HomeMy WebLinkAbout03-28-06
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15[]56D41125
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
2 1 0 5
File Number
062 0
Date of Birth
18230 232 9
061 7 2 0 0 5
04231915
Decedent's Last Name Suffix
Decedent's First Name
W 0 L GEM U T H S R
P A U L
MI
M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
00 1. Original Return
D 4. Limited Estate
00 6. Decedent Died Testate
(Attach Copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of
death after 12-12-82)
D 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
D 10. Spousal Poverty Credit (date of death D 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
- ~
D
D
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
G ERA L 0 J B R INS E R
7 1 7 8~3 8 6.~ 4 8
Firm Name (If Applicable)
REGISTER OF WILLS USE o Nt. Y
B R INS E R WAG N E R Z I M M E
First line of address
6 E M A INS T R E E T
Second line of address
City or Post Office
State
ZIP Code
I
i
i
L~___----EATE FILED
;".,,) I
,""'1 I
-'~
P 0 BOX 323
PALMYRA
P A
17078
Correspondent's e-mail address:
Under penalties of pe~ury, 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 prepa r other than the personal representative is based on all information of which preparer has any knowledge.
SIGN U PERSO~ ~~p. IBlE E ETURN DATE
~11 -;L3-~"
VILLAGE
R THAN REPRESENTATIVE
ELIZABETHTOWN
STREET, P.O. BOX 323 PALMYRA
PLEASE USE ORIGINAL FORM ONLY
PA 17078
Side 1
L
15056041125
1505b[]41125
.....Jpt.
REV-1503 EX + (6-98)
-.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
PAUL M. WOLGEMUTH, SR.
FILE NUMBER
0620
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
2.
DESCRIPTION
MMA BROKERAGE ACCOUNT #5EQ327566
(SEE ATTACHED)
(774) SHARES TRUSTREET PROPERTIES @ $16.88 PER SHARE
VALUE AT DATE
OF DEATH
456,192.86
13,065.12
3.
(160) SHARES TRUSTREET PROPERTIES SERIES C @ $23.90 PER SHARE
3,824.00
4.
AGWAY
1,000.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
474081.98
~
FAX
.Iuly 13. 2005
Wendy L Cra\Nford
Brinser Wagner & Zi1l1nlCrnlan
6 E Main 5t t'd Flo(.Jl"
Pahnyra P A 17078
Ref: Date of Death values for Paul M Wolgernuth Sr
Dear Ms Crawford:
~
--
- -
r--;
MMA~
SteuJar{l)hip Solutions
I {ere is the infofJ11ation I have gathered. The only itenll cannot certify is the value of the
Trustreet Properties investlnents since these are not currently tTlanaged by ollrfirnl.
#6000287493 ROTH IRA of Verda W \Volgenluth 5/25/05 value:
tf
Il'~
~ ~.
~~.
~
Dclcl\vare Decatur Equity Inconle A 226.03shares (0 $18.24 $4J 22.79
Currently in th~ proce~s of heing transferred to Paul M Wolgenluth Sr. IRA
6/ 17/05 value: $4,238.06
#6009222875 ROTI-I IRA of Paul M Wolgemuth 6/17/05 value:
Mid Cap Stock A 1009.501 shares @ $18.84
US Goverlllllellt Securities .1\ 6259.905 shares @ $10.76
Four children are each 25% beneficiaries
$19~019.00
$67,356.58
tl~' 40 G',
I~ i~
$86)375.58
# 5EQ327566 Joint Brokerage Account of Paul & Verda WoIgen1uth 6/17/05 value:
An1erican Mutual Fund Class A 3735.60 shares @ $26.77
Calvert Capital Accunlulation A 979.263 shares @ $24.17
Federated Capital Reserve 1654.48 shares @ $1.00
Franklin Adjustable lJS Govt See A 12849.768 shares (ij) $9.00
Franklin Tenlpletol1 Conservative Ta 5911.633 shares @ $12.34
Intern1ediate Bond Fund of Anlerica 3309.859 shares @ $13.64
MMA Praxls Core Stock A 1543.898 shares @ $13.98
MMA Praxis International A 2946.519 shares @ $10.69
Pin1co 'fotal Return Mortgage A 2469.568 shares @ $10.74
$1 OO~002.0 1
$23,668.79
$1654.48
$ 1 1 5.647.9 J
$72.,949.55
$45.146.48
$2 L583.69
$3] ,498.29
$26)523.16
.
