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
EST ATE OF:
FILE NO. 21-06-00072
ROBIN L. MOYER
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1. ABN-AMRO Mortgage
$ 57,037.90
2. Chase Credit Card
518.49
TOTAL
$ 57,556.39
SCHEDULE "J"
BENEFICIARIES
ESTATE OF:
ROBIN L. MOYER
ITEM NAME AND ADDRESS
NUMBER OF BENEFICIARY
RELATIONSHIP
A. Taxable Bequests:
1.
Patsy A. Moyer
313 Third Street
Summerdale, P A 17093
Mother
B. Charitable and Governmental Bequests:
None
FILE NO. 21-06-00072
AMOUNT OR
SHARE OF
ESTATE
100%
rage 1 Ul 1
..
Detailed Results for Parcel 09-12-2994-043. in the 2004 Tax Assessment Database
DistrictNo 9
Parcel_ID 09-12-2994-043.
MapSuffix
HouseNo 313
Direction
Street THIRD STREET
Ownerl MOYER, ROBIN L
C/O
PropType R
PropDesc
Liv Area 1206
CurLandVal 20000
CurlmpVal 77330
CurTotVal 97330
CurPretVal
Acreage 0.24
CIGrnStat
TaxEx 1
SaleAmt 57500
SaleMo 7
SaleDa 7
SaleCe 19
SaleYr 92
DeedBkPage 0035T-00573
YearBIt 1918
HF _File_Date 11/1/2004
HF _Approval_Status A
EXHIBIT tll t!
FEB-13-2006 17:59
PNCBAt-I<
412 768 3458
P.01/01
G PNCBAN<
February 14,2006
Gregory R. Reed
3120 Parkview Lane
Harrisburg, P A 11111
RE: Estate of Robin Lynn Moyer, deceased
SSN; 207-52-8565
DOD: 1/14/2006
Dear Mr. Reed:
In response to your request for Date of Death balances for the customer noted above, our
records show the foHowing:
Savines AeeoWlt
Account #5130113874
Established 0110911987
ROBIN L MOYER
DOD balance: $995.29 + S.17 accrued intere$t
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs) Checking and Savings accounts). We do not process any flllAncial
traDsactions or provide statements. If you need assistanoe with any of these items,
please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
~aclltt.1t uJ.p~
Rachelle Wells
1-800-762-1775
P7 -PFSC..o4-F
SOO flJ5l Ave.
Pittsburgh P A 15219
Member FDIC
Exhibit "2"
TOTAL P.01
NORFOLK SOUTHERN CORPORATION
July 01, 2005 - September 30, 2005
Page 1 of5
@
.6. NORFOLK
cf" ' SOUTHERN
For information call:
Vanguard Participant Services
{800} 523-1188
Or vi a the internet at: www.vanguard.com
THRIFT AND INVESTMENT PLAN
Plan No.: 090087
ROBIN L MOVER
PO BOX 123
SUMMERDALE PA 17093-0123
It)
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Please check this statement for accuracy and notify Vanguard Participant Services
of any discrepancies within 60 days.
PLAN SUMMARY
This (JJa1er Year-to-d:te
Opening balance $ 27.613.07 $ 27.290.;'9
Contributions BASIC PRE- TAX ACCOUNT $0.00 $ 1.468.00
MATCHING ACCOUNT 0.00 734.00
Earnings Dividends/capital gains $ 81.14 $ 245.13
Unrealized gain/Joss 4.129.78 2.086.07
.
Other transactions Dividends transferred in $ 48.47 $127 .~;o
Dividends transferred out - 48.47 -127.50
Closing balance $ 31,823.99 $ 31 ,823.!J9
Earnings are defined as the net change in your account value due to
the reinvestment of dividends and/or interest as well as the change
in Fund prices. Dividends paid by a Fund may cause a drop in the
Fund price, but it is offset by the dividend amount added to your
account.
WHERE YOUR BALANCE IS INVESTED
.Stocks
II Company Stock
52%
48%
.
Your overall investment mix should be
based on your investing time frame and
your risk tolerance.
Exhibit 1,13 '"
0675
13629
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0027590
111111111111111111111111111111
02/23/2006 12:59
71 75641469
BLUE CHIP FCU
PAGE 02
ChipFCU
5050 Derry Street
Harrisburg, PA 1 7111
PHONE: 717/564-3081
FAX: 717/564-1469
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Gregory R Reed
Attorney At Law
3120 Parkview Lane
Harrisburg, Pa. 17111
February 23, 2006
Re: Estate of Robin Lynn Moyer
Acet # 4143
Attorney Reed:
This is in response to your request for infonnation on the accounts held by Robin Moyer
here at Blue Chip FeU. First I would like to mention that you provided me with the incorrect
SS# for Robin. Her correct number is 207-52-8565.
Robin had one account with the Credit Union with 5 different suffixes on that account.
