HomeMy WebLinkAbout04-17-06
REV-1500 EX + (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
II 06
COUNTY.CODE YEA,Bm
NUMBER
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
McAulay, Evelyn G.
DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
12-12-2005
04-17-1912
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
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X 1 Original Return
2 Supplemental Return
0032
SOCIAL SECURITY NUMBER
559-34-6342
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
3, Remainder Return (date of death prior to 12-13-82)
X 6. Decedent Died Testate (Attach
copy of Will)
9. Litigation Proceeds Received
4a, Future Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Poverty Credit (date of death between
. 12-31-91 and 1-1-95)
8. Total Number of Safe Deposit Boxes
4 Limited Estate
5. Federal Estate Tax Return Required
11.Election to tax under See, 9113(A) (Attach Sch 0)
'THIl>, SECTION MUJlmBE COMPLETED.ALL CORRE~PONDENCEANDCONFIDENTIAL TAXINFORMATION~HQULDBE DIRECTED TO:.______
NAME I COMPLETE MAILING ADDRESS
Michael L. Bangs .
FIRM NAME (If applicable)
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TELEPHONE NUMBER
717/730-7310
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)
z 6, Jointly Owned Property (Schedule F)
~ Separate Billing Requested
:5 7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property
~ (Schedule G or L) Separate Billing Requested
~ 8. Total Gross Assets (total Lines 1-7)
~ 9 Funeral Expenses & Administrative Costs (Schedule H)
a:::
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)
429 South 18th Street
Camp Hill, PA 17011
(1 ) None
(2) 845,478.11
---------
(3) None
---------------
(4) None
(5) 149,807.41
(6) 30,170.86
(7) None
(8) 1,025,456.38
(9) 19,397.40
----------
(10) 2,791.53
(11)
22,188.93
1,003,267.45
0.00
(12)
13, Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14, Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
1,003,267.45
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
0.00
15, Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
or transfers under See, 9116(a)(1 ,2)
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0 0.00 .045 (16)
i= 16 Amount of Line 14 taxable at lineal rate x
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D.. 17,Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
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u 18, Amount of Line 14 taxable at collateral rate 1,003,267.45 x .15 (18)
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I- 19 Tax Due (19)
20,0
0.00
0.00
150,490.12
150,490.12
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
Copyriqht 2002 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00:
Decedent's Complete Address:
STREET ADDRESS
105 Linden Drive
CITY Camp Hill
STATE P A
I ZIP 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
150,490.12
0.00
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT (4)
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theT AX DUE (5) 1 50,490.1 2
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is theBAlANCE DUE (58) 1 50,490. 1 2
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;............ .............................. ..............on......
b. retain the right to designate who shall use the property transferred or its income;..................
c. retain a reversionary interest; or... ..........................__............................n....................
d. receive the promise for life of either payments, benefits or care?..... ........................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?................ ........ ............... ....... .......... ............... ................ on.....................
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?... ................ ......... ...... ........ ........ ........._............. ......... ..... ....
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Jnder 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
:omplete. p'e~~ation ~!_prf3~?_~er other t~an the_E~rsonal repres~nt<3tive is__~~sed on all Information of whIch preparer has any knowledge
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
R~,RjIld M. 'N,.jlson , ~
/ '_A"AI /JP ~1cR.
SlNkWbt~Rflili?i~.ES~SI~~NG RETLiRN
I/L,t_~./l1/( ~/ ,~. 'J
lGNATURE OF PREPARER-OTHER H REPRESENTATIVE
Michael L. Bangs
DATE
105 Linden Drive
Camp Hill, PA 17011
~j3j;f;
DATE
ADDRESS
ADDRESS
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429 South 18th Street
CampHiII,PA 17011
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. S9116 (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. S9116 (a) (1.1) (ii)]. The statutedoes 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. S9116 (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.
S9116 1.2) [72 P.S. S9116 (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. S9116 (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.
