HomeMy WebLinkAbout04-26-06
~EV -15Q~ EX + (6..00)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I FILE NUMBER
21 05
L___CQUNTY C<QDE YEAR
714
NUMBER
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG, PA 17128-0601
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I DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
I Fraker, Clarence E.
!-OATE-OF DEATH-(MM-=OO-YEAR) TOATE OF-BIRTH(MM-OO.:yEAR)
07/24/2005
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~ 1. Original Return
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SOCIAL SECURITY NUMBER
178-16-6590
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
I
03.- Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
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)
8. Total Number of Safe Deposit Boxes
4. limited Estate
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TELEPHONE NUMBER
717/249-5373
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o 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)
11 Roadway Drive, Suite B
Carlisle, PA 17013
(1 )
(2)
(3)
(4)
None
794.86
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None
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None
(5) 58,390.64
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(7) None
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(8)
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59,185.50
(9) 3,081.09
--------_..-------
(10) 5,098.34
(11 )
8,179.43
(12)
51,006.07
(13)
13. Charitable and Governmental Bequests/Sec 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)
(14)
51,006.07
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
z I 51,006.07 .045 (16)
0 16.Amount of Line 14 taxable at lineal rate x
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Il. 17. Amount of Line 14 taxable at sibling rate x .12
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0
~ 18. Amount of Line 14 taxable at collateral rate x .15 (18)
....
------- -------
19. Tax Due (19)
I
I 20. ~
2,295.27
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
2,295.27
- - ------
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
Copyright 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
I STATE PA ZIP 17241
(1 ) 2,295.27
- -
2,284.68
114.76
Total Credits (A + B + C) (2) 2,399.44
Decedent's Complete Address:
STREET ADDRESS
846 Green Spring Road
CITY
Newville
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
TotallnteresUPenalty (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 theTAX DUE. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
104.17
0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
No
~
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1. Did decedent make a transfer and: Yes
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 ut
receiving adequate consideration?............................................................n.. .. 0
...0
.0
3. Did decedent own an "in trust for" or payable upon death bank account or s
4. Did decedent own an Individual Retirement Account, annuity, or other non-p
contains a beneficiary designation?............................ .n............................ n.
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPL
: IT AS PART OF THE RETURN.
3lief, it is true, correct and complete. Declaration
AP/l -'~~,
DATE
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DATE
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14 Sycamore D
Miftlintown, p,
1 Coun!ry View Estates
N'~~"ilLe,_I>Al ?~41
ADDRESS
11 Roadway Drive" Suite B
Carlisle,PA 170b
DATE
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)l. The statutedoes not exempta 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.
ESTATE OF
*'
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fraker, Clarence E.
I FilE NUMBER
21 - 05 - 714
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1
2
3
4
5
6
DESCRIPTION
UNIT VALUE
$25.00 US Savings Bond Q6377728735E issued in December of 1979
$50.00 US Savings Bond L2136275913E issued in December of 1978
$25.00 US Savings Bond Q6189931098E issued in December of 1977
$25.00 US Savings Bond Q6189931094E issued in December of 1977
$25.00 US Savings Bond Q6377728734E issued in December of 1979
$50.00 US Savings Bond L2136275916E issued in December of 1978
TOTAL (Also enter on line 2, Recapitulation)
VALUE AT DATE OF
DEATH
92.57
188.52
116.34
116.34
92.57
188.52
794.86
,*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fraker, Clarence E.
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
1
2
3
4
5
6
7
8
9
10
11
12
13
DESCRIPTION
M&T Bank Checking Account No. 34012745
M&T Bank Certificate of Deposit No. 031003913461304
M&T Bank Certificate of Deposit No. 031003913461312
PNC Bank Certificate of Deposit No. 31800247281
PNC Bank Certificate of Deposit No. 31000264421
PNC Bank Checking Account No. 5001063866
Coins
Proceeds from public sale
US Savings Stamp Album
Refund from Comcast
Coins and Cash
Refund from Michael 1. Camlinde & Associates, Inc.
Refund from Millville Mutual Insurance Company
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE OF
DEATH
7,601.28
7,500.00
7,500.00
22,247.65
2,247.00
0.46
700.00
10,147.27
27.75
6.72
369.31
29.20
14.00
58,390.64
.
SCHEDULE H
FUNERAL EXPENSES &
~INISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fraker, Clarence E.
FILE NUMBER
21-05-714
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
B.
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State
Year(s) Commission paid
Attorney's Fees to Knight & Associates, P.c.
Zip
2.
1,400.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
Probate Fees to Register of Wills
State
Zip
4.
