HomeMy WebLinkAbout07-27-06
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217 . REV-1 500 OFFICIAL USE ONLY
REV-1500 EX (6-00) COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER 21-06-504
DEPT. 280601
HARRISBURG, PA 17128-0601 RESIDENT DECEDENT -
COUNTY CODE YEAR NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
I- Boose Beverly A. 206-36-5257
z DATE OF DEATH (MM-DD-YEAR) IDATE OF BIRTH (MM-DD-YEAR)
w THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
0
W 5/30/2006 REGISTER OF WILLS
0
w (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
0
w 0 1. Original Return 02. Supplemental Return 03. Remainder Return (date of death prior 10 12-13-82)
....
~ :!!: III 04. 04a. 05.
0::><: Limited Estate Future Interest Compromise (date of death after 12-12-B2) Federal Estate Tax Return Required
0 ...0
w 00 06. 07.
:I: 0::-' ~
0 ...Ill Decedent Died Testate (Attach copy of Will) Decedent Maintained a Living Trust (Attach copy of Trust) 8. Total Number of Safe Deposit Boxes
...
<l: 09. 010. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95) 011. Election to tax under Sec. 9113(A) (Attach Sch 0)
Litigation Proceeds Received
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I-
z NAME
w COMPLETE MAILING ADDRESS
0 5 South Hanover Street
z Robert G. Frey
0 FIRM NAME (If Applicable)
0.. Carlisle, PA 17013
13
a:: Frey & Tiley
a:: TELEPHONE NUMBER
0
0
717-243-5838
OFFICIAL USE ONLY
1. Real Estate (Schedule A) (1) NONE
2. Stocks and Bonds (Schedule B) (2) NONE '-'
-
NONE c
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
.
4. Mortgages & Notes Receivable (Schedule D) (4) NONE [' ,
5. Cash, Bank Deposits & Miscellaneous Personal Property -.'
(Schedule E) (5) 28,560 ---.-:
-- ,
6. Jointly Owned Property (Schedule F) (6) 27,299 -
z Dseparate Billing Requested 1~,J - "
0
!i --
..J 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property l:::::l
~ (Schedule G or L) (7) NONE
l-
ii:
<( 8. TOTAL GROSS ASSETS (total Lines i-7) (8) 55,859
0
w
a:: 9. Funeral Expenses & Administrative Costs (Schedule H) (9) NONE
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) NONE
11. TOTAL DEDUCTIONS (total Lines 9 & 10) (11) 0
12. NET VALUE OF ESTATE (Line 8 minus Line 11) (12) 55,859
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not
been made (Schedule J) (13) 0
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 55,859
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
z rate ,or transfers under Sec.9116 (a)(1.2) 55,859 x .00 (15) 0
0
i= 16. Amount of Line 14 taxable at lineal rate .0
<( X (i6) 0
I- -
~
0..
::iE 17. Amount of Line 14 taxable at sibling rate x .12 (17) 0
0
0
X
<( 18. Amount of Line 14 taxable at collateral rate X .15 (18) 0
I-
19. Tax Due (19) 0
20.0 mtil~itl~i~W~~~~f:ji~\i~.r.~~i~~iO~~filill~li~I~~~,I~Rj~IM~rI.111
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217
Boose, Beverly A.
C I t Add
206-36-5257
Decedents omDle e ress:
STREET ADDRESS
936 Cavalrv Street
CITY I STATE IZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
o
Total Credits (A + B + C ) (2)
o
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 the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B)
Make Check to: REGISTER OF AGENT
o
o
o
o
1.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
2.
Did decedent make a transfer and:
a. retain the use or income of the property transferred;
b. retain the right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or .
d. receive the promise for life of either payments, benefits or care?
If death occurred after December 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration? . . . .
Did decedent own an "in tnust for" or payable upon death bank account or security at his or her death?
Yes
D
D
D
D
D
D
3.
4.
Did decedent own an Individual Retirement Account, annuity or other non-probate property which
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . .
[K]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
D
No
[K]
[K]
[K]
[K]
[K]
[K]
ILlNG RETURN
DATE
--e1-~~
DATE
5 South Hanover Street, Carlisle, PA
-, ;2'1 0(.
7/17/2006
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. Section 9116 (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. Section 9116 (a)(1.1 )(il)].