~ev-1503 EX+ (6-98)
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 924 shares of Allegheny Power 31.05 28.690.20
2 32 shares of Allete 46.50 1,488.00
3 1,260 shares of Allied Irish 43.54 54.860.40
4 80 shares of Avista 18.49 1,479.20
5 1,697 shares of Axcelis Stock 4.85 8.230.45
6 232 shares of Bell South 27.60 6,403.20
7 3,644 shares of Boeing 69.89 254.679.16
8 139 shares of Delphi Automotive .36 50.04
9 234 shares of Devon Energy 66.79 15.628.86
10 2,880 shares of Eaton 65.56 188.812.80
11 400 shares of Entergy 70.49 28.196.00
12 1,394 shares of Exxon Mobil 58.82 81.995.08
13 672 shares of Florida Power & Light 42.19 28.351.68
14 480 shares of Fortune Brands 76.72 36.825.60
15 480 shares of Gallagher Group 62.42 29.961.60
16 200 shares of General Motors 22.96 4.592.00
Total of Continuation Schedule(s) See attached page
TOTAL (Also enter on Line 2, Recapitulation) 845,478.11
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule B (Rev 6-98)
KeV-l::>U~ I:.A+ {ti-::HSJ
SCHEDULE B
STOCKS & BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
ESTATE OF
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
17 1,472 shares of Mead Westvaco 28.29 41.642.88
18 344 shares of Texas Utilities 52.59 18.090.96
19 16 Series HH Savings Bonds 15.500.00
!
!
TOTAL (Also enter on Line 2, Recapitulation) 845.478.11
CopyriQht (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Frank R. Baker
146 Springhouse Lane
Spring Grove, P A 17362
Phone: 717/225-5450
Fax: 717/225-0494
e-mail: frankr.baker@suscom.net
January 20, 2006
Bangs Law Office
429 S. 18th St.
Camp Hill, PA 17011
Here is the information you requested concerning the values of the holdings owned by Evelyn G.
McAulay as of Dec. 12,2005.
Equities High Low Average Shares Value
Axce1is ACLS 4.92 4.77 4.85 1697 8,230.45
Allegheny Power AYE 31.25 30.84 31.05 924 28,690.20
Allied Irish AIB 43.81 43.26 43.54 1260 54,860.40
Fortune Brands FO 77.20 76.23 76.72 480 36,825.60
Bell South BLS 27.70 27.50 27.60 232 6,403.20
Boeing BA 70.24 69.54 69.89 3644 254,679.16
Devon Energy DVN 67.53 66.04 66.79 234 15,628.86
Eaton ETN 66.00 65.12 65.56 2880 188,812.80
Entergy ETR 71.25 69.73 70.49 400 28,196.00
Exxon Mobil XOM 59.13 58.50 58.82 1394 81,995.08
FPL FPL 42.42 41.97 42.19 672 28,351.68
Gallagher Group GLH 62.57 62.26 62.42 480 29,961.60
General Motors GM 23.22 22.70 22.96 200 4,592.00
Mead Westvaco MWV 28.4 7 28.1 0 28.29 1472 41,642.88
Texas Utilities TXU 53.17 52.00 52.59 344 18,090.96
Avista AVA 18.84 18.13 18.49 80 1,479.20
Delphi Automotive DPHIQ .40 .32 .36 139 50.04
Touchamerica 1200 Bankrupt
Allete ALE 46.93 46.07 46.50 32 1,488.0C
Total $829,978.11
If you have any questions, please call me at 717 225 5450.
Sincerely,
-t;~. rZDtv
Frank R. Baker
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SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
ESTATE OF
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Automobile - 2004 Buick Century Automobile (see Bill of Sale attached)
VALUE AT DATE
OF DEATH
11,990.00
2 Wachovia Bank, N.A. - Certificate of Deposit #247402052266750
7,137.24
3 Wachovia Bank, N.A. - Checking Account #1010110809203
23,627.61
4 Wachovia Bank, N.A. - Checking Account #1010118641560
107,052.56
TOTAL (Also enter on Line 5, Recapitulation)
149,807.41
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
-
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WACHOVIA
Reference ID: 1499434
Wachovia Bank N.A.
Balance Confirmation Services
POBox 40028
Roanoke, VA 24022-73 13
February 2, 2006
BANGS LAW OFFICE
429 SOUTH 18TH STREET
CAMPHILL,PA 17011
SUBJECT: Verification / Confirmation of Account and Balance Information provided for:
Customer: EVELYN G MCAULAY (SSN# 559-34-6342)
Date of Death: December 12, 2005
Deposit Account Information
Account
Type
Account
Number
Date of Death
Balance
Average
Balance*
Date
Opened
Maturity
Date
Interest Accrued YTD Date
Rate Interest Interest Paid Closed
CERTIFICATE OF DEPOSIT
247402052266750
$7,137.24
5/24/2005
$9.48
$137.24
1/26/2006
LEGAL TITLE: EVELYN G MCAULAY
RONALD M WILSON
CHECKING 1010110809203
LEGAL TITLE: EVELYN G MCAULAY
RONALD M WILSON
$23,627.61
3116/2005
$1.67
$10.61
CHECKING
1010118641560
$107,052.56
8/24/2005
$87.49
$598.14
1 /26/2 006
LEGAL TITLE: EVELYN G MCAULA Y
RONALD M WILSON
* Due to system limitations, we can only provide a twelve month average balance on depository accounts.