186.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
The Sentinel - advertise letters
173.33
2
Cumberland Law Jouma1- advertise letters
75.00
Total of Continuation Schedule{s)
1,246.76
3,081.09
TOTAL (Also enter on line 9, Recapitulation)
*'
Schedule H
Funeral Expenses &
Mninis1r'atiw Costs cootinued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
--,.....,.- ----
------,' .--......... ----..-
-----.----- -~---
--'.-------.
ESTATE OF
Fraker, Clarence E.
----"--
3 The Sentinel - advertise sale
4 Harrisburg Hauling - dumpster
5 Porta-Potty for sale
6 Bruce Killinger - help with sale
7 Robert Noss - help with sale
8 Jean Noss - help with sale
9 Rodney Fraker - runner for sale
10 Linda Markley - runner for sale
11 Robert Markley - runner for sale
12 Mt. Holly Springs Church of God - tables for sale
13 Justin Fraker - runner for sale
14 Becca Fraker - help with sale
15 Letty Fraker - help with sale
16 Thomas G. Clark, CPA - income tax
FILE NUMBER
21-05-714
341.76
396.00
120.00
42.00
28.00
14.00
28.00
42.00
42.00
40.00
48.00
30.00
30.00
45.00
Page 2 of Schedule H
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDE:NT DECEDENT
ESTATE OF
Fraker, Clarence E.
Include unreimbursed medical expenses.
ITEM
NUMBER
1
Sprint - phone bill
2
Belvedere Medical Corporation
3
PPL - electric bill
4
Erie Insurance Group
5
Suburban Energy Services
Barbara Fraker - Personal Care to Decedent
6
7
Pinnacle Health Hospitals
8
Lancaster HMA Phys Mgmt
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
DESCRIPTION
,__
FILE NUMBER
21 - 05 - 714
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
8.17
5.46
93.91
38.00
127.93
4,800.00
12.78
12.09
5,098.34
EV-1513 EX+ (9-00)
.
I
1_
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
---- ----
ESTATE OF
I FILE-~r..JUMB-ER
21 - 05 - 714
Fraker, Clarence E.
NUMBER
NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY
RELATIONSHIP TO
DECEDENT
3)0 Not ListIrustee(s)
I. I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Wade D. Fraker
! 1128 Green Spring Road
. Newville, PA 17241
\
I son
2 Edward D. Fraker
14 Sycamore Dirve
Mifflintown, P A 17059
, son
3 Rodney E. Fraker
1 Country View Estates
I Newville, PA 17241
i son
!
I I I
I Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover she~t
II. ] NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
i
'8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
AMOUNT OR SHARE
OF ESTATE
11/3 residue
I
I
'1/3 residue
I
J/3 residue
I
I
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
II
II
II
LAST WILL AND TESTAMENT
OF
CLARENCEE.FRAKER
I, CLARENCE E. FRAKER, of 846 Green Spring Road, Newville, North Newton
Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking
and making void all previous Wills and Codicils heretofore made by me.
1
I order and direct my personal representative hereinafter named to pay all of my just debts,
funeral expenses and expenses involved or connected with the administration of my estate as soon
after my death as is reasonably possible. However, my personal representative need not accelerate
and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more
advantageous to retain or renew and pay as they become due and payable. If! do not o"vvn a burial
plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or
its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to
expend sums from my estate for this purpose.
2
I direct that the rest, residue and remainder of my estate, together with all insurance proceeds
thereon of whatever nature and wheresoever situate be sold and that the proceeds therefrom be
divided equally among my children, WADE D. FRAKER, of 1128 Green Spring Road, Nev."ville,
,.)
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Page 1 of('6\ :", ~:~ U l :..; ~~' ;~JZ
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LAST WILL A~'D TESTAMENT OF CLARENCE E. FRAKER
Cumberland County, Pennsylvania, RODNEY E. FRAJ(ER, of 30 Forbes Road, Newburg,
Cumberland County, Pennsylvania, and EDWARD D. FRAKER, of 14 Sycamore Drive,
Mifflintown, Juniata County, Pennsylvania, providing that they survive me by sixty (60) days, per
stirpes.
3
I grant my personal representative the following powers in addition to and not in limitation
of such powers as my personal representative shall hold by law:
(a) To retain all property received including the stock of any corporate fiduciary acting
hereunder, provided such property remains productive.
(b) To join in any corporation, partnership, recapitalization, merger, reorganization or
voting trust plan; to delegate authority with respect thereto; to deposit investments
under agreements and pay assessments; and generally to exercise all rights of
investors, including but not limited to, the voting of shares.
(c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate
held or owned by my estate.
(d) To operate any business that I may own at my death.
