Loading...
HomeMy WebLinkAbout07-21-06 .-J 15056051058 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number c2J 05 00343 Date of Birth 198-44-8135 11/14/2004 11/25/1951 Decedent's Last Name Suffix Decedent's First Name MI Studer James N (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Studer Kathy M Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW . 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate 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 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 11. Election to talS U[1der Sec. 9113(1\) (Attach Sch. 0) > .... ' " , CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED'TO: Name Daytime Telephone Number William H. Andring, Esq Firm Name (If Applicable) REGISTER OF WILLS pSE QNLY First line of address 234 North Street t, Second line of address City or Post Office State ZIP Code DATE FILED Harrisburg PA 17101 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this retum, 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. SI~]URE OF PERSON R. ESPO~:7IBLE FOR FILING RETURN ^~, 711 /<5'-~ .'-/ ADDRESS 935 Orr's ridge Road SIGNATU,~E OF.F:R~ARER}JTI;IER .:-/ I'-~ ' ADDRE~S t ,/ 234 North Street, Harrisburg, PA 17 01 PLEASE USE ORIGINAL FORM ONLY DATE .i)-/<r-c'~ DATE 05/18/06 L 15056051058 Side 1 15056051058 .-J '< " -.J 15056052059 REV-1500 EX Decedent's Name: James N Studer RECAPITULATION 1. Real estate (Schedule A). . . .. . . .,. 1. 2. Stocks and Bonds (Schedule B) . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 4. Mortgages & Notes Receivable (Schedule D) . . 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested.. . 7. 8. Total Gross Assets (total Lines 1-7). 9. Funeral Expenses & Administrative Costs (Schedule H). 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . 10. 11. Total Deductions (total Lines 9 & 10). . . .... 11. 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) . . . 12. . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X.O_ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 . . . 14. 15. 16. 19. TAX DUE . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 L Decedent's Social Security Number 198-44-8135 3,574.04 4. 8. 3,574.04 7,500.00 9. 7,500.00 0.00 17. 18. 0.00 15056052059 .-J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME James N Studer STREET ADDRESS 935 Orr's Bridge Road File Number 05 00343 DECEDENT'S SOCIAL SECURITY NUMBER 198-44-8135 CITY Mechanicsburg STATE PA ZIP 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C ) (2) TotallnterestJPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, 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. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (58) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"'N 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 [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [iJ 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. 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 three (3) percent [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 zero (0) percent [72 P.S. S9116 (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 zero (0) percent [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 four and one-half (4.5) percent, 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 twelve (12) percent [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. REV,1503 EX+ (6,> SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF James N. Studer FILE NUMBER 2005-00343 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Option Agreement for 250 Shares of Series C Common Stock in Guard Insurance Group, Inc. VALUE AT DATE OF DEATH 3,574.04 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 3,574.04 REV,1511 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF James N. Studer FILE NUMBER 2005-00343 Debts of decedent must be reported on Schedule 1. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Musselman Funeral Home, 324 Hummel Ave., Lemoyne, PA 7,500.00 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. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 7,500.00 REV,1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF James N. Studer SCHEDULE J BENEFICIARIES FILE NUMBER 2005-00343 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. Kathy M. Studer Wife 100% 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 $ (If more space is needed, insert additional sheets of the same size) Last Will and Testament OF JAMES N. STUDER In rendering final stewardship of the property entrusted to me by the will and grace of God., I, JAMES N. STUDER, of Cumberland County, Pennsylvania, being 0 sound mind and desiring to make proper provision for the distribution of my entire estate, and realizing the uncertainty of this life, and with full confidence and trust in my Lord and Saviour Jesus Christ, in His death on the cross for my sins and in His shed blood as an atonement for my soul, and knowing that by faith in His sacrifice on the cross for me, I have etemallife, do hereby declare and publish this to be my Last Will and Testament, hereby revoking any and all Wills by me at any time heretofore made. ARTICLE I DEBTS, EXPENSES AND DEATH TAXES 1.01 Debts and eXDenses. I direct my personal representative to pay in the due course of the administration of my estate all expenses of my last illness, and funeral and administration expenses. I further direct my personal representative to pay in the due course of the administration of my estate all of my enforceable debts and obligations EXCEPT debts, if any, that are secured by a mortgage or security PAGE 1 OF EIGHT PAGES agreement or other encumbrance. In its discretion my personal representative may continue to pay any installment obligations on an installment basis, or may prepay any or all of such obligations in whole or in part. 1.02 Encumbrances. Any mortgage, lien or other encumbrance upon any property given or distributed hereunder, either outright or in trust, shall be assumed by the person receiving such encumbered property, and my personal representative shall distribute any of my encumbered assets SUBJECT TO the indebtedness and encumbrance upon such assets. 