Other Account Information
Account
Type
Account
Number
Date of Balance
Date
Opened
Date
Closed
Ledger
Collected
SAFE DEPOSIT BOX
0758534800759
4/21/2005
LEGAL TITLE: EVELYN G MCAULAY
LOCATION:
1200 CAMP HILL MALL
CAMP HILL, PA 17011
0000 000614
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rVACHOVIA
Reference ID: 1499434
* Date of death balance does not include accrued interest.
* If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were
made during th~~ time period.
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Audrey Troutt
Servicenter Associate
Phone: (540)563-7323
abs; at
BILL OF SALE
The Estate of Evelyn G. McAulay, by and through the Executor, Ronald M. Wilson, sells
all of its right, title and interest in and to the 2004 Buick Century automobile for the sum of
Eleven Thousand Nine Hundred Ninety and 00/100 ($11,990.00) Dollars, to John Miller.
Date: 1/27/06
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!;ltrryf: . . .I" }..)/' h % p-c-
RONALD M. WILSON, Executor
Rev-1509 EX+ (6-98)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
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
A. Ronald M. Wilson
ADDRESS
RELATIONSHIP TO DECEDENT
105 Linden Drive
Camp Hill, PA 17011
Nephew
B.
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
LETTER DATE
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST
JOINTLY-HELD REAL ESTATE.
1 A 1/22/1997 First Citizens Bank - Certificate of 13.517.13 50.000% 6.758.57
Deposit #0130777475 (JTWROS)
2 A 10/11/2000 First Citizens Bank - Certificate of 23.226.80 50.000% 11.613.40
Deposit #0130998569 (JTWROS)
3 A 1/22/1997 First Citizens Bank - Checking Account 23.597.78 50.000% 11.798.89
#0136752486 (JTWROS)
TOTAL (Also enter on Line 6, Recapitulation) 30.170.86
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 ScheduleF (Rev. 6-98)
~RSr
CITIZENS
BANK
Estate of Evelyn G McAulay
Date of death: 12/12/2005
Account No.: 0130777475
Type of account: Certificate of Deposit
Current Balance: $13,769.52
Principal Balance on Date of Death: $13.517.13
Interest Accrued but not Paid on Date of Death: $225.88
Interest Paid This Year up to Date of Death: $141.20
Account No.: 0130998550
Type of account: Certificate of Deposit
Current Balance: Account Closed 10/11/2005
Principal Balance on Date of Death:
Interest Accrued but not Paid on Date of Death:
Interest Paid This Year up to Date of Death:
1/20/2006
cu,LJ,,-CL.. \cLC~CL-
By: First-Citizens Bank
FIRST CITIZENS BANK ACCOUNT SIGNATURE CARD
CDtT
0130777475
Acct Type
01/22/97
Branch
017
Opened by
CLAUDINE BURRIS
EVELYN G MCAULAY
RONALD M WILSON
Account Ownership Designation
JOINT ACCOUNT WITH RIGHT OF SURVIVORSHIP (G S 53-1461)
We understand that by establishing a JOint account With nght of survIVorship under the provIsions of North Carolina General Statute
53-1461 that (1) The Bank may pay money In the account to, or on the order of, any person named In the account unless we have
agreed With the Bank that Withdrawals reqUIre more than one signature, and (2) Upon the death of one JOint owner the money
remaining In the account will belong to the surviving JOint owner(s) and Will not pass by rnhentance to the heirs of the deceased JOint
owner or be controlled by the deceased JOint owner's Will We DO elect to create the fight of survivorship In this account
This account IS subject to the proVIsions of the First CItizens Bank DepOSit Account Agreement, as the same may..be amended from
time to time, and to applicable state and federal law (Includrng the provIsions of N C G S 53-1461), as the same may be amended
from time to time I acknowledge receipt of the First Citizens Bank DepOSit Account Agreement and applicable Truth In Savings
Disclosures pnor to openrng this account
Under penalties of perJury, I (the first signer below) certify (1) that the number shown on this form IS my
correct taxpayer Identification number and (2) that I am not subject to backup withholding either because I
have not been notified that I am subject to backup withholdmg as a result of a failure to report all mterest or
dividends, or the Internal Revenue.service has notified me that I am no longer subject to backup wlthholdmg.
