HomeMy WebLinkAbout03-31-06
INVENTORY
Estate of Betty J. Wolfe
No. 21
05
0512
, Deceased
Date of Death 4/29/2005
Social Security No. 171-30-6100
also known as
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: Stephen J. HOQQ, Esquire
1.0. No.: 36812
Address: 19 S. Hanover Street, Ste. 101
Carlisle
Telephone: 717 245-2698
Barbara A. Wolfe
Dated
PA 17013
Description
Refu.ld - Riverside Anesthesia Associates
Value
370.42
Personal Property
2,500.00
Unclaimed Property Payment
1,597.45
Refund - TV Guide
46.21
Real Estate
117 2nd Street
Enola, PA 17025-3204
M& T Bank checking account
Acct # 91216427
34,000.00
35.94
Total
38,550.02
(Attach Additional Sheets if necessary)
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
REV-15QO EX + (6-0<"
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 5-0 5 1 2
COUNTYCOOE ""Y"EAR- - - N'UMBER- -
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Wolfe Bet J.
DATE OF DEATH (MM-DD-Year)
SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM-DD-Year)
1 7 1 - 3 0 - 6 1 0 0
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
04/29/2005 11/19/1935
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
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IX] 1. Original Return
D 4. Limited Estate
D 6. Decedent Died Testate (Attach copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Retum
D 4a. Future Interest Compromise (dale of death after 12-12-82)
D 7. Decedent Maintained a Living Trust (Attach copy oITrust)
D 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95)
D 3. Remainder Retum (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 Sch 0)
THIS SECTION MUSrBE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Ste hen J. Ho Es uire 19 S. Hanover Street
FIRM NAME (If Applicable)
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TELEPHONE NUMBER
7172452698
Carlisle
PA 17013
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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)
D 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)
(1)
(2)
(3)
(4)
(5)
34,000.00 I
I
i
OFFICIAL USE ONLY
4,514.08
(6)
35.94
(7)
(8)
38,550.02
(9)
(10)
9,675.03
13,462.11
(11)
(12)
(13)
23,137.14
15,412.88
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
(14)
15,412.88
0.00 X _ (15)
15,412.88 X ~ (16)
0.00 X .12 (17)
0.00 X .15 (18)
(19)
0.00
693.57
0.00
0.00
693.57
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address:
STREET ADDRESS
117 Second Street
CITY I STATE I ZIP
West Fairview PA 17025
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
693.57
Total Credits (A + 8 + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E) (3)
4. 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 (4)
5. If Line 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 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
693.57
693.57
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 00
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00
c. retain a reversionary interest; or ...................................................................................................... 0 00
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................. 0 00
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 00
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 declare that 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.
SIGNATlfE, OF jERSON RESPONSIBLE FOR F.f~ETURN
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ADDRESS 117 Second Street
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West Fairview ';/
SIGNATURE OF PREPARER OTl'iE.~THAN 13f~~TATIVE
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ADDRESS 19 S. Hanover Street./Ste., 01
Carlisle /
DATE
3/25/C&
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PA 17025
DAY!: .
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PA 17013
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 exempt 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. 99116{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. 99116{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 blood or adoption.
REV-1502 EX + (6-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Wolfe. Betty J. 21 05 0512
All real property owned solely or as a tenant in common must be reporte::l at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real DrODertv which is jointly-owned with riaht of survivorshio must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
34,000.00
117 2nd Street
Enola, PA 17025-3204
")
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
34.000.00
REV-1508 EX + (6-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Wolfe. Betty J.
FILE NUMBER
21 05
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
0512
ITEM
NUMBER
1.
DESCRIPTION
Riverside Anesthesia Associates - Refund
VALUE AT DATE
OF DEATH
370.42
2.
Personal Property
2,500.00
3.
Unclaimed Property Payment
1,597.45
4.
TV Guide - Refund
46.21
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4514.08
REV-1509 EX + (6-98)
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SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wolfe Betty J.
FILE NUMBER
21
05
0512
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Barbara A. Wolfe
117 2nd Street
W. Fairview, PA 17025-3204
Daughter
B
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JOINTL Y.OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY '10 OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. M& T Bank checking account 71.87 50. 35.94
Acct# 91216427
TOTAL (Also enter on line 6, Recapitulation) $ 35.94
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Wolfe Betty J.
FILE NUMBER
21
05
0512
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Musselman Funeral Home & Cremation Services, Inc. 5,772.50
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) Barbara A. Wolfe 1,927.50
Social Security Number(s)/EIN Number of Personal Representative(s) 162-56-9137
Street Address 117 Second Street
City West Fairview State P A Zip 17025
Year(s) Commission Paid:
2. Attorney Fees Stephen J. Hogg, Esquire 1,500.00
3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation)
Claimant Barbara A. Wolfe
Street Address 117 Second Street
City West Fairview State P A Zip 17025
Relationship of Claimant to Decedent DauQhter
4. Probate Fees Cumberland County Register of Wills 103.00
5. Accountant's Fees
6. Tax Return Prepare~s Fees 30.00
7. Advertising:
The Sentinel 137.03
Cumberland Law Journal 75.00
8. Accounting - estimate 130.00
TOTAL (Also enter on line 9, Recapitulation) $ 9,675.03
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX T (6-98)
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SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wolfe. Bettv J.
FILE NUMBER
21 05
0512
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Citibank USA, NA (Sears Roebuck & Co.)