The statute does not exempt a transfer to a surviving spouse from tax. and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0%[72 P.S. Section 9116(a)(1.2)1.
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. Section 9116(1.2) [72 P.S. Section 9116(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. Section 9116(a)(1.3)J .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.
217
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Boose, Beverly A.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21-06-504
Include the proceeds of litigation and the date the proceeds were received by the estate.
All orooertv iointlv-owned with riaht of survivorshiD must be disclosed on Schedule F.
VALUE AT DATE
OF DEATH
1,607
26,953
ITEM
NUMBER DESCRIPTION
1 M&T Bank Account No. 031003912752796
2 Members 1st Account No. 224877-40
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
28,560
217
REV-1509 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
21-06-504
Boose, Beverly A.
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. David C. Boose
936 Cavalry Street
Carlisle, PA 17013
husband
B.
C.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 9/23/05 Members 1 st Account No. 224877-00 7,108 50.00% 3,554
2. A 9/23/05 Members 1 st Account No. 224877-11 8,474 50.00% 4,237
3. A 11/8/05 Members 1 st Account No. 204234-02 854 50.00% 427
4. A 7/7/04 Members 1 st Account No. 204234-42 6,336 50.00% 3,168
5. A 2/17/05 Members 1st Account No. 224877-41 10,483 50.00% 5,242
6. A 7/7/04 Members 1 st Account No. 204234-43 6,432 50.00% 3,216
7. A 3/30/05 Members 1 st Account No. 224877-42 1,039 50.00% 520
8. A 2/17/05 Members 1 st Account No. 204234-44 3,540 50.00% 1,770
9. A 1 0/3/05 Members 1st Account No. 224877-45 5,118 50.00% 2,559
10. A 5/9/06 Members 1 st Account No. 204234-46 5,211 50.00% 2,606
11. A 936 Cavalry St., Carlisle, PA. Value from Tax Assessment 139,810 50.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL (Also enter on line 6 Recaoitulation' $ 27 299
(If more space is needed, insert additional sheets of the same size)
217
REV-1737-7 EX + (9-00)
REVERSE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
NONRESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Boose , Beverly A.
FILE NUMBER
21-06-504
When flat rate method is elected, list the beneficiaries of the Pennsylvania property.
When proportionate method is elected, list all beneficiaries.
RELATIONSHIP TO
DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON/SI RECEIVING PROPERTY Do Not List Trustee/sl OF ESTATE
J. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)]
1.
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON REV.1737 COVER SHEET OR THE PROPORTIONATE METHOD WORKSHEET
ON THE REVERSE SIDE OF REV-1737 COVER SHEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. David C. Boose 55,859
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II
ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1737 COVER SHEET $ 55,859
(If more space is needed, insert additional sheets of the same size)
MEMBERS 1st
FEDERAL CREDIT UNION
Primary Owner: Beverly F. Boose David C. Boose
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 224877 -00
Date Account Established 12/12/2002
Principal Balance at Date of Death $7,102.30
Accrued Interest to Date of Death $5.64
Total Principal and Accrued Interest to Date of Death $7,107.94
Name of Joint Owner David C Boose
Date Joint Ownership Established 09/23/2005
CHECKING ACCOUNT:
Account Number/Suffix 224877 -11
Date Account Established 09/23/2005
Principal Balance at Date of Death $8,473.95
Accrued Interest to Date of Death $2.49
Total Principal and Accrued Interest to Date of Death $8,476.44
Name of Joint Owner David C. Boose
Date Joint Ownership Established 09/23/2005
HOLIDAY CLUB ACCOUNT:
Account Number/Suffix 204234 -02
Date Account Established 11/08/2005
Principal Balance at Date of Death $852.88
Accrued Interest to Date of Death $.70
Total Principal and Accrued Interest to Date of Death $853.58
Name of Joint Owner Beverly F. Boose
Date Joint Ownership Established 11/08/2005
CERTIFICATES OF DEPOSIT:
Account Number/Suffix 224877 -40 204234 -42
Date Account Established 12/12/2002 07/07/2004
Principal Balance at Date of Death $26,840.07 $6,317.11
Accrued Interest to Date of Death $113.02 $18.52
Total Principal and Accrued Interest to Date of Death $26,953.09 $6,335.63
Name of Joint Owner None Beverly F. Boose
Date Joint Ownership Established 07/07/2004
CERTIFICATES OF DEPOSIT:
Account Number/Suffix 224877 -41 204234 -43
Date Account Established 02/17/2005 01/18/2005
Principal Balance at Date of Death $10,452.05 $6,414.90
Accrued Interest to Date of Death $30.64 $17.58
Total Principal and Accrued Interest to Date of Death $10,482.69 $6,432.48
Name of Joint Owner David C Boose Beverly F. Boose
Date Joint Ownership Established 02/17/2005 07/07/2004
5000 Louise Drive. P.O. Box 40 . Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.memberslst.org
m1 M&rBank
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
Phone (888)502-4349
Fax (302) 934-2955
June 16, 2006
Frey & Tiley
Attorneys At Law
5 South Hanover Street
Carlisle, Pennsylvania 17013
Re: Estate of' Beverlv A Boose
Social Security: 206-36-5257
Date of Death: Mav 30, 2006
Dear Sir or Madam:
Per your inquiry dated June 12,2006, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
1.