(IRS regulations require that you strike out the language certlfymg that you are not subject to backup
wlthholdmg due to notified payee underreportmg If you have been notified that you are subject to this type of
withholdmg and you have not received a notIce from the IRS advismg you that backup wlthholdmg has
term mated)
NOTE: The Internal Revenue Service does not require your consent to any proviSion of this document other
than the certIfication required to aVOId b ckup withholding.
)
SSN 559346342
1'8t. ,2'r{' ] 13'..r
Signature
Date 1-J.)-L11
Date .2-;- 7'7
Account Owners
Signature
Signature
Date
Authonzed Signers
The AuthOrized Signers Identified below are authorIZed signers only and have no ownership Interest In this account The Bank may honor the
signature of any Account Owner or AuthOrized SIgner In the transfer or payment of funds or the transaction of any bUSiness relating to this account
JI"-"-
'I""lI.q,.,\O"I~ rrl') 1 1 f991
SpeCial ReqUirements
~ST
CITIZENS
BANK
Estate of Evelyn G McAulay
Date of death: 12/12/2005
Account No.: 0130998569
Type of account: Certificate of Deposit
Current Balance: $23,270.24
Principal Balance on Date of Death: $23,226.80
Interest Accrued but not Paid on Date of Death: $1.39
Interest Paid This Year up to Date of Death: $505.39
Account No.: 0130999772
Type of account: Certificate of Deposit
Current Balance: Account Closed 09/29/2004
Principal Balance on Date of Death:
Interest Accrued but not Paid on Date of Death:
Interest Paid This Year up to Date of Death:
1/20/2006
~.. \LZ-C'.~
By: First-Citizens Bank
1111111111111111111111111111111111111111111111111111111111111111111111
~ ACCOUNT SIGNATURE CARD
.- FIRsr
CITiZENS
BANK
I 111111 111111111111111 lUll 11111 11111 11111 1111111111111
000130998569
Acct Type
Cert~f1cate of Depos~t - 24MO
10/11/2000
Branch
017
Opened by
C Burr1S
EVELYN G MCAULAY
RONALD M WILSON
Account Ownership Designation
JOINT ACCOUNT WITH RIGHT OF SURVIVORSHIP (N C G S 53.1461)
We understand that by establishing a JOint account wIth right of survivorship under the provISions of North Carolrna General Statute
53-146 1 that (1) The Bank may pay money In the account to, or on the order of, any person named In the account unless we have
agreed with the Bank that withdrawals reqUire more than one signature, and (2) Upon the death of one jornt owner the money
remaining In the account will belong to the survIving JOint owner(s) and will not pass by inherItance to the heirs of the deceased JOint
owner or be controlled by the deceased JOInt owner's WIll We DO elect to create the nght of survivorship In thiS account
ThiS account IS subject to the prOVIsIons of the First Clbzens Bank DepOSit Account Agreement, as the same m.ay be amended from
time to time, and to applicable state and federal law (Including the prOVISions of N C G S 53-1461), as the same may be amended
from time to trme I acknowledge receipt of the First Citizens Bank DepOSit Account Agreement and applicable Truth In Savings
DIsclosures pnor to opening thiS account
Under penaltIes of perJury, I (tht\ first signer below) certify (1) that the number shown on thIS form IS my
correct taxpayer IdentificatIOn number and (2) that I am not subject to backup wlthholdmg either because I
have not been notified that I am subject to backup wlthholdmg as a result of a failure to report all Interest or
diVidends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding
(IRS regulations require that you strike out the language certifying that you are not subject to backup
wlthholdmg due to notified payee underreportmg If you have been notified that you are subject to thiS type of
withholding and you have not received a notice from the IRS advlsmg you that backup wlthholdmg has
terminated).