VALUE AT DATE
OF DEATH
667.99
2. NCO Financial Systems, Inc.; Chase Bank USA, NA
3,573.20
3. Pulmonary and Critical Care Medicine Associates, P.C.
60.62
4. Pinnacle Health Medical Services - Physician Services
38.06
5. Pinnacle Health Medical Services
22.64
6. Quantum Imaging & Therapeutic
11.58
7. Orthopedic Institute of Pennsylvania
30.62
8. John Ensminger Appraisals
200.00
9. PPL - May 2005
57.13
10. PPL - June 2005
53.74
11. PPL - July 2005
61.85
12. PPL - July 2005
77.04
13. PPL - August 2005
84.58
14. PPL - September 2005
77.72
15. PPL - November 2005
54.07
TOTAL (Also enter on line 10, Recapitulation) $
13 462.11
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Wolfe, Betty J.
Decedent's Name
Page 1
21 05 0512
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16. PPL - November 2005 50.92
17. PPL - January 2006 56.05
18. PPL - January 2006 51.49
19. PPL - February 2006 47.45
20. UGI - May 2005 31 .40
21. UGI - June 2005 25.05
22. UGI - July 2005 24.30
23. UGI - July 2005 54.00
24. UGI - July 2005 16.50
25. UGI - August 2005 21.95
26. UGI - September 2005 21.81
27. UGI - October 2005 20.09
28. UGI - October 2005 20.41
29. UGI - December 2005 20.40
30. UGI - January 2006 21.72
SUBTOTAL SCHEDULE I
483.54
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Wolfe, Betty J.
Decedent's Name
Page 2
21 05 0512
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
31. UGI - February 2006 72.78
32. PA Water - May 2005 47.60
33. PA Water - June 2005 38.84
34. PA Water - July 2005 41.18
35. PA Water - July 2005 30.97
36. PA Water - July 2005 36.55
37. PA Water - August 2005 32.13
38. P A Water - September 2005 36.80
39. PA Water - October 2005 32.87
40. P A Water - November 2005 30.52
41. PA Water - January 2006 36.97
42. PA Water - January 2006 26.66
43. PA Water - February 2006 33.17
44. City Financial - Mortgage 311 .42
May 2005
45. City Financial - Mortgage 311 .42
June 2005
SUBTOTAL SCHEDULE I
1,119.88
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Wolfe, Betty J.
Decedent's Name
Page 3
21 05 0512
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
46. City Financial - Mortgage 311 .42
July 2005
47. City Financial - Mortgage 311 .42
August 2005
48. City Financial - Mortgage 311 .42
September 2005
49. City Financial - Mortgage 311 .42
October 2005
50. City Financial - Mortgage 311 .42
November 2005
51. City Financial - Mortgage 311 .42
December 2005
52. City Financial - Mortgage 311 .42
January 2006
53. City Financial - Mortgage 311 .42
February 2006
54. Verizon - May 2005 56.49
55. Verizon - June 2005 55.81
56. Verizon - June 2005 55.80
57. Verizon - July 2005 44.34
58. Verizon - August 2005 43.81
59. Verizon - September 2005 49.24
60. Verizon - October 2005 42.07
SUBTOTAL SCHEDULE I
2,838.92
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Wolfe, Betty J.
Decedent's Name
Page 4
21 05 0512
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
61. Verizon - November 2005 42.45
62. Verizon - December 2005 55.74
63. Verizon - January 2006 59.95
64. Verizon - February 2006 46.94
65. JJ Skelton Oil - May 2005 155.00
66. JJ Skelton Oil - July 2005 113.00
67. JJ Skelton Oil - August 2005 113.00
68. JJ Skelton Oil - September 2005 113.00
69. JJ Skelton Oil - October 2005 113.00
70. JJ Skelton Oil - November 2005 113.00
71. JJ Skelton Oil - December 2005 113.00
72. Erie Insurance Group - car insurance May 2005 176.00
73. Erie Insurance Group - car insurance June 2005 177.00
74. Brunner's Service Center - car inspection 44.4 7
75. Jim Wolfe - Home Maintenance; repair window 20.00
SUBTOTAL SCHEDULE I
1,455.55
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Wolfe, Betty J.
Decedent's Name
Page 5
21 05 0512
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
76. Deitzel Brothers - Home Maintenance; repair roof 260.00
77. Fidelity National Insurance Co. - Flood Insurance 232.00
78. Donegal Mutual Insurance Co. - Homeowners 232.00
79. Alicia D. Stine - Real Estate Taxes 925.86
80. East Pennsboro Township 115.00
81. East Pennsboro Township 115.00
82. East Pennsboro Township 115.00
83. Com cast - May 2005 45.32
84. Comeast - June 2005 45.32
85. Comeast - July 2005 45.32
86. Comeast - July 2005 45.32
87. Comeast - August 2005 45.32
88. Comeast - September 2005 45.32
89. Comeast - October 2005 45.32
90. Comeast- November 2005 45.32
SUBTOTAL SCHEDULE I
2,357.42
Continuation of REV.1500 Inheritance Tax Return Resident Decedent
Wolfe, Betty J.
Decedent's Name
Page 6
21 05 0512
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
91. Comcast - January 2006 45.32
92. Comcast - January 2006 45.32
93. Comcast - February 2006 45.32
SUBTOTAL SCHEDULE I 135.96
GRAND TOTAL SCHEDULE I $ 13,462.11
,~.,"'m'(*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Wolfe Bettv J. 21 05 0512
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. Barbara A. Wolfe Lineal 100.00
117 Second Street
West Fairview, PA 17025
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)