HomeMy WebLinkAbout07-18-06 (2)
REV-1500
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l.t';r" COMMONWEALTH OF
,~ ~. PENNSYLVANIA
r, r~ ',~" ;',,'~, DEPARTMENT OF REVENUE
~ ]J' DEPT 280601
~:;,~,,~ -.~"rfW HARRISBURG. PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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COUNTY eClDE '; t:;" ':-,
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~ I D~~~ 0" CEZ ?~?;;\~ \ DAT~ o;jl;T~7,D-Y:;
W~PPL1C/'3lE! SURViVi~~G SPOUSES NAME (lAST FiRS!, /',ND MIDDLE iNITIAL:
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I THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
i REGISTER OF WILLS
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i SOCIAL SECURiTY NUMBeR
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3. Remainder Return
2 Supplemental Return
D 4a, Future Interest Compromise idale >Ji 'o,lh aHer 12.12.32,
D l Decedent Maintained a liVing Trust
n 10, Spousal Poverty Credit,;,,,
'2.13-2-2,.
Cr"!gmal Return
4, Lnllted Estate
r.' 5, Federal Estate Tax Return Required
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8 Total Number of Safe Deposit Boxes
n 11 Eieclion to tax under See. '3113iAi
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DEcedent Oied Testale
L;~!qation P~;Jceeds Recei"/ed
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THIS SECTION' tJll.1S'i'I3EC,:Ql\.1I>J.lJairE:'Pi;~~!"/<;Q~~~f:l'~~Q~l\i~~iANpqq'N~J~~ft'lj~l:iij'~UlNfrQRIliiAtl()N~l-ioutioa!:' DIRECT!:O. to:
~,AME 8,_. _ M.,_'_ / L:l~? ~J : _--J--___ COMPLETEMAllINGADDRESSf./t.U~:..r if).1'- .
~.Ij"U2~~$ - - ~ L- 11)'70 H :t."'--D[.'~ f\
FIRM r.IAME .. , r
B ~~p,'i/\,A" WOOd I f AI? 70 z- 7
TELEPHONE NUMBER
1 Real Estate (Schedule AI
(1)
I s1 ,e (;7(). C"?'
Stocks and 80nds (Schedu!e BI (21
Closely Held Corporation. Partnership or Sole-Proprietorship (3)
4 r'ilcrtgages & Notes Receivable (Schedule D) (4)
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5 Cash. BanK DepOSits & Miscellaneous Personal Property
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(51
(6)
Owned Property (Schedule F)
Separate Billing Requested
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(7)
inls--Ijl,/os Transfers & Miscellaneous Non-Probate Property
(Scnedule G or LI
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Total Gross Assets (tota' Lines 1-7)
(8) /5 9. t;}c" t:l. C' E)
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9 Funeral Expenses & Administrative Costs (Schedule H)
(9)
'7. () 'i"7- .. c? f/
1
10 Debts of Decl,dent Mortgage liabilities, & Liens (Schedule II
(10)
11 Total Deductions (total Lines 9 & 101
(11) I S-,?-~. 1)0
(12) j~:1 'I '5 '8"____
(13)
IL Net Value of Estate (Line 8 minus Line 11)
Char'table and Governmental Bequests/Sec 9113 Trusts for which an election to tax r.as not been
made i Schedule J)
14 Net Value Subject to Tax (Line 12 minus Line 13)
(14)
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SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15 Amount of Line 14 taxable at the spousal tax
-ate. iY Iranslers under See. 9116 (a)(1.2)
x 0 _ (15)
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x 0!L!J (16)
'7()~~ (10
16 Amount 01 line 14 taxable at lineal rate
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li Amount of line 14 taxable at sibling rate
x 12 (171
18 Amount of Line 14 taxable at collateral rate
x 15 (18)
19. Tax Due
(19) _
M<3 ~... 00
20
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Decedent's Complete Address:
STREET ADDRESS -?"'7." "Z. 9.. . '- . . d~ ,.9' 1
I..-~ / ( Q.:-r;, 71~~ "'-t2L
CITY
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I STATE
I ZIP
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Tax Payments and Credits:
1. Tax Due (page 1 Line 19)
2 Credits/Payments
A Spousal Poverty Credit
B Prior Payments
C Discount
(1) --'J (J Cb", 00
Total Credits ( A + B + C ) (2)
3 InteresUPenalty if applicable
D Interest
E Penalty
TotallnteresUPenalty ( D + 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) _::J_i/_1?!? _
A Enter the interest on the tax due
(5A)
B. Enter the total of Line 5 + 5A ThiS is the BALANCE DUE.
(58) ~:LQ~2___~_
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Did decedent make a transfer and
a retain the use or income of the property transferred: ...............
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 prop8rty 'Hilhin one year of death
Nitiwut receiving adequate consideration?
Did (jecedent own an "in trust for" or payable upon death bank account or security aT hiS or her death?.