Type of Account
Certificate of Deposit
Account Number
031003912752796
Ownership (Names oj)
Beverly A Boose *
Opening Date
05/02/03
Balance on Date of Death
$1,602.33
Accrued Interest
$ 4.30
Total
$1,606.63
Please be advised, there was no safe deposit box found for the above decedent.
* For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call
the North Middleton Office # 717-240-4521.
Sincerely,
~~
Nancy Clagett
Records Management
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LAST WILL AND TEST AMENT
OF
BEVERLY F. BOOSE
I, BEVERLY F. BOOSE, of North Middleton Township (mailing address: 936 Cavalry
Street, Carlisle, Pennsylvania 17013), Cumberland County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby make, publish and declare this as and for
my Last Will and Testament hereby revoking and making void any and all Wills by me at any
time heretofore made.
I. I direct my hereinafter-named Executor to pay all of my just debts and funeral
expenses as soon after my death as may be found convenient to do so. I further direct that my
funeral services be conducted by Hoffman-Roth Funeral Home, 219 North Hanover Street,
Carlisle, Pennsylvania, and that my body be interred on my burial lot located in Westminster
Cemetery, Traditional Section, located in North Middleton Township, near the Borough of
Carlisle, Pennsylvania.
2. I direct that all inheritance, transfer, succession, estate and death taxes which may be
payable on account of my death shall be payable from the residue of my estate regardless of
whether the assets upon which such taxes are based are included in my probate estate.
3. All of the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath to my husband, David C.
Boose, his heirs and assigns, to the exclusion of my children born and unborn, provided my said
husband, David C. Boose, shall survive me by a period of ninety (90) days.
4. Should my said husband, David C. Boose, predecease me or fail to survive me by the
aforesaid period of ninety (90) days, then in such event all of the rest, residue and remainder of
my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and
bequeath to F & M Trust Company, and its successors, 1901 Ritner Highway, Carlisle,
Pennsylvania, in trust, to receive and to invest the same and to pay the income arising therefrom
at least annually as follows:
a. One-half (112) thereof to my mother Mary H. Fetter, of Thornwald Home, 442
Walnut Bottom Road, Carlisle, Pennsylvania, so long as she shall live, and upon her death the
income she was receiving shall be added to the income payable to my husband's brothers as
hereinafter set forth in subparagraph "b" below.
b. The other one-half (1/2) of the income shall be paid to or for the benefit of my
husband's brothers, Donald E. Boose and Robert L. Boose, and to the survivor of them, so long
as either of them shall live and upon both of them becoming deceased the said income they were
receiving shall be paid to my mother as set forth in subparagraph "a" above.
c. Upon my mother Mary H. Fetter, and both of my husband's brothers, Donald E.
Boose and Robert L. Boose, all becoming deceased, said trust shall terminate and the then
remaining principal, together with any undistributed income, shall be paid one-half (112) to the
official board of Grace United Methodist Church, corner of Pomfret and West Streets, Carlisle,
Pennsylvania, to be used for such purpose or purposes as said official board shall deem best, and
the other one-half (1/2) shall be paid to the official board of Saint Matthias Evangelical Lutheran
Church located in the Village of Carlisle Springs, with mailing address of 3500 Spring Road,
Carlisle, Pennsylvania, to be used for such purpose or purposes as said official board shall deem
best.