Below is the information for each of the suffixes. Also her mother was a joint owner on the
account, being added to the acCOWlt on October 25, 2005
Share Sufftx -A- regular savings
Opened- 12105/78
Balance at date of death - $6,784.67
Share Suffix -1- IRA
Opened - 03/06/85
Balance at date of death - $684.55
Share Suffix - S- Christmas Savings
Opened - 11106187
Balance at date of death - $50.31
Share Suffix -V-Vacation Savings
Opened - 08120/87
Balance at date of death - $20.86
Share Suffix - X- Share Draft (checking)
Opened -10/18/88
Balance at date of death - $1,607.80
If I can be of any further assistance please don't hesitate to contact me
~~ 4J..~~_~
Member Services ~e:.~I- -
Exhi::bi t 1'4 I}
. .
LAST WILL AND TESTAMENT OF ROBIN LYNN MOYER
KNOW ALL MEN BY THESE PRESENTS, That I, ROBIN LYNN MOYER,
of the Township of East Pennsboro, County of Cumberland and
State of Pennsylvania, do make, publish and declare this
instrument to be my Last Will and Testament, hereby revoking and
making void any and all former Wills by me at any time
heretofore made.
FIRST - I direct the Executrix hereof to pay all my just
debts, funeral expenses and costs of administration as soon as
conveniently may be done after my death. I further direct the
Executrix hereof to pay all inheritance, estate, transfer and
succession taxes which may be levied or assessed upon any
property which is included as part of my gross estate for the
purpose of any such tax.
SECOND - I give and bequeath my Smoker's collection to my
niece, ANDREA L. BLAINE.
THIRD - I give and bequeath my Indian collection to my
niece, MANDl LYNN BLAINE
FOURTH - I give, devise and bequeath all the rest, residue
and remainder of my estate, both real and personal, to my
mother, PATSY A. MOYER, on the condition that she survives me.
FIFTH - If my mother fails to survive me, then I give,
devise and bequeath all the rest, residue and remainder of my
~
estate to my sister, MARILYN K. BLAINE, to be distributed by her
as she deems fit and in her sole discretion including any
portion she chooses to distribute to herself.
SIXTH- I appoint my said mother, PATSY A. MOYER, to be the
Executrix of this, my Last Will and Testament. In the event of
the death, resignation, renunciation or inability to serve of
the said PATSY A. MOYER, then I appoint my said sister, MARILYN
K. BLAINE, Executrix of this, my Last Will and Testament. I do
hereby give to the Executrix full power, discretion and
authority at any time or times to:
(a) mortgage, lease, sell at private or public sale,
pledge, exchange or otherwise deal with or dispose of
the property comprising my estate upon such terms as
deemed best,
(b) settle and compound any and all claims in favor of or
against my estate as deemed best, and
(c) for any of the foregoing purposes, to make, execute
and deliver any and all deeds, mortgages, contracts,
leases, bills of sale or other instruments necessary
or desirable therefor.
LASTLY - I direct that no fiduciary appointed by this, my
Last Will and Testament, shall be required to give Bond and that
~
. ..
if, notwithstanding this direction, any Bond is required by any
law, statute or rule of court, no Surety shall be required
thereon.
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, consisting of three (3) pages on the
margin of which (except this page) I have affixed my initials
this d~1!t day of A.D. 1999.
~ih~'
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(SEAL)
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ACKNOWLEDGMENT
STATE OF PENNSYLVANIA
:ss
COUNTY OF DAUPHIN
I, ROBIN LYNN MOYER, the testatrix whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Willi and that I signed it
willingly and as my free and voluntary act for the purposes
therein expressed.
Sworn to or affirmed and acknowledged before me by ROBIN
LYNN MOYER, the testatrix, this ~b~ day of ~~ ' 1999.
f!.J~ ~ "17Lrf^
ROBIN LYNN ER
Tesa: ~ .'.
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"'. , . -'4L~
Notary Pub1i (~ c7
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
:ss
COUNTY OF DAUPHIN
We, Gregory R. Reed and Gail A. Laninga, the witnesses
whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we
were present and saw the testatrix sign and execute the
instrument as her Last Will; that the testatrix signed willingly
and executed it as her free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing
and sight of the testatrix signed the will as a witness; and
that to the best of our knowledge the testatrix was at that time
18 or more years of age, of sound mind and under no constraint
or undue influence.
Sworn to or affirmed and subscribed to before me by
G.. .e.~olC.. 'l ~. 'R EEb and Go. A- X L... A. L..A ^,:r:.N G A
witnesses, this 2'~day of ~~qr7 I 1999.
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Notary Public'
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Gregory R. Reed
Attorney At Law
3120 Parkview Lane
Harrisburg, Pennsylvania 17111
Phone: (717) 238-0434 * Fax: (717) 238-8469
e-mail: lawofficeCa)eoix.net
March 10, 2006
Glenda Farner Strasbaugh
Register of Wills
One Courthouse Square
Carlisle, PA 17013-3387
Attn: Colleen
Re: Robin Lynn Moyer, Deceased
313 Third Street
Summerdale, P A 17093
Date of Death: January 14, 2006
S.S. #207-52-8265
Dear Colleen:
Enclosed find a check for $15.00 for the filing fee for the Inheritance Tax Return
for the above referred to estate.
Thank you for your assistance in this matter.
Very truly yours,
~, &~/-J
Gregory R. Reed
GRR/na
Enclosure
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