4. Did uecedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficl3rY designation?
Yes
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No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Un.je '~::~!are ('-';:it i h3'/8 eX3mined th:S (8(urn rncluciin.;j acc-'J,llranytn~ SCh0du!i:,S ;},!~d sia!eTJenis, 9r~cl to the b%; 01 my' kno\Jjledge and belief .I, IS true, C,';
Declarat;Cri~ of p"::::::,,arer p(~~scnai repres8!',\atlve is based en all infofrnaL':n of which preparE!- has any k:"o'v'iiedge
SIGNATU~E..E.E~ON RESPONSIBLE FOR FILING RETURN _ # /
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ADDRESS
~ /!"3 ~ //i1.rcPt'{/... K/~A.. Del. 'i?(l.~,,- i",~()o, /-IV. 3?tJ 2- 7
SiGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
,c:ct 2,;(1 CJ:T1Li!8tS
DATE
7 /1 >/?l <::
DlliE
ADDRESS
For dates of deatr. on after July j 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surilving spouse is 3%
[72 PS S9116 (a) /11;
For dates of death 0.'; or after January 1. 1995. the tax rate Imposed on the net value of transfers to or for the use of the suriivrng spouse is 0% PS 99116 (a; (11) 01;
The statute does not exemot 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
the surviving spouse is 'he 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 parer
or a stepparerit of the child is 0% [72 PS 89116(a)(1.2)].
The tax rate inposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries IS 45%, except as noted in 72 PS 89116(1.2) [72 PS 89116(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. 89116(a)(1.3)]. A sibling is defined. under Section 9102, as a
individual who has at least one parent in common With the decedent, whether by blood or adoption
SCHEDULE "A"
REAL ESTATE
Estate of Marian R. Nesbit
File Number
ITEM NUMBER
DESCRIPTION
VALUE AT DEATH
2203 Parks ide Road $159,000.00
Camp Hill, PA
(see attached settlement sheet)
TOTAL REAL $159,000.00
ESTATE
SCHEDULE "H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
File Number:
Estate of Marian R. Nesbit
=:TEM
NUMBER
DESCRIPTION
AMOUNT
l. Funeral Expense
2 . Personal Representative
Commission
3. Social Security Number
4 . Year Commission Paid
5.
6. Family Exemption Claimant,
Relationship to Deceased
7 . Address of Claimant at
Decedent's Death
8. Probate Fees
9. Advertising estate
10. Reserve
Costs of sale of property $1,562.00
Total costs $1,562.00
SCHEDULE J
BENEFICIARIES
Estate of Marian R. Nesbit
File No.
ITEM NUMBER NAME AND RELATIONSHIP AMOUNT OR
ADDRESS OF TO DECEDENT SHARE OF
BENEFICIARY ESTATE
A. Taxable
Bequests
Thomas B. Son 1/3
Nesbit
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James B. Son 1/3
Nesbit J
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Linda S . N. Daughter 1/3
Galiza
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ITEM NUMBER NAME AND ADDRESS OF AMOUNT OR SHARE OF
BENEFICIARY ESTATE
A. Charitable
and
Governmental
Bequests
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LAST WILL AND TESTAMENT
OF
MARIAN RUTH NESBIT
I, MARLqN RUTH NESBIT, of, 2203 Parkside Road, Camp Hill,
Cumberland County, Pennsylvania, declare this to be my Last Will
and Testament, hereby revoking all prior Wills and Codicils.
ITEt1 I.
I direct that the expenses of my last illness and
funeral shall be paid from the funds of my estate.
ITEM II. I give, devise, and bequeath all of my property,
both real and personal, of every nature and wherever situate, to
be shared equally by my children THOMAS BURNS NESBIT, JAMES BOYD
NESBIT and LINDA SUSAN NESBIT GALIZA, provided that they are
living on the Thirtieth (30th) day following my death.
In the event that any of my adult children fail to survive
me by thirty (30) days, I gl ve, devise and bequeath the nen
surviving adult child's share of my estate as follows:
1. if my son, THOMAS BURNS NESBIT, should fail to survive
me, then his share shall be divided into equal shares as follows:
(3) one share to his wife, SUELLEN NESBIT;
(b) one share to his son, BRF.D NESBIT, to be held i~
the Trust according to the terms of Item III;
(c) one share to his son, ERIC NESBIT, to be held In
the Trust according to the terms of Item III;
(d) one share to his son, JA.MES NESBIT, to be he::"d
In the Trust according to the terms of Item III.
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if my son, JAMES BOYD NESBIT, should fail to survive,
then his share shall be distributed as follows:
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(a) Five Thousand ($5000.00) Dollars to JENNIFER
ANDERSON WEAVER;
(b) the rest and residue of his share to his vJife,
SHE I LA HARMF.N.
3. if my daughter, LINDA SUSAN NESBIT GALIZA, should fail
to survive me, then her share shall be distributed as follows:
(a)
debts
of
surviving
children
any
my
or
grandchildren, owed to me or my estate shall be paid;
(b) the rest and residue of her share shall be
di vided equally among her SUCJl vlng children to be held in the
Trust according to the terms of Item III.
