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HomeMy WebLinkAbout08-16-06 (2) , REV-tSOO EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-{)601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ... z w C w (.) w C w ... >:: :!CIl o a:>:: w 11.0 :z:OO olfiil 11. -c DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) HARNETT DATE OF DEATH (MM.DD.Year) JANET H. DATE OF BIRTH (MM.DD.Year) OFFICIAL USE ONLY FILE NUMBER 2 1 -0 6 0 6 3 3 ""'C'C'D"NTY"COOE ~EA~ - - NliMiiER- - SOCIAL SECURITY NUMBER 140-05-2780 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date 01 deatt1 pnor to 12-13.82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATIONStlOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS MARCUS A. McKNIGHT III 60 WEST POMFRET STREET FIRM NAME (If Applicable) IRWIN & McKNIGHT TELEPHONE NUMBER 717 249-2353 CARLISLE PA 17013 z o i= <r: -I ::J ... 0: <r: (.) w a: z o i= <r: ... ::J Q. ::::ii: o (.) >< <r: ... 06/12/2006 09/07/1911 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL) [X] 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (AnachcopyofWillj o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale 01 d,afn an" 12.12.821 o 7. Decedent Maintained a Living Trust (Altach copy 01 Trusfl o 10. Spousal Poverty Credit (dal'Ofdealh between 12.31.91 and 1.1.95) ... z w c z o 11. CIl W a: a: o o I. 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) 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) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, ortransfers under Sec. 9116 (a)(1.2) 0.00 X _(15) 209,438.76 X .045 (16) 0.00 X .12 (17) 0.00 X .15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > ><BE SUFU::rO<ANS\\'EFfALLQUESTIONSON REVERSE SIDE AND RECHECKMATH<: < L/ OFFICIAL USE ONLY I 199,445.381 I 27,643.14 I) ----.J r~' 227,088.52 15,247.00 2,402.76 (11) (12) (13) 17,649.76 209,438.76 (14) 209,438.76 REV-1503 EX + (6-98) ,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF HARNETT JANET H FILE NUMBER 21 06 0633 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1, DESCRIPTION VALUE AT DATE OF DEATH 199,445.38 MERRILL LYNCH - #872-56884 CMA/PIMCO/NFJ/ALLlANZ BAL TAX/MLCV 3! a pa.. t/ ~ NftyD ~ TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 199 445.38 REV-15G8 EX + (6-98) .* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF HARNETT FILE NUMBER JANET H. 21 06 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0633 ITEM NUMBER 1. DESCRIPTION MERRILL LYNCH BBA ACCOUNT #872-41380 VALUE AT DATE OF DEATH 4,313.16 2. M&T BANK - Checking Account #1030973 8,358.61 3. M& T BANK - Certificate of Deposit #031003910436970 ESe Acct for Ewing Brothers FNL Home 1,234.75 4. M&T BANK - Certjficate of Deposit #031003910679851 ESe Account for Ewing Brothers FNL Home 3,691.93 5. M&T BANK - Certificate of Deposit #031003912753596 10,044.69 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 27643.14 REV-1511 EX + (12-99) '. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF HARNETT FILE NUMBER JANET H 21 06 0633 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers Funeral Home 3,337,00 2. Cold Spring Presbyterian Cemetery - Cremation 375,00 B. ADMINISTRATIVE COSTS: 1, Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representatlve(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Irwin &McKnight 10,500,00 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 Register of Wills 388,00 5. Accountant's Fees 6. Tax Retum Preparer's Fees Patricia A. Rosendale, CPA 375.00 7. Register of Wills - Filing Fee 30.00 8. Notary Fees 30.00 9. Cumberland Law Journal - Estate Notice 75.00 10. The Sentinel - Estate Notice 137,00 TOTAL (Also enter on line 9, Recapitulation) $ 15247,00 (If more space IS needed, insert additional sheets of the same size) REV-1512 EX + (6-98) 'W SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HARNETT FILE NUMBER JANET H. 21 06 0633 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Chapel Pointe - Nursing 2,241.25 2. Millennium Pharmacy Systems, Inc. - Medical 161,51 TOTAL (Also enter on line 10, Recapitulation) $ 2402.76 (If more space is needed, insert additional sheets of the same size) REV"5,13EX+<* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER ::>1 06 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) UMJI\Ii='TT JANET H. NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under See, 9116 (a) (1.2)] 1, Dennis E. Harnett 85 S. Main Street, Apt 4 Phillipsburg, NJ 08865 Lineal 2. Elizabeth H. Bowes 1920 Esther Drive Carlisle, PA 17013 Lineal 0633 AMOUNT OR SHARE OF ESTATE 1/2 Remainder 1/2 Remainder ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-15DO COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - 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) Richard M. Coffee Vice President Financial Advisor Global Private Client Group f:it~ ~ Merrill Lynch July 24, 2006 214 Senate Avenue Suite 501 Camp Hill, Pennsylvania 17011 7179754626 Direct 800 937 0735 Toll Free FAX 717 975 4663 richard_coffee@ml.com Irwin & McKnight Attn.: Marcus A. McKnight III West Pomfret Professional Building 60 West Pomfret Street Carlisle, P A 170 I 3 J~IDWlt~ JUL 26 LOOb iHWIN & McKNIGHT RE: Estate of Janet H. Harnett Account #872-56884/0pened 2005 Account#872-41380/0pened 1989 Dear Mr. McKnight, Per Mrs. Bowes request, I am sending you the date of death value of the above referenced accounts. Both of these accounts were listed only in the name of Janet H. Harnett. Concerning the interest accrued to date of death, her May statement will have year to date until May 31 st, 2006. Her June statement will have any interest earned in the daily activity up to date of death, June 12,2006. We will require a Short Certificate dated with 60 days. I will also need the enclosed Affidavit of Domicile filled in and signed in the presence of a Notary Public Please contact me with any questions you may have or if I can be of any further assistance. FC: COFFEE,RICHARD KAI' PRC ACCT : 872 - 56884 JANET H HARNETT 1920 ESTHER DR CARLISLE PA 17013 POS/PGS: UNPRC 12/05 INT: MCSH INTC FME SMA MCAL TCAL UPDATE: N CUSTOMER ACCOUNT ASSETS (717)249-3975 59/ 06 o 889.00 .00 .00 o .00 .00 .00 07:35 06/13/06 PG 1 COB 06/12/06 FC: 8145 T~9;~~5. ~ L-..