HomeMy WebLinkAbout09-11-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
clt'T 28060"1
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BANGS MICHAEL L
429 S 18TH STREET
CAMP HILL, PA 17011
_____n_ fold
ESTATE INFORMATION: SSN: 559-34-6342
FILE NUMBER: 2106-0032
DECEDENT NAME: MCAULAY EVELYN G
DATE OF PAYMENT: 09/11/2006
POSTMARK DATE: 09/11/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 12/12/2005
NO. CD 007189
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,209.09
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TOTAL AMOUNT PAID:
$1,209.09
REMARKS: MICHAEL L BANGS
CHECK# 113
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REV-1SOO EX + (8-00)
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OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
II
06
0032
NUMBER
...
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W
C
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C
DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
McAulay, Evelyn G.
DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
C UNTY CODE YEAR
SOCIAL SECURITY NUMBER
559-34-6342
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WillS
SOCIAL SECURITY NUMBER
D 1. Original Return
D 4. Limited Estate
[!] 6. Decedent Died Testate (Attach
copy of Will)
D 9. Litigation Proceeds Received
[!] 2. Supplemental Return
D
D
D
4a. Future Interest Compromise (date of death 8ft8/'
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Pove~ Credit (date of death between
. 12-31-91 and 1-1-95)
D 3. Remainder Return (date of death prlorto 12-13-82)
D 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
NAME
Michael L. Bangs
FIRM NAME (If applicable)
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TELEPHONE NUMBER
717/730-7310
OFFICIAL USE ONLY
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12-12-2005
04-17-1912
429 South 18th Street
Camp Hill, PA 17011
(1)
(2)
(3)
(4)
(5)
(6)
(7)
None
None
None
None
None
8,310.57
None
-
-
(11)
250.00
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
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1. 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)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) D Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I)
(9)
(10)
250.00
None
(12)
(13)
(14)
8,060.57
None
8,060.57
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Govemmental 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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
0.00
0.00
0.00
1,209.09
1,209.09
15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
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0 .045 (16)
i= 16.Amount of Line 14 taxable at lineal rate 0.00 x
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EL 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
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0 18. Amount of Line 14 taxable at collateral rate 8,060.57 x .15 (18)
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~ 19. Tax Due (19)
Copyright 2002 fonn software only The Lackner Group, Inc.
Fonn REV-1500 EX (Rev. 6-00:
J.'1;
Decedent's Complete Address:
STREET ADDRESS
105 Linden Drive
CITY Camp Hill
ISTATE PA
I ZIP 1 7011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
1,209.09
Total Credits (A + 8 + 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 thEOVERPA YMENT. (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)
8. Enter the total of Line 5 + 5A. This is theBALANCE DUE (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
1,209.09
1,209.09
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income ofthe property transferred;............................................................................. D D
b. retain the right to designate who shall use the property transferred or its income;................................ D D
c. retain a reversionary interest; or............................._........................................................................... D D
d. receive the promise for life of either payments, benefits or care?.......................................................... D D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?... ............. ....... ..... .... ........................... ............ ........... ....... ........ ............... D D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?........... ...... .................................. ....... ........................ ...... ....................... D D
IF THE ANSWER TO ANY OF THE ABOVE QUESnONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under pen8Itiea of perjury, I declare that I have examined this relLm, including accompanying schedules WId atatementa, and to the best of my knowledge WId belief, it is true, corract and
complete. DtIc:*ation of preparer other than the personal raprasentative is basad on all information of which preperer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
nald M. Wilson
DATE
105 Linden Drive
Camp Hill, PA 17011
1 ~. D'
DATE
ADDRESS
ADDRESS
7/r/HDATE
429 South 18th Street
Camp Hill, PA 17011
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. ~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. ~9116 (a) (1.1) (ii)]. The statutedoes 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 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. ~9116 (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.
~9116 1.2) [72 P.S. ~9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use ofthe decedent's siblings is 12% [72 P.S. ~9116 (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.
"
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_''''Ell'_ '*
COMMONV'iEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTL Y -OWNED PROPERTY
McAulay, Evelyn G.
FILE NUMBER
21-06-0032
ESTATE OF
If ... UMt _ IIIIIde joint within one ye.. of the decedent's dMe of duIh, It must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Ronald M. Wilson
ADDRESS
RELATIONSHIP TO DECEDENT
Nephew
105 Linden Drive
Camp Hili, PA 17011
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 DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMIlAR IDENTIFYING NUMBER. ATTACH DEED FOR ~ALUE OF ASSEl INTEREST DECEDENrs INTEREST
JOINTl Y-HELD REAL ESTATE.
1 A 2/112001 M&T Bank - Certificate of Deposit 16,621.13 50.000% 8,310.57
#031003908152637 (This additional asset
to the estate was recently discovered).
TOTAL (Also enter on Line 6, Recapitulation) 8,310.57
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule F (Rev. 6-98)
'.
08131/2006 13:09
96719038
.....
PAGE 01/01
paq!jJ
-
~ TORRI~i CAVANAUGH-~-mcaui~Gvaiues.dOC.- --. --"
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!I M&rBank
499 MItcl1eU Road. Mi1Isboro, DE 19966 MaD Code DE-MB.12
Auswrt 31. 2006
Ronald. M Wilson
Estate of: Evelyn G Mcaulay
105 Linden Drive
Camp Hill. Pennsylvania 17011
. ~oI: .beIuftGJlaard.,
"--at .MunIIer: 03:1003H8llJ2A7
na:t!I or a.atIa: .DlteMtINIr .l~
Dear Sir or MadM.'l~
Per a memo from Torrin Cavanaugh at MA 'r Bank, dated August 31, 2006, pleaec be advised
at the time of death, the balance on the above referenced acoount was:
1- 1YPe of Accot.mt Cer1i./it:tdJe of Deposit
Aoeorm.t Number 031003908152637
C>wnet'$hip (N(IIM$ of) Evelyt1, G MCtl1J1Dy ·
Ror1a1d M Wilson II-
Opening IJate 02/01/01
BtJlance em DcItt1 of IJeoth $16,621.13
Accrued .It'rterat $ 137.47
ThMl $16,758.60
* Par IIIther aaeomd: baLwatlcm.. JeIIrI'IIIDI MI:Ileft1dp, cIoIaIeII ud/or relmlmrlleme:Dt or
ftulda, etc.~ pJeue coatat'!t the IIfCb. ParIt ot1Ic:e at f 717.'737-3322.