Putnanl Asset Allocation
Tin10thy Plan Fixed-Incon1c Fund
16.917 shares @ $9.21
1680.803 sh;;tres @ $10.33
$155.81
$17,362.69
$456.192_86
#182-30-2329 Joint Account of Paul M & Verda W Wolgenl11th 6/17/05 value
Trustreet Properties
Trl1strcct Properties Series C~
I f you need ailything furtheL please call.
Sincerelv
r ,/
~~:~.------
~ ~._-~ -------
.~
'1'i 1110thy Long
Keystone Financial Associates
Cc: Paul M \V()lgenl11th~ Jr
Tinlothy G Long
MM^ Counselor
Keystone Financial Associ~tes
176 CUI11berland Parkv.;ay~ Suite 20
Mcchanicsburg, PAl 7055
Phon,: (717) 796-1700
Fax: (717) 796-7763
774 shares (0. $16.88
J 60 shares (~~ $23.90
$13,065.12
$3.824.00
~ \, ~
~.e,
~.3
&~ ~ t>
~-;~
or'
$16.889.12
Securities offered through registered representatives of
ProEquities. Inc.
Advist)!'y services offered through Invcst111ent Advisors a
division of ProEquities Inc.
Registered broker/dealer and registered investnlent I
I
advisor. Men1ber NASD and slPe I
11 ] 0 North Main St Goshen IN 46S2R (574) 511-951 IJ
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
PAUL M. WOLGEMUTH, SR.
FILE NUMBER
0620
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.
2.
DESCRIPTION
M & T BANK - CHECKING ACCOUNT #91353424
(INCLUDES ACCRUED INTEREST OF $1.43)
CASH ON HAND
VALUE AT DATE
OF DEATH
47,516.86
ITEM
NUMBER
1.
67.67
3.
HEALTH INSURANCE REFUNDS
352.34
4.
MMA - IRA FOR VERDA WOLGEMUTH, DECEASED, TRANSFERRED TO SPOUSE,
PAUL WOLGEMUTH
4,122.79
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
52 059.66
REV-'1510 EX + (6-98)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
PAUL M. WOLGEMUTH, SR.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
0620
T~is 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 DA TE 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. MMA - ROTH IRA - ACCT. #6009222875 - CHILDREN 86,375.58 100. 86,375.58
PAUL M. WOLGEMUTH, JR., KAREN L. ASPLUND, KAROL
L. WOLGEMUTH & BRENDA K. GACKENBACH,NAMED
AS BENEFICIARIES
TOTAL (Also enter on line 7 Recapitulation) $ 86 375.58
(If more space is needed, insert additional sheets of the same size)
REV-1,511 EX + (12-99)
*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
PAUL M. WOLGEMUTH, SR.
FILE NUMBER
0620
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. FUNERAL HONORARIUM 75.00
2. ELlZABETHTOWN BIC CHURCH - DONATION FOR AUDIO & FUNERAL LUNCHEON 845.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. AttomeyFees BRINSER, WAGNER & ZIMMERMAN 10,000.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS 464.00
5. Accountanfs Fees
6. Tax Return Prepare(s Fees
7. REGISTER OF WILLS - ADDITIONAL COST OF LETTERS 50.00
8. THE SENTINEL - LEGAL ADVERTISING 137.03
9. CUMBERLAND LAW JOURNAL - LEGAL ADVERTISING 75.00
10. VITAL RECORDS - DEATH CERTIFICATES 25.00
11. REGISTER OF WILLS - ADDITIONAL SHORT CERTIFICATES 8.00
TOTAL (Also enter on line 9, Recapitulation) $ 11 679.03
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
*'
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
PAUL M. WOLGEMUTH, SR.