1.03 Taxes. a. I direct my personal representative to pay in the due course of the administration of my estate all estate, inheritance and succession taxes (including interest and penalties thereon) payable by reason of my death with respect to property passing under my Will or any Codicil. b. All such taxes and interest and penalties thereon, payable by reason of my death with respect to other property (Le. property NOT passing under my Will or any Codicil), including, but not limited to, insurance on my life, jointly owned property or U.S. Savings Bonds (however held) shall be charged against the donee, beneficiary, or co-owner receiving such property. 1.04 The above debts, expenses, obligations and taxes directed to be paid by my personal representative shall be paid out of and be charged generally against my residuary estate without reimbursement from any person. PAGE 2 OF EIGHT PAGES In any event if it becomes necessary in the discretion of my personal representative to obtain cash with which to pay the debts, expenses of administration, family allowance and taxes, I direct my personal representative to first seek such cash by selling the assets of my probate estate to, or borrowing on the security of such assets from, the Trustee of the JAMES AND KATHY STUDER REVOCABLE TRUST, dated Fe, b. 2-'1 , , 1993, on such terms and conditions as may be satisfactory to my personal representative. In the event the residuary assets passing under my Will or any Codicil are insufficient to satisfy such obligations and taxes, the personal representative shall so certify to the Trustee of the JAMES AND KATHY STUDER REVOCABLE TRUST, dated r::-e b. 2i-f 1993, who shall satisfy such from the trust corpus. ARTICLE II 2.01 Familv Status. I declare that I am married, my wife being Kathy M. Studer, referred to in this Will as "my wife," and we have three (3) children of our marriage who are now living, namely: Jason J. Studer, Shelley L. Studer and J. Scott Studer. We have no predeceased children. 2.02 Trust Weement. All references in this Will to "my Trust Agreement" shall be deemed to refer to that certain agreement evidenced by an instrument captioned the JAMES AND KATHY STUDER REVOCABLE TRUST, executed by my wife and me as Trustors and by my wife and me as Trustees, dated F" e/b. 2q , 1993. PAGE 3 OF EIGHT PAGES C~1rl.-.k'~ N. STUDER 2.03 Trustee. All references in this Will to the "Trustee" shall be deemed to refer to the person acting under my Trust Agreement. 2.04 Clarifications. Where applicable, references in this Will to the masculine shall include the feminine and to the singular shall include the plural. 2.05 Survivorshio. If my wife and I die simultaneously, or under such circumstances that it is impossible to determine conclusively which of us died fIrst, it shall be presumed, for purposes of construction of this Will, that I died fIrst and she survived me. Any other person who might otherwise be a beneficiary under the terms of my Will shall be deemed to have predeceased me if he dies within sixty (60) days following the date of my death. ARTICLE III I hereby give, devise, and bequeath all of the rest, residue and remainder of my estate, whether real, personal, or mixed, and regardless of where the same may be situated, whether vested or contingent at the time of my death, to the then acting Trustee of said JAMES AND KATHY STUDER REVOCABLE TRUST, dated _F'€~b. 2- Y , 1993 or its successor, in trust, as Trustee under said Trust Agreement, to be added to said trust estate, and for said Trustee to have and to hold all of the property given unto it under this Will for the uses and purposes, and with the powers, authorities and duties specified therein, including any written amendments thereto or written modifications thereof expressed and set forth at the date of my death. It is my intention not to create a separate or testamentary trust PAGE 4 OF EIGHT PAGES Ci;h1AC.,f 11 _ N. STUDER and it is further my intention that said Trust Agreement shall not be subjected to the jurisdiction of the Probate Court. ARTICLE IV 4.01 Appointment of Personal Ret>resentative. I nominate, constitute and appoint my wife as personal representative of my estate under this my Last Will and Testament, to serve without bond. In the event that she shall predecease me or shall be unable to serve, I hereby nominate, constitute and appoint my brother, John R. Studer of Hummelstown, Pennsylvania, as successor personal representative of my estate, to serve without bond. In the event that he fails to survive me or shall be unable to serve, then I hereby nominate, constitute and appoint my wife's niece, Dawn R. Meyer of Carlisle, Pennsylvania, as second-successor personal representative of my estate, to serve without bond. 4.02 Powers of Personal Revresentative. I hereby authorize and empower my personal representative, or any successor personal representatives, to have and exercise all the powers enumerated under the laws of the State of Pennsylvania specifying powers of personal representatives, and all of the powers of my trustees, and all of the following powers and discretions, subject to any limitations specified: to continue to operate any business I may own or operate at my death; to