M &TBank
DOD Unit I Records Management
REV-1151 EX+ (12-11)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
McAulay, Evelyn G.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-0032
ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attomey's Fees Michael L. Bangs 250.00
3. Family Exemption: (If decedent's address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7. Other Administrative Costs
TOTAL (Also enter on line 9, Recapitulation) 250.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
*'
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
McAulay, Evelyn G.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright sr.ousal
distributions, and ransfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not Ust Trustee(sl
I.
See attached schedule
FILE NUMBER
21-06-0032
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
Total 33,000.00
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Form PA-1500 ScheduleJ (Rev. 6-98)
"
SCHEDULE ..J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Evelyn G. McAulay 559-34-6342 12/12/2005
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 John M. Adams, Jr. Other 10,000.00
Post Office Box 265
Columbus, MS 39703
2 Karen S. Lencioni Niece 4,000.00
3 Wetherburn Drive
Enola, P A 17025
3 Christian Maguire Nephew 4,000.00
4 Fieldstone Estates
Newmarket, NH 03857
4 Jerry I. Maguire Nephew 7,000.00
2221 Summerfield Lane
Harlingen, TX 78550
5 Matthew D. Wilson Nephew 4,000.00
39 Circle Drive
Camp Hill, PA 17011
6 Michael B. Wilson Nephew 4,000.00
5742 Wooc!fount Glade
New Market, MD 21744
7 Ronald M. Wilson Nephew Remainder of Estate
105 Linden Drive
Camp Hill, PA 17011
Total 33,000.00
1
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STATE OF NORTH CAROLINA
LAST WILL AND TESTAMENT
COUNTY OF MECKLENBURG
I, EVELYN G. McAULAY, of Mecklenburg County, North Carolina,
do hereby revoke all former wills made by me, and do hereby make,
publish and declare this to be my last will and testament in
manner anf form as follows:
1. I direct my executrix, hereinafter named, to pay all
of my just debts and funeral expenses as soon after my death as
possible.
2. I will and bequeath the sum of $10,000.00 to John M.
Adams, Jr.
3. I will and bequeath the sum of $7,000.00 to my nephew,
Hev. Jerry I. Maguire.
4. I will and bequeath the sum of $4,000.00 to my nephew,
Michael B. wilson.
5. I will and bequeath the sum of $4,000.00 to my nephew,
Matthew D_ Wilson.
6. I will and bequeath the sum of $4,000.00 to my niece,
Karen W. ~-A_..... !...;;'N'el t:I p( I t;./:r /11
7. I will and bequeath the sum of $4,000.00 to my nephew,
Christian Maguire.
8. All the remainder of my property of every sort, kind
and description, both real and personal, I will, devise and
bequeath to my sister, Thelms E. Wilson, absolutely and in fee
simple.
In the event that my sister, Thelma E. Wilson, is not
living at the time of my death, I will, devise and bequeath all
of the property my sister would have taken if living to my
nephew, Ronald M. Wilson, absolutely and in fee simple.
9. I hereby constitute and appoint my sister, Thelma E.
Wilson, as Executrix of this my last will and testament, and I
. .
hereby give and grant unto her full power and authority to sell
any of my property, or do any other act~ without Order of Court,
and without Bond, which in her opinion is for the best interest
of my estate.
And I do further provide that if my sister is
not living at the time of my death, or be for any reason unable
to act, then and thereafter, Ronald M. wilson shall become, be
and act as the Executor of this my last will and testament with
all the duties, powers and authority as herein given to my
original Executrix.
I, EVELYN G. McAULAY, the testatrix, sign my name to this
instrument this
/'7rIJ
day of December, 1991, and being
first duly sworn, do hereby declare to the undersigned authority
that I sign and execute this instrument as my last will and that
I sign it willingly, that I execute it as my free and voluntary
act for the purposes therein expressed, and that I am eighteen
years of age or older, of sound mind, and under no constraint or
undue influence.
...
We 4.ER'AN I< STklJ WN
~L,C4 rc'lE"R'- . Ji.----, the
witnesses, sign our names to this instrument, being first duly
sworn, and do hereby deciare to the undersigned authority that
the testatrix signs and executes this instrument as her last will
and that she signs it willingly, and that each of us, in the
presen~e and hearing of the testatrix, hereby signs this will as
witnesses to the testatrix's signing, and to the best of our
knowledge the testatrix is eighteen years of age or older, of
sound mind, and under no constraint or undue influence.
M~. ~-1'-~/)'~'
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THE STATE OF NORTH CAROLINA
COUNTY OF MECKLENBURG
Subscribed, sworn to and acknowledged before me by EVELYN
G. McAULAY, the testatrix, and subscribed and sworn to before me
by J:.T. FI~aN..K SiR./7U/I\L...._ and <:.J .~J3.g.~tS...L-_p___,
1'7111
witnesses, this
day of December, 1991.
~'Zc'-.; k4
Notary Public
My commission expires: /-j S' - 9 L_
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