NOTE The Internal Revenue Service does not require your consent to any prOVISion of thiS document other
than the certificatIon required to a I backup wlthhol 109
Account Owners Signature X /oh/pt7
SSN 559346342 Date
Signature )( Date //)j~ ~tl
Signature Date
Authonzed Signers
The Authorized Signers Identified below are authorized signers only and have no ownership Interest In thiS account The Bank may honor the
Signature of any Account Owner or Authorized Signer In the transfer or payment of funds or the transaction of any busmess relatmg to thiS account
SpeCial ReqUirements
FCB0102
REV 5/99
~
CITIZENS
BANK
Estate of Evelyn G McAulay
Date of death: 12/12/2005
Account No.: 0136752486
Type of account: Quest Checking With Interest
Current Balance: $21,173.39
Principal Balance on Date of Death: $23,597.78
Interest Accrued but not Paid on Date of Death: $1.70
Interest Paid This Year up to Date of Death: $17.39
Account No.: 5407641000130376
Type of account: MasterCard
Current Balance: Paid in full 12/30/2005
Principal Balance on Date of Death: $82.55
Interest Accrued but not Paid on Date of Death:
Interest Paid This Year up to Date of Death:
1/20/2006
/"'1 C)
LL.Y1.Af-u?1.- \~e . e...____
By: First-Citizens Bank
FIRST CITIZENS BANK ACCOUNT SIGNATURE CARD
0136752486
Acct Type
Quest Account
01/22/97
Branch
017
Opened by
CLAUDINE BURRIS
EVELYN G MCAULAY
RONALD M WILSON
Account Ownership DeSignation
JOINT ACCOUNT WITH RIGHT OF SURVIVORSHIP (G S 53-1461)
We understand that by establishing a JOint accour.t With right of sUrvlvorshlp under the provIsions of North Carolina General Statute
53-146 1 that (1) The Bank may pay money In the account to, or on the order of, any person named In the account unless we have
agreed With the Bank that Withdrawals require more than one signature. and (2) Upon the death of one JOint owner the money
remaining In the account will belong to the surviVing JOint owner(s) and will not pass by inheritance to the heirs of the deceased JOint
owner or be controlled by the deceased JOint owner's will We DO elect to create the right of survIVorship In thiS account
ThiS account IS subject to the provISions of the First CitIZens Bank DepOSit Account Agreement, as the same may be amended from
time to time, and to applicable state and federallaw (Including the provISions of N C G S 53-1461), as the sam; may be amended
from time to time I acknowledge receipt of the First Citizens Bank DepOSit Account Agreement and applicable Truth In Savings
Disclosures prior to opening thiS account
Under penalties of perjury, I (the first signer below) certify (1) that the number shown on thiS form is my
correct taxpayer Identification number and (2) that I am not subject to backup Withholding either because I
have not been notified that I am subject to backup Withholding as a result of a failure to report all Interest or
diVidends, or the Internal Revenue.Servlce has notified me that I am no longer subject to backup withhold mg.
(IRS regulations require that you stnke out the language certifYing that you are not subject to backup
withholdmg due to notified payee underreportmg if you have been notified that you are subject to thiS type of
withholdmg and you have not received a notice from the IRS advlsmg you that backup wlthh.oldlng has
termmated)
NOTE: The Internal Revenue Service does not require your consent to any prOVISion of thIS document other
than the certification required to aVOid backup Withholding.
'1t!1~ 1 !~~(i^~~__~ Oat,
Signature t _~ _.. L _ _-I.. .....L"-,-J ~ ----4}- Date
Account Owners
SSN
559346342
Signature
/-u-:17
~!h7'
/'31. 27 J?~ j
Signature
Date
AuthOrized Signers
The AuthOrized Signers Identllied below are authonzed signers only and have no ownership Interest In thiS account The Bank may honor the
signature of any Account Owner or AuthOrized Signer In the transfer or payment of funds or the transaction of any bUSiness relating to thiS account
BECE'VED FES 1 1 19D7
SpeCial ReqUirements
KeV-l::m" t:A.+ {b-~tIi'
SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cumberland Law Journal - Estate Advertising