FILE NUMBER
0620
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. MESSIAH VILLAGE - FINAL BILL
VALUE AT DATE
OF DEATH
3AOO.13
2. CITI-BANK
438.70
3. VERIZON - PHONE
27.49
4. OUTSTANDING CHECK AT TIME OF DEATH - EQUITABLE LIFE INSURANCE
8,852.00
5. IRS - 2005 ESTIMATED TAX PAYMENT
1,972.00
6. PA. DEPT. OF REVENUE - 2005 ESTIMATED TAX PAYMENT
1,312.00
7. JOSEPH BROWN, CPA
1,000.00
8. PA DEPT. OF REVENUE - 2004 PENAL TV/INTEREST
14.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
17016.32
REV.1S13 EX + 1*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
PAUL M WOLGEMUTH SR
SCHEDULE J
BENEFICIARIES
.,
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 Dnclude outright spousal distributions. and transfers under
Sec. 9116 (a) (1.2)]
1. PAUL M WOLGEMUTH, JR. Lineal 135,955.47
60 TIMBER VILLAGE, ELlZABETHTOWN, PA 17022
2. KAREN L. ASPLUND Lineal 135,955.47
1035 INDIAN LANDING ROAD, MILLERSVILLE, MD 21108
3. KAROL L. WOLGEMUTH Lineal 135,955.47
23115 HICKORY NUT DRIVE, CALIFORNIA, MD 20619
4. BRENDA K. GACKENBACH Lineal 135,955.47
4210 HOME DALE ROLAD, ELDERSBURG, MD 21784
5. JENNIFER A. WOLGEMUTH Lineal 5,000.00
17 SUNRISE DRIVE, MONTVALE, NJ
6. JASON S. WOLGEMUTH Lineal 5,000.00
9538 APPLE VALLEY DRIVE, INDEPENDENCE, KY 41051
7. F. MARK OBERSON Lineal 5,000.00
1035 INDIAN LANDING ROAD, MILLERSVILLE, MD 21108
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 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
FILE NUMBER
0620
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
PAUL M. WOLGE!v1UTH, SR.
Decedent's Name
Page 1
21 05 0620
File Number
Schedule J - Beneficiaries - 1
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)
8. P. GREGORY OBERSON Lineal 5,000.00
1035 INDIAN LANDING ROAD, MILLERSVILLE, MD 21108
9. HEIDI GACKENBACH Lineal 5,000.00
4210 HOME DALE ROAD, ELDERSBURG, MD 21784
10. PETER GACKENBACH Lineal 5,000.00
4210 HOME DALE ROAD, ELDERSBURG, MD 21784
11. ANDREW GACKENBACH Lineal 5,000.00
4210 HOME DALE ROAD, ELDERSBURG, MD 21784
12. ANDREW W. GLASS Lineal 5,000.00
17 SUNRISE DRIVE, MONTVALE, NJ
: .
tOflf
WILL
OF
PAUL M. WOLGEMUTH
I, PAUL M. WOLGEMUTH, currently of Upper Allen Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any
and all prior Wills and Codicils made by me.
I. I direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
II. I direct that all estate and inheritance taxes that may be assessed in consequence of
my death, shall be paid out of the principal of my general estate to the same effect as if said
taxes were expenses of administration and all property includable in my taxable estate
whether or not passing under this Will shall be free and clear thereof.
III. I bequeath unto my wife, Verda W . Wolgemuth, all tangible personal property
which I own at my death. In the event that she predeceases me, this bequest shall pass unto
my children who survive me.
IV. All the rest, residue and remainder of my estate, of whatever nature and wherever
situate, including property over which I hold a power of appointment, I devise and bequeath
unto my wife, Verda.
V. In the event that my wife, Verda, does not survive me, I devise and bequeath my
residuary estate that would have otherwise passed under Paragraph IV above as follows:
A. If I still own my farm in Mt. Joy Township, Lancaster County,
Pennsylvania, I devise said real estate unto The Mennonite Foundation, Inc.,
Goshen, Indiana.
B. I bequeath the sum of Five Thousand Dollars ($5,000) unto each
of my grandchildren and great-grandchildren who survive me. Currently, my
grandchildren are Jennifer, Jason, Frederick Mark, Paul Gregory, Heidi, Peter
and Andrew, and my great-grandchild is Andrew Wolgemuth Glass.