(e) To invest any funds of my estate in any stocks, bonds, notes or other securities or
property, real or personal, without regard to the principle of diversification or any
other statute or general rule of law in his, her or its absolute discretion, it being my
intention to give my personal representative the broadest investment powers possible,
providing such investments do not unnecessarily prevent the prompt settlement ofmy
estate.
(f) To sell or otherwise dispose of any property, real or personal, tangible or intangible,
at any time forming a part of my estate in any manner and on such terms and
Page 2 of 6
II
I
LAST WILL AND TESTAMENT OF CLARENCE E. FRAKER
conditions as my personal representative shall see fit in his, her, or its absolute
discretion.
(g) To borrow money for the payment of taxes or for any other proper purposes in the
administration of my estate, and to mortgage or pledge estate assets as security.
(h) To compromise claims without court approval including, but not limited to, any
controversies with the United States of America or the Commonwealth of
Pennsylvania concerning estate and inheritance taxes on any interests that may pass
under this my Last Will and Testament.
(i) To distribute in cash or in kind upon any division or distribution of my estate.
G) To undertake any and all acts deemed necessary and proper by my personal
representative for the proper, advantageous and prompt management of the
settlement of my estate.
(k) In general, to exercise all powers in the management of my estate, which any
individual could exercise in the management of similar property owned in his own
right, upon such terms and conditions as to him, her or it may seem best and to
execute and deliver all instruments and to do all acts which she deems necessary or
proper to carry out the purposes ofthis, my Last Will and Testament.
4
No interest of any beneficiary of my estate, either in income or in principal, shall be subject
to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have
the power in any manner to charge or encumber his interest either in income or principal, nor shall
the interest of any beneficiary be liable or subject in any manner while in the possession of my
personal rep.resentative for the liability of such beneficiary.
Page 3 of 6
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LAST WILL AND TEST AMENT OF CLARENCE E. FRAKER
5
I nominate, constitute and appoint my sons, WADE D. FRAK-ER, RODNEY E. FRAKER,
and EDWARD D. FRAKER, or the survivor of them, as Executors of this my Last Will and
Testament. I direct that my personal representative shall not be required to give or post bond for the
faithful performance of his, her or its duties in this or any other jurisdiction.
6
I hereby declare it to be my express desire that my personal representative employ the law
firm of Hanft & Knight, P.C., of Carlisle, Cumberland County, Pennsylvania, for legal advice and
assistance regarding this my Last Will and Testament, they having considerable knowledge of my
affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the
administration of my estate, and the execution of the powers herein mentioned. Any mention of
Hanft & Knight, P.C. in this my Last Will and Testament, is my free and voluntary act and through
no influence by any person.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament
this 8 t-.4 day of -:::.J'Vr....o-1 , 2004.
I
WITNESS:
)~~
,t~ 6 ~~l-/
Clarence E. Fraker
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Page 4 of 6
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LAST WILL AND TEST AMENT OF CLARENCE E. FRAKER
ACI<.NO\VLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
I, Clarence E. Fraker, the Testator 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 Will and Testament; that I signed it willingly, and that I signed
it as my free and voluntary act for the purposes therein expressed.
L~e't{~
Clarence E. Fraker
Sworn or affirmed and acknowledged before me by Clarence E. Fraker, the Testator, this
11 JNJ --.- (
00 day of ~ fA V ,2004.
I
~ at~t 'r~ 41 Y.h J
Notarial Seal
Doiiy M. Housel, Notary Public
South Middleton Twp., Cumberland County
My Commission Expires Sept. 24, 2006
Member. Pennsvtvania Association Of Notaries
Page 5 of 6
II
LAST WILL AND TEST AMENT OF CLARENCE E. FRAKER
AFFIDA VIT
I COMMONWEALTH OF PENNSYL V ANlA
SS.
COUNTY OF CUMBERLAND
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and Q,f'i IV) , \ t I Cfil......-r
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witnesses whose names are attached to the foregoing document, being duly qualified according to
WE, 1v1'~64A-a
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, the
law, do depose and say that we were present and saw Clarence E. Fraker sign and execute the
instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free
and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and
sight of the Testator signed the Last Will and Testament as witnesses and that to the best of our
knowledge the Testator was at the time 18 or more years of age, of sound mind and under no
constraint or undue influence.
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Sworn or affirmed and subscribed before me by t\-1r ~l~A-e-,-
\~o.(\V M, ?i'I'C~ this X~ day of 0ii /1./
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,2004.
Notaria! Seal
Dolly M. Housel, Notary Public
South Middleton Twp., Cumbe11and County
My Commission E~res Sept. 24, 2006
Member. Penfl5'1f,/C!"i::, c.;;soc;iation Of Notaries
J
F:\User Folder\Finn Docs\Wills\2144-1cefwiIl2.wpd
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