75.00
2
Fackler-Wiedeman Funeral Home - Additional death certificates
374.40
3
Register of Wills - Additional Short Certificates
160.00
4
The Sentinel - Estate Advertising
100.00
Subtotal
709.40
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
ESTATE OF
Include un reimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Cingular
VALUE AT DATE
OF DEATH
4.53
2 Cingular
3 Kelly Home Care Services, Inc.
4 Kelly Home Services
5 Kelly Home Services
6 MasterCard - First Citizens Bank
7 PP&L Electric
8 PP&L Electric
24.19
403.75
1.517.25
684.25
82.55
39.60
35.41
TOTAL (Also enter on Line 10, Recapitulation)
2,791.53
(If more space is needed, additional pages of the same size)
CopyriQhl (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
Kt:.V-l~lJ t:.AT {~-UU'
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
NUMBER
McAulay, Evelyn G.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-06-0032
ESTATE OF
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
See attached schedule
Total 33,000.00
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 ScheduleJ (Rev. 6-98)
SCHEDULE ,J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Evelyn G. McAulay 559-34-6342 12/12/2005
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 John M. Adams, Jr. Other 10,000.00
Post Office Box 265
Columbus, MS 39703
2 Karen S. Lencioni Niece 4,000.00
3 Wetherburn Drive
Enola, PA 17025
3 Christian Maguire Nephew 4,000.00
4 Fieldstone Estates
Newmarket, NH 03857
4 Jerry I. Maguire Nephew 7,000.00
2221 Summerfield Lane
Harlingen, TX 78550
5 Matthew D. Wilson Nephew 4,000.00
39 Circle Drive
Camp Hill, PA 17011
6 Michael B. Wilson Nephew 4,000.00
5742 Woodfount Glade
New Market, MD 21744
7 Ronald M. Wilson Nephew Remainder of Estate
105 Linden Drive
Camp Hill, PA 17011
Total 33,000.00
1
STATE OF NORTH CAROLINA
LAST WILL AND TESTAMENT
COUNTY OF MECKLENBURG
I, EVELYN G. McAULAY, of Mecklenburg County, North Carolina,
do hereby revoke all former wills made by me, and do hereby make,
publish and declare this to be my last will and testament in
manner anf form as follows:
1. I direct my executrix, hereinafter named, to pay all
of my just debts and funeral expenses as soon after my death as
possible.
2. I will and bequeath the sum of $10,000.00 to John M.
Adams, Jr.
3. I will and bequeath the sum of $7,000.00 to my nephew,
Rev. Jerry I. Maguire.
4. I will and bequeath the sum of $4,000.00 to my nephew,
Michael B. wilson.
5. I will and bequeath the sum of $4,000.00 to my nephew,
Matthew D. Wilson.
6. I will and bequeath the sum of $4,000.00 to my niece,
Karen W. ~=<L~___. ' i.r../c.,r (J I'{ I f: /:.r III
7. I will and bequeath the sum of $4,000.00 to my nephew,
Christian Maguire.
8. All the remainder of my property of every sort, kind
and description, both real and personal, I will, devise and
bequeath to my sister, Thelms E. Wilson, absolutely and in fee
simple.
In the event that my sister, Thelma E. Wilson, is not
living at the time of my death, I will, devise and bequeath all
of the property my sister would have taken if living to my
nephew, Ronald M. Wilson, absolutely and in fee simple.
9. I hereby constitute and appoint my sister, Thelma E.
wilson. as Executrix of this my last will and testament, and I
1ereby glve and grant unto her full power and authorlty to sell
~ny of my property, or do any other act, without Order of Court,
and without Bond, which in her opinion is for the best interest
C)f my estate.
And I do further provide that if my sister is
not living at the time of my death, or be for any reason unable
to act, then and thereafter, Ronald M. Wilson shall become, be
and act as the Executor of this my last will and testament with
all the duties, powers and authority as herein given to my
original Executrix.
I, EVELYN G. McAULAY, the testatrix, sign my name to this
instrument this
17Th
day of December, 1991, and being
first duly sworn, do hereby declare to the undersigned authority
that I sign and execute this instrument as my last will and that
I sign it willingly, that I execute it as my free and voluntary
act for the purposes therein expressed, and that I am eighteen
years of age or older, of sound mind, and under no constraint or
undue influence.
k'l, W
.~.... L; ; ('
- ) lJ1iJCJ )Wu,Cfi.vLlmLI
EVELYN G. ~. AULAY (I
\J
We J,teJdH 1< C;T1? II Vv'N
-,' J ,C R i?1>=:- .~..J -r:::-
, ~.. _1..E;.1:~~_
the
witnesses, sign our names to this instrument, being first duly
sworn, and do hereby declare to the undersigned authority that
the testatrix signs and executes this instrument as her last will
and that she signs it willingly, and that each of us, in the
presence and hearing of the testatrix, hereby signs this will as
witnesses to the testatrix's signing, and to the best of our
knowledge the testatrix is eighteen years of age or older, of
sound mind, and under no constraint or undue influence.
fl;4,S~~&aLL~~~_
Witn~s
~ '0 J Cu\u
Wlt~ '
1.\l\J.K.l-n L.H..KVLl. ("'/1.