5. I hereby nominate, constitute and appoint my husband, David C. Boose, as Executor of
this my Last Will and Testament but should he predecease me or fail to qualify or cease serving
as such, then in such event I nominate, constitute and appoint my friend, Mrs. Debra Flyte, of
650 Wagner Drive, Carlisle, PA 17013 as alternate or successor Executor, but should she
predecease me or fail to qualify or cease serving as such, then I nominate constitute and appoint
F & M Trust Company, and its successors, as alternate or successor Executor, and I further direct
Page 1 of 3 Pages
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that none of them shall be required to post any bond to secure the faithful performance of his,
her, or its duties in the Commonwealth of Pennsylvania, or in any other jurisdiction.
6. In addition to the powers conferred by law, my herein named Executors and Trustees
are empowered:
a. To invest any part of the trust corpus in such securities, investments, or
other property as may be deemed advisable and proper, irrespective of whether the
same are authorized for the investment of trust funds under the laws of any governing
jurisdiction.
b. With respect to any corporation, the stocks, bonds, or other securities of
which may be held, to vote in person or by proxy on any shares of stock; to consent to
the merger, consolidation or reorganization of such corporations; to consent to the
leasing, mortgaging, or sale of the property of any such corporations; to make any
surrender, exchange or substitution of such stocks, bonds, or other securities as an
incident to the merger, consolidation or reorganization of such corporations; to pay all
assessments, subscriptions and other sums of money which may be deemed wise and
expedient for the protection and maintenance of the proportionate interest of the
investment in such corporations; to exercise any option or privilege which may be
conferred upon the holders of such stocks, bonds, or other securities of such
corporations either for the conversion of the same into other securities or for the
purchase of additional securities, and to make any and all necessary payments which
may be required in connection therewith; and generally to have and exercise as to all
such stocks, bonds, and other securities, the powers of an individual owner who is not
under trust obligation.
c. To hold the trust corpus in one or more consolidated funds in which
separate shares shall have undivided interests.
d' To sell at public or private sale for cash or upon credit, or partly for
cash and partly on credit, and upon such terms and conditions as shall be deemed
proper, any part or parts of the trust estate, and no purchaser at any such sale shall be
bound to inquire into the expediency or propriety of any such sale or to see to the
application of the purchase money arising therefrom.
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e. To keep on hand and uninvested such moneys as may be deemed proper
and for such period as may be found expedient.
f. To compromise, settle, or arbitrate any claim or demand in favor of or
against the trust estate.
g. And authorized in the discharge of fiduciary duties, to employ counsel
and to determine and to pay such counsel reasonable compensation which shall be
charged against the principal or income of the trust fund, and shall further be entitled
to charge against the principal or income such other reasonable expenses and charges
as may be necessary and proper to incur for the proper discharge of fiduciary duties
and for the proper management and administration of the trust estate.
h. In making any division of property into shares for the purpose of any
distribution thereof directed by the provisions of the trust, to make such division or
distribution, either in cash or in kind, or partIy in cash and partIy in kind, as shall be
deemed most expedient, and in making any division or distribution in kind may allot
any specific security or property or any undivided interest therein to anyone or more
of such shares, and to that end may appraise any or all of the property so to be allotted
and the judgment as to the propriety of such allotment and as to the relative value for
purposes of distribution of the securities or property so allotted shall be final and
conclusive upon all persons interested in the trust or in the division or distribution
thereof.
Page 2 of 3 Pages
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i. To register any shares of stock or other assets of any trust in their own
names or in the name of a nominee.
j. To retain any investments including mutual funds which I may own at
the time of my death and in addition to invest any part of the Trust corpus in such
mutual fund or mutual funds as may be deemed advisable or proper, irrespective of
whether the same are authorized for the investment of trust funds under the laws of
any governing jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
Testament written on three (3) pages, this {6~ day of September, 2004.
fJ ~-(AL(~t;:. -#;~
Beverly F. oose
(SEAL)
Signed, sealed, published and declared by BEVERLY F. BOOSE, the Testatrix above-
named, as and for her Last Will and Testament, in our presence, who, in her presence, at her
request, and in the presence of each other, have hereunto subscribed our names as attesting
witnesses.
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Page 3 of 3 Pages
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