~~o .00 .00 5,020.00. .00 .00 .00 PAY 428.87 CSH 428.87C SETB 887.42C SETD 6/15/06 FF: N PRV YR: SEC # HM2J3 C HM2M4 C HOLW8 C H26D6 C H26E4 C H26L3 C H26L6 C H27A4 C H27BO C H2761 C 002BO C 007BO C 01405 C 02337 C 04607 C 04853 C 079W8 C 144X5 C 145W7 C 149S9 C 18320 C 19639 C 224JO C 226C6 C 24407 C 24465 C 28009 C 312G8 C 405S5 C 415J3 C 417B3 C 42451 C 44609 C 44728 C 45886 C 46ES4 C 46JR7 C 47205 C 47429 C 48654 C 57115 C 594S6 C 59465 C 05/--/-- SEC SYMBOL HM2J3 HM2M4 HOLW8 TN ZFB TN BMC US DSD H26L6 H27A4 H27BO US EBJ ALL MO AT T APC BUD BAC CVX COP CBS KO CAG DRE DTE RRD DOW FRE GSK JPM KEY KSE KMB LTD LNC LYO MS MRO MAS MAT MRK OXY PTR PBR 215,062 0 ---- DESCRIPTION ---- FEDERAL NATL MTGE AS FED NAT'L MORTGAGE A FEDERAL HOME LN MTG U.S.TREASURY NOTE US TSY INFLATION NOT U.S. TREASURY BOND US TREAS INFLATION N U.S. TRSY INFLATION U.S. TREASURY NOTE U.S. TREASURY BOND ALLSTATE CORP DEL ALTRIA GROUP INC ALLTEL CORP DEL AT& T INC ANADARKO PETE CORP ANHEUSR BUSCH COS IN BANK OF AMERICA CORP CHEVRON CORP CONOCOPHILLIPS CBS CORP NEW COCA COLA COM CONAGRA FOODS INC DUKE REALTY CORP NEW DTE ENERGY COMPANY R R DONNELLEY SONS DOW CHEMICAL CO FREDDIE MAC GLAXOSMITHKLINE PLC JPMORGAN CHASE & CO KEY CORP NEW KEYS PAN CORP KIMBERLY CLARK LIMITED BRANDS INC LINCOLN NTL CORP IND LYONDELL CHEMICAL PV MORGAN STANLEY MARATHON OIL CORP MASCO CORP MATTEL INC MERCK&CO INC OCCIDENTAL PETE CORP PETRO CHINA CO LTD SP PETRLEO BRAS VTG SPD <MORE> - QUANTITY - 4,000 5,000 5,000 6,000 5,000 5,000 5,000 5,000 10,000 2,000 35 25 30 71 40 45 45 35 30 40 45 90 55 45 60 45 30 40 50 110 55 30 20 35 80 30 55 70 125 115 20 20 10 ACCT T-VAL RAFND STFND C-MNY C-OTH BCORT I/ANU MFA o CURR PX 101.2500 101.5940 99.6560 100.4340 100.5820 140.8980 102.1290 103.5700 98.9100 135.2110 53.6000 71.0900 60.3100 26.6600 46.7800 44.9700 48.4100 57.5900 59.6300 25.7500 43.3100 22.2100 34.2800 41.6900 30.3800 37.8900 56.8000 54.0600 41.6000 36.0200 40.4100 59.9800 25.6100 56.2000 21.5600 58.2000 72.2800 28.4600 16.3400 33.3700 96.2600 95.0400 74.0800 VALUE -- 4,050 5,079 4,982 6,026 6,361 7,044 6,335 5,772 9,891 2,704 1,876 1,777 1,809 1,892 1,871 2,023 2,178 2,015 1,788 1,030 1,948 1,998 1,885 1,876 1,822 1,705 1,704 2,162 2,080 3,962 2,222 1,799 512 1,967 1,724 1,746 3,975 1,992 2,042 3,837 1,925 1,900 740 KAI ACCT: SEC # 595H5 C 61001 C 64029 C 64043 C 663WO C 66621 C 672M1 C 71680 C 72458 C 78867 C 79B06 C 8CBE5 C 82354 C 9HPC5 C 9HPC6 C 94SK9 C . PRC 872-56884 SEC SYMBOL PGN PFE RF RAI STX STA SRE SWK SVU VFC VZ WM WHR FXICX FXIMX 94SK9 CUSTOMER ACCOUNT ASSETS (717)249-3975 DESCRIPTION ---- - QUANTITY - PROGRESS ENERGY INC 45 PFIZER INC DEL PV$O. 160 REGIONS FINL CORP 115 REYNOLDS AMERICAN IN 20 SEAGATE TECHNOLOGY 80 ST. PAUL TRAVELERS C 45 SEMPRA ENERGY 40 STANLEY WORKS 40 SUPERVALU INC DEL 50 V F CORPORATION 35 VERIZON COMMUNICATNS 60 WASHINGTON MUTUAL IN 95 WHIRLPOOL CORP 20 PIMCO FIXED INCOME S 1,745 PIMCO FIXED INCOME S 1,810 ML BANK DEPOSIT PROG 5,020 <END> CURR PX 43.2900 23.2900 33.9200 109.2500 22.2400 42.7000 44.4700 45.8100 29.5000 63.5400 31.3300 44.6500 83.3300 11.2900 10.8800 1.0000 COB FC: 06/12/06 8145 VALUE -- 1,948 3,726 3,900 2,185 1,779 1,921 1,778 1,832 1,475 2,223 1,879 4,241 1,666 19,701 19,692 5,020 FC: COFFEE, RICHARD KAI' PRC ACCT: 872 -41380 JANET H HARNETT 1920 ESTHER DR CARLISLE PA 17013 PAY CSH SETB SETD 6/01/06 FF: N PRV YR: SEC # 94SK9 C .16 .16C .16C 05/04/03 SEC SYMBOL 94SK9 CUSTOMER ACCOUNT ASSETS (717)249-3975 1/ 01 o .00 .00 .00 o .00 .00 .00 07:40 06/13/06 PG 1 COB 06/12/06 FC: 8145 TYPE: BBA 4,313.16 .00 .00 .00 4,313.00 .00 .00 .00 POS/PGS: UNPRC 12/05 INT: MCSH INTC FME SMA MCAL TCAL UPDATE: N 16,578 244,748 ---- DESCRIPTION ---- ML BANK DEPOSIT PROG <END> 196,937 - QUANTITY - 4,313 ACCT T-VAL RAFND STFND C-MNY C-OTH BCORT I/ANU MFA CURR PX 1.0000 VALUE -- 4,313 .