sell, lease, mortgage, or encumber to such persons, at such times, and upon such terms and conditions as in their absolute discretion is deemed proper, any part or all of my property and estate, whether real, personal or mixed, at private or public sale, without PAGE 5 OF EIGHT PAGES notice and without authority of, or conflI'mation by, any court or person; to hold, manage, retain for so long as my personal representative deems it prudent to do so, and to purchase and sell (including on a margin), assign, transfer, dispose of, receive, invest in and reinvest in securities (which "securities" include common stocks, preferred stocks, investment trusts, certificates of deposit, bonds, debentures, intangible personal property, investments and any other securities of any type, nature or description); to vote securities; and to exercise any stock option, all pre-emptive and other similar rights with respect to any securities; and to exercise generally in respect of all securities all rights, powers and privileges as are or may be exercised by any person owning similar securities in hi~ own right; to maintain a margin account with a stock brokerage flI'm, to execute all documents necessary for the opening and maintenance thereof, to borrow money from a brokerage f'lI'm, to pledge securities owned by the estate as collateral and to grant a security interest therein, and to permit the stock brokerage flI'm to re-Iend these securities in the ordinary course of its business; to make, execute and deliver or accept deeds, assignments, leases, releases, mortgages, or other written instruments desirable or proper to carry out, consummate, and render effective any act or actions done or taken pursuant to the powers and authority granted herein; to petition for administration of the estate without court supervision and if granted by the court, to administer the estate without court supervision; to appoint a resident agent to accept service of process, notices, and other documents, and to fue legal notice of such appointment; and to PAGE 6 OF EIGHT PAGES exercise all additional powers that may now or hereafter be conferred on her by law, and all powers that may be necessary to enable her to administer this Will in accordance with the provisions of this Will and subject to any limitations specified in this Will. ARTICLE V I nominate, constitute and appoint my wife, to serve as guardian of my children during the minority of each child. If at any time during the minority of any of my children, my wife for any reason shall not act as guardian of my children, I then nominate, constitute and appoint my brother, John R. Studer of Hummelstown, Pennsylvania, to serve as guardian of my children during the minority of each. If at any time during the minority of any children of mine, John R. Studer for any reason shall not act as guardian of such children, I then nominate, constitute and appoint my wife's niece, Dawn R. Meyer of Carlisle, Pennsylvania, to be substitute guardian of such children. I do not desire that the guardian or guardians of my minor children should incur personal expense for the support of said minor children. The trustee shall disburse funds from the trust created herein for reasonable expenses incurred in accommodation of any children of mine during the minority of each. In the event the Court finds it necessary to appoint a guardian not herein named, then I make the following request of the Court: One, that if I am survived by more than one minor child they be allowed to remain together as a family unit. PAGE 7 OF EIGHT PAGES Two, that said child(ren) be placed where they receive Christian training and upbringing in harmony with my beliefs. Three, that the Pastor of the Church where I am a member at the time of my death, assist the Court by suggesting a Christian family to assume the guardianship of my surviving minor children and that the Court respect such suggestion as fully as permitted under law. IN WITNESS WHEREOF, I, JAMES N. STUDER, herewith set my hand to this my Last Will and Testament, typewritten on 8 sheets of paper (including the attestation clause and signature of witnesses), upon the bottom of each one of which I have also written my name, this;L!d- day of F ..pJ2. ,1993. Signed, sealed, published and declared by the testator, JAMES N. STUDER, as and for his last will and testament, in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. RF.'lIDING AT U \I I~ \h,n ":.\1 \fu!.l~ RF.'lIDING AT 7J?~) ~ PAGE 8 OF EIGHT PAGES STATE OF PENNSYLVANIA } } COUNTY OF CUMBERLAND } I, JAMES N. STUDER, 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; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Subscribed and sworn State this 'J.. if day of otary Public, in and for said County and , 1993. r'J.~~--:y:~ l -: )_' l Caroll'''''9 c_,;" j . ,_: , 'I "'d. . r, '" r~~jdd:2S:J~ Tll"'" (' -.-' " ,~ -' ~iief~~e~~::~~:~~~~~~~~~;~t~~~~motaoo) aUd au,J ~J1tl /N~ Public ~ l!iliPoL ;Ix Y F (!u /!(?v {Printed Name} /' Resident of Cumberland County, Pennsylvania My Commission Expires: t/;ql9t, STATE OF PENNSYLVANIA ) ) COUNTY OF CUMBERLAND ) We, Jvha- e..;(\\/l(\C\u~~ and ~~n1U- [, - ~j L the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his Last Will; that the testator signed willingly and 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 will as a witness; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~ . / 'L'rr)~~ Witn s . ~If ,r;?f~ Witn ss tf7 My Commission Expires: /;; /'J-If /9 ~ Subscribed and sworn to before me, aN otary Public, in and for said County and State this ().If'' day of , 1993. .J /#J/ N0~L~ a/fey (Printed Name) Resident of Cumberland County, Pennsylvania C'_;-r) j"kc\\~'-'::;(" ~,;\/ C :=r:':':;-