-1-
. .
c. All the rest, residue and remainder of my estate shall be divided
equally among my four (4) children, namely, Paul, Karen, Karol and Brenda.
If any child predeceases me, his or her share shall pass unto his or her issue
per stirpes. If said child leaves no issue, said share shall lapse and be added
to the shares passing to my other children or their issue per stirpes.
VI. I appoint my wife, Verda W. Wolgemuth, Executrix of this my Will. In the event
that she fails to qualify or ceases to act as Executrix, I appoint my children, Paul M.
Wolgemuth, Jr., and Karen L. Asplund, Executors, or the survivor of them as sole Executor,
of this my Will.
VII. I direct that no bond be required of my fiduciaries for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I, PAUL M. WOLGEMUTH, herewith set my hand to
this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and
signatures of witnesses, this a / si day ofS ~f~;lfJ,I/ , 2004.
&~Z;~~SEAL)
PAUL M. WOLGE TH
Signed by PAUL M. WOLGEMUTH, by him declared to be his Will in our presence,
who have hereunto subscribed our names as witnesses in his presence and at his request, this
:1,(} f day ofS<2,4!,JHt Ly' , 2004.
~~~ i1~..<> ~
:,z; 111;;~9
residingatt:2. -1. .4. ,-;::
residingat a2';llrli~1 I1f
-2-
.-
, .
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF L{€>ft1JON
WE, PAUL M. WOLGEMUTH, C /f,.(hz.--1J s. rJ(? bl/Jf.L and ~(/I M t.h{~~..,..rL J...
, the testator and the witnesses, respectively, whose names are signed to the
attached or foregoing instrument, being first duly affirmed, do hereby declare to the
undersigned authority that the testator signed and executed the instrument as his Last Will
and that he signed willingly (or willingly directed another to sign for him), and that he
executed it as his free and voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the testator, signed the Will as witnesses and .
that to the best of our knowledge the testator was at that time eighteen years of age or older,
of sound mind and under no constraint or undue influence.
~~~
PAUL M. WOLGEMUTH
~~~.
WITNESS /
MpttJ~
WITNESS
Subscribed, sworn or affirmed and acknowledged be.A>re me by PAUL M.
WOLGEMUTH, the testator, G ~~II-(!) J,. f:,~ / ..v.r~ 'Z and (~&I J M ~ '*Ylllvtl ~ \,0-,
witnesses, this ~ (Sf day of Sf(J~ '-<- , 2004.
uJt
SEAL)
otary Publi
NOTARIAL SEAL
WENDYl. CRAWFORD, NotaryPubDc
Palmyra Bora., Lebanon County
Commission Expires Sept 10, 2005
-3-
LAW OFFICES
BRINSER, WAGNER & ZIMMERMAN
6 EAST MAIN STREET - SECOND FLOOR
(EAST MAIN & SOUTH RAILROAD STREETS)
P. O. BOX 323
PALMYRA, P A 17078
PHONE: (717) 838-6348
FAX: (717) 838-6912
:i> L\ ~ ~ \Y\t, ~
GERALD J. BRINSER
KEITH D. WAGNER
JOHN M. ZIMMERMAN
MECHANICSBURG OFFICE
MESSIAH VILLAGE
100 MT. ALLEN DRIVE
MECHANICSBURG, P A 17055
PHONE/FAX (717) 795-1737
March 23, 2006
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Court House
S. Hanover Street
Carlisle, P A 17013
In Re:
Paul M. Wolgemuth, Sr., Estate
File No. 21-05-0620
Dear Ms. Strasbaugh:
Enclosed you will find two (2) copies of the Inheritance Tax Return for the Estate of
Paul M. Wolgemuth, Sr., along with two checks: one in the amount of$I,272.02 in payment
of the balance of tax due, and one in the amount of $50.00 representing additional letters.
If you have any questions, please feel free to contact me.
Thank you.
Very truly yours,
BRINSER, WAGNER & ZIMMERMAN
W~~.~
Wendy L. Crawford
Estate Paralegal
WLC
Enclosures
c: file