4. if any of my children fail to survive me and leave no
descendants who survive me, then his or her share shall be
eli vided equally among such of my children who survive me, or
their descendants who survive me, as set forth in subparagraphs
1,2, and 3 above.
ITEM I I I.
I nominate, constitute and appoint THOMAS BURNS
NESBIT, Guardian of the person and Guardian of the Estate of any
minors who may take under this will, handling that minor's share
of my estate upon the following terms and conditions:
A. To pay the income and so much of the principal as may
be necessary for the maintenance, support, medical expenses, and
education,
including college
and
education,
both
graduate
undergraduate, of my said children.
B. The amount to be paid out prior to final distribution
for the benefit of any minor's shall be determined by such need.
The said payments may be made by the Guardian directly to anv
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minor's if in the sole opinion of my Guardian the said m1nor 13
of such age and ability to handle properly the funds so paid, or
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may be made by the Guardian directly to the person having the
custody and care of any of the said minors, or may be made by the
C;ua2:'dian directly to any institution entitled to such payment by
reason of services rende2:'ed or to be rendered to the said minor.
C. To pay the accumulated income and principal then
remaining 1n the Guardian's hands to the said minor's, share and
share alike, on the minor's twenty-first (21st) birthday.
If THOMAS BURNS NESBIT predeceases me or if for any reason
does not act or continue to act as such, I appoint JAMES BOYD
NESBIT Alternate Guardian in his place.
ITEM IV.
No interest of any beneficiary under this Will
or any Codicil hereto shall be subject to anticipation or
voluntary or involuntary alienation.
ITEM V.
No provision in this Will is intended to exercise
any power of appointment.
ITEM VI.
In addition to powers vested in them by law, my
Executor and his successors shall have the following powers,
app~icable to all property held by them, including all property
held for minors, effective without the order of any Court and
until actual distribution of all such property:
A. To retain any property received by them including the
stock of any corporate fiduciary acting hereunder.
B. To sell real estate filr any purpose r publicly or
privately, for such prices and on such terms as they deem proper,
without liability on the purchasers to see to application of the
purchase monles.
C. To compromise controversies.
D. To distribute in cash or kind or partly in each at
valuations fixed by them.
E. To hold investments In the name of nominee.
F. To receive reasonable compensation for services In an
amount not less than five percent (5%) of the value of my estate.
ITEM VII.
All taxes and interest and any penalties
thereon payable by reason of my death with respect to property
comprising my gross taxable estate, whether or not passing under
this Will, shall be paid from the principal of my residua.::-y
estate.
ITEM VIII.
T
...
hereby nominate,
constitute and appoint
THOMAS BURNS NESBIT, Executor of this my Last Will and Testament.
If THOMAS BURNS NESBIT predeceases me or if for any reason does
not act or continue to act as such, I appoint JAMES BOYD NESBIT,
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Alternate Executor in his place. In the event that Thomas Nesbit
does not serve or is unable to continue to serve as executor, and
if James B. Nesbit is able and willing to serve as executor, then
I appoint James B. Nesbit as a substitute executor.
If neither
Thomas Nesbit or James Nesbit are able or willing to serve or are
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unable to continue to serve, then I appoint my daughter Linda S.
Nesbit Galiza as substitute executrix in his place. No fiduciary
acting hereunder shall be required to post bond or enter security
i~ any jurisdiction~
IN WITNESS WHEREOF, I have set my hand and seal this
J)Y
M da y 0 f
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2004, to this my Last \riiill and
,hAK j-
of .fOi.'.r? (rl typewritten pages to each
Testament, which consists
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of which I have affixed my signature.
~~~~
MARIAN RUTH NESBIT
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF
We, MARIl\N RUTH NESBIT, Testatrix, \~{'<",Q-=T\--" l..) ,~~
B..u.... \ C"\ Y"\ u-.\ \~ r'\,
and-
the
Testatrix and the witnesses, respectively, whose names are signed
to the attached or foregoing instrument, being first duly sworn,
do hereby declare to the undersigned authority that the Testatrix
signed and executed the instrument as her Last Will and Testament
and that she had signed willingly, and that she executed it as
her free voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the
Testatrix signed the Last Will and Testament as witness and that
to the best of their knowledge the Testatrix was at that time
eighteen (18) years of age or older, of sound mind and under no
cons~raint or undue influence.
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Testatrix ~~l~~ residing at
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residing at
l,~Ji.tness
residing at
'/h tness
residing at
Subscribed, sworn to and acknowledged before me by MARIAN
RUTH NESBIT, Testatrix, and subscribed and sworn to before me by
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L0\5C"'____
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~ s'+""day of
, alld
the witnesses,
this
Oc--ro~
, 2004.
f)~ A--- C~
Notary Public
N~' Seal
. Rose ~.,Ft.;itt?Notar)i Public
CIty of ffiinislsUrg, Dauphin County
My Corf1rMSi~'Expjres Dec. 31.2006'
Member, Permsyfvanla Association of Notanes