~ M&rBank 499 Mitchell Road, Millsburo, DE 19966 Mail Code LJE-MI3-12 Phone (888) 502-4349 Fax (302) 934-2955 July 5,2006 Law Offices Irwin & McKnight West Pomfret Professional Building 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 JlCiU'li~ JuL - 7 ZUllb Re: Estate or- Janet H Harnett Social Security: 140-05-2780 Date of Death: June J 2, 2006 lRWfN & McKNIGHT Dear Sir or Madam: Per your inquiry dated June 27, 2006. please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: I. 7.\pe c;(Accounl Checking Account Accounl Number 1030973 Ownership (Names of) Janel H Harnett * Opening Dare OS/23/89 Balance on Dale ofDealh $8,358.02 Accrued Interesl $ 0.59 Tulal $8,358.61 ~ l.\;pe of A ccollnl Cerrijicale of Deposit Account Number 031003910436970 Ownership (Names of) Janet H Harnett * L'SC Acetfor Ewing Brolher FNL Home * Opening Dale 09/24/99 Closed 06/16/06 Balance on Dare of Death 51,209.79 A ccrued I nl eresl 5 24.96 Tolal $1,234 75 3. Type 'if Account Certificate of Deposit Account Number 031003910679851 CJwnership (Names oj) Janet H Harnett * ESC Acctfor Ewing Brother FNL Home * Opening Date 02/08/00 Closed 06/16/06 Balance on Date ojDeath 53,658,98 A cerued Interest $ 3295 Total $3,69193 4, Type of Account Certificate of Deposit Account Number 031003912753596 Ownership (/Varnes of) Janet H Harnett * Opening Date 05/08/06 Balance on Date of Death $10,000.00 Accrued Interest S 44,69 Total $10,044.69 5, Type o(Account Certificate of Deposit A ccount Number 031003911 158094 Ownership (Names of) Janel H Harnett * Opening Date 08/06/91 Closed 02/07/05 Balance on Date of Death $ 000 Please be advised. there was no safe deposit box found for thc above decedent. · For further account informatiun, regarding ownership, closures andlor reimbursement of funds, etc., please call the North Middleton Office # 717-240-4521. Sincere Iy, ~~ Nancy Clagett Record, Management Ewmg Brothers Funeral Home, Inc. 630 South Hanover Street Carlisle, PA 17013- (717)243-2421 June 16, 2006 Elizabeth H, Bowes 1920 Esther Dr. Carlisle, PA 17013 The Funeral Service for Janet H. Harnett We sincerely appreciate the confidence you have placed in us and will continLle to assist you in every way we can, Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES. FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. I. PROFESSIONAL SERVICES Services of Funeral Director/Staff . 2. FACILITIES AND SERVICES Viewing (Visitation/Wake). . . 3. AUTOMOTIVE EQUIPMENT Vdllc1e to transfer remains to Funeral Home $1225,00 $695.00 $225.00 C. SPECIAL CHARGES Direct Cremation. . . . . . . . . . . . . . . . . . . . . . FUNERAL HOME SERVICE CHARGES . . . . . . . . . . THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED . . . . . . . . . . . . . $245,00 $2390.00 $2390.00 Cash Advances Clergy/Mass Offering, . . . . . . Certified Copies ofthe Death Certificate . Sentinel Obit. . . . . Coroners Authorization fee Cremation pouch. . . . Register book/McmFldrs/TLJ Cards Cherry Urn. . . . . . . . TOTAL CASH ADVANCES AND SPECIAL CHARGES. $ I 50.00 $3600 $131.00 $25,00 $35,00 $150.00 $420.00 $947.00 Total Totai Cost . $3337.00 SUB-TOTAL INITIAL PAYMENT / DISCOUNT / CREDITS $333700 000 TOTAL AMOUNT DUE $3337.00 ~t23r. 'I? ,jI~ #~r , SO (,)'7 "IIf"/ r ~ ~ ~,lj 2. t ;/0r~r 9".,../ ~~ .rM. 6tJ Member of National Funeral Directors Association