COUNTY OF MECKLENBURG
Subscribed, sworn to and acknowledged before me by EVELYN
G. McAULAY, the testatrix, and subscribed and sworn to before mE
by ;:TFJ~'iC'il::.--=2~1LL\[ ____ and _ 'J , !--,--{J3e7l:.;,:{?~L-:;J"'__~_'
witnesses, this _/7/~ day of December, 1991.
___iJ&Zt~.~ ~r;~._
Notary Public
My commission expires: _/ --/l~~- ~~__
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
-
, Deceased
No. 21-06-0032
Date of Death 12/12/2005
Social Security No. 559-34-6342
Estate of Evelyn G. McAulay
also known as
Ronald M. Wilson
.. .--..-.. --- .... . ----- --
--- ----..-... -- ---- --.. ---- ----------
The PersonaTRepresentative(s) of the above Estate, deceased, verify that the items appearing inthe foTiowlnglnventory
include all of the personal assets wherever situate and all of the real estate located 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 the Decedent owned no real estate outside of 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 are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities.
Attorney:
Michael L. Bangs
Personal Represent~~
/ ~ ? r-I
_ Signature: .~ ~ f'" $~.4J~
Ronald M. Wilson
Signature:
1.0. No.:
41263
Signature:
Firm:
Address: 429 South 18th Street
Cam~ HiII,!,A.1?011
Telephone: 717/730-7310
Address: 105 Linden Drive
Camp Hill, PA 17011
----
Telephone: 717 -737 -7973
-?d1j~~.___.___
Dated:
Personal Property
Cash...............................................................................................
Personal Property.......... ....... ...... ...... ................ ....... .....................
Stocks/Listed ....... ............. ............. ...... ................... .......................
Stocks/Closely Held ........ ..... ...... .......... .........................................
Bonds.. ....... ..... ............... ..... ...................... .... ................ ........ ...... ...
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property........... ..................... ................... ......................
149,807.41
829,978.11
15,500.00
Total Personal Property.........................................
995,285.52
Total Real Property.......... .... ............... ...... .............
995,285.52 I
Total Personal and Real Property.........................
Total Out-of-State Real Property..........................
BAN6S LAW OFFICE
4-29 SOUTH 18TH STREET
CAMP HILL, PA 17011
E-mail: mikebangs@verizon.net
PHONE: 717-730-7310
FA}(: 717-730-7374
MICHAEL L. BANGS, Attorney-at-Law
WENDY K. STRAUB, Paralegal
WILLIAM E. MILLER, JR.
Of Counsel
April 14, 2006
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
RE: Estate of Evelyn G. McAulay
File No. 21-06-0032
Dear Mrs. Strasbaugh:
Enclosed you will find the following:
1. The original and one copy of the Pennsylvania Inheritance Tax Return;
2. A check in the amount of$150,490.12 to pay the tax shown to be due;
3. The original Inventory; and
4. A check in the amount of $30.00 to pay the filing fee for these documents.
Kindly file the tax return and send a paid receipt to me in the enclosed, stamped, pre-addressed
envelope.
If you have any questions or require anything further, please contact me directly.
Very truly yours,
\
\
Michael L. Bangs
wks
Enclosures
cc: ML Ronald M. Wilson
CUMMUNWtALI H UF PENN::;YlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BANGS MICHAEL l
429 S 18TH STREET
CAMP Hill, PA 17011
____un told
ESTATE INFORMATION: SSN: 559-34-6342
FILE NUMBER: 2106-0032
DECEDENT NAME: MCAUlA Y EVELYN G
DATE OF PAYMENT: 04/17/2006
POSTMARK DATE: 04/14/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 12/12/2005
NO. CD 006563
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $150,490.12
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK#100
SEAL
INITIALS: MG
RECEIVED BY:
REGISTER OF WILLS
$150,490.12
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
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