HomeMy WebLinkAbout09-14-06 (2)
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15056041125
REV-1500 EX (06-05)
PA Department of Revenue ..
~~~~:~~~~uaITaxes INHERITANCE TAX RETURN
Harrisbum. PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
2 1 0 6
File Number
o 2 5 8
Date of Birth
189185864
o 3 192 0 0 6
04291918
Decedent's Last Name
Suffix
Decedent's First Name
BIT T N E R
F RED E R I C K
MI
J
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
00 1. Original Retum
D 4. Limited Estate
00 6. Decedent Died Testate
(Attach Copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of
death after 12-12-82)
D 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
D 10. Spousal Poverty Credit (date of death D 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
D
D
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
J A N L B ROW N
71754 1 555 0
Firm Name (If Applicable)
J A N L B ROW N ASS 0 C
REGISTER OF WILLS USE ~L Y
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845 SIR THO MAS C T S TEl 2
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Second line of address
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City or Post Office
State
ZI P Code
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.PAlEj FILED
HARR I SBURG
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Correspondent's e-mail address:BRENDAJLB@VERIZON.NET
ARDEN DR
THAN REPRESENTATIVE
LEWISBERRY
PA 17339
ADD
845 SIR THOMAS CT STE 12 HARRISBURG
PLEASE USE ORIGINAL FORM ONLY
SIGNA TU
PA 17109
Side 1
L
15056041125
15056041125
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15056042126
REV-1500 EX
Decedent's Social Security Number
DecedenfsName: FREDERICK J. BITTNER
RECAPITULATION
18918 586 4
1. Real estate (Schedule A)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B)
.................................. 2.
11004118
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) ....................... . 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. 1 4 6 0 9 7 1 8
...... .
6. Jointly Owned Property (Schedule F) o Separate Billing Requested . . . . . . . 6. 2 5 8 0 9 8 2
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested . . . . . . . 7.
8. Total Gross Assets (total Lines 1-7) .......................... . 8. 2 8 1 9 4 8 1 8
9. Funeral Expenses & Administrative Costs (Schedule H) 9. 3 0 0 7 7 5 0
............... .
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . 10. 3 3 5 4 5 7 6
11. Total Deductions (total Lines 9 & 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 6 3 6 2 3 2 6
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12. 2 1 8 3 2 4 9 2
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . .. . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . 14. 2 1 8 3 2 4 9 2
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.O _ 0 0 0 15. 0 0 0
16. Amount of line 14 taxable
at lineal rate X .012- 2 1 8 3 2 4 9 2 16. 9 8 2 4 6 2
17. Amount of line 14 taxable 0 0
at sibling rate X .12 0 17. 0 0 0
18. Amount of Line 14 taxable 0 0 0
at collateral rate X .15 18. 0 0 0
19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 9 8 2 4 6 2
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
lXI
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15056042126
150
~EV-1500 ~x Page 3
Decedent's Complete Address:
File Number
0258
DECEDENrs NAME
FREDERICK J. BITTNER
STREET ADDRESS ---.--..-...... -
5225 Wilson Lane~t2Q~ -.
~oweU~,l!~!l}owns~__. - __._.~___.__~~_~._~___,,__.__ o.'________.. .______.._.._..__...__
CITY I STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
9,824.62
10,000.00
491.23
Total Credits ( A + 8 + C) (2)
10,491.23
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( 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)
0.00
666.61
0.00
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"IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ...................................................................... D 00
b. retain the right to designate who shall use the property transferred or its income; ............................... D 00
c. retain a reversionary interest; or ................................................................................................ D 00
d. receive the promise for life of either payments, benefits or care? ....................................................... D 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... D 00
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... D 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. D 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. ~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 zero (0) percent
(72 P.S. ~9116 (a) (1.1) (ii)]. 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 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. ~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 four and one-half (4.5) percent, 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 of the decedent's siblings is twelve (12) percent [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.
~EV-1503 ~ + I'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FREDERICK J. BITTNER
FILE NUMBER
0258
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
United States Savings Bonds, Series HH, quantity 4
VALUE AT DATE
OF DEATH
17,000.00
2
United States Savings Bonds, Series E, quantity 82
42,063.32
3
United States Savings Bonds, Series E, quantity 122
50,977.86
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
110.041.18
. REV-1508, EX + (6-.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FREDERICK J. BITTNER
FILE NUMBER
0258
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of sUlVivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
2
3
4
5
6
7
8
9
10
11
DESCRIPTION
VALUE AT DATE
OF DEATH
9,177.80
Members 1 st Federal Credit Union
Regular Savings Account 23914-00
Members 1 st Federal Credit Union
Money Management Account 23914-05
25,453.01
Members 1 st Federal Credit Union
Certificate of Deposit Account 23914-41
26,145.61
Members 1 st Federal Credit Union
Certificate of Deposit Account 23914-46
48,179.94
PNC Bank
Checking Account 5140004815
16,481.66
PNC Bank
Certificate of Deposit Account 31200263463
15,543.77
Asbury Communities Inc; Bethany Village refund
990.05
The Patriot-News; subscription refund
19.30
Pennsylvania Department of Revenue; 2005 PA-40 overpayment refund
1,391.00
United States Treasury; 2005 1040 overpayment refund
2,650.00
State Farm; renters policy cancellation refund
65.04
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
146097.18
. REV-l509.EX. (.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FREDERICK J. BITTNER
FILE NUMBER
0258
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. Kimberly A Casselberry
777 Glen Arden Dr
Lewisberry P A 17339
daughter
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 DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 4/22/04 New Cumberland Federal Credit Union 51,619.63 50. 25,809.82
Account 41609
TOTAL (Also enter on line 6. Recapitulation) $ 25 809.82
(If more space is needed, insert additional sheets of the same size)
,REV-"" ~. ('.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FREDERICK J. BITTNER
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
0258
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hetrick Funeral Home Inc 7,792.40
2 Funeral repast 609.50
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) Kimberly A Casselberry 11,458.00
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 777 Glen Arden Drive
City Lewisberry State P A Zip 17339
Year(s) Commission Paid: 2007
2. Attorney Fees Jan L Brown & Associates 8,458.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs. attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills, Cumberland County 415.00
5. Accountanfs Fees Parks & Company 1,000.00
6. Tax Return Prepare(s Fees
7. The Patriot-News; legal advertising 264.60
8 Cumberland Law Journal; legal advertising 75.00
9 Priority mail 5.00
TOTAL (Also enter on line 9, Recapitulation) $ 30.077.50
(If more space is needed. insert additional sheets of the same size)
. REV-1512.EX + (12-03)
'*
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FREDERICK J. BITTNER
FILE NUMBER
0258
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, Including un reimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Check 2567 cashed after death 176.00
2 Check 2568 cashed after death 645.00
3 Check 2569 cashed after death 3,948.00
4 Check 2570 cashed after death 9.80
5 VISA 51.91
6 United States Treasury; 2004 income tax liability 3,334.00
7 Alert Pharmacy Svs Inc 248.03
8 Mobile X-Ray Imaging Inc 33.02
9 United States Treasury; 2006 income tax liability 25,000.00
(based upon accountant's estimate)
10 PA Department of Revenue; 2006 income tax liability 100.00
(based upon accountant's estimate)
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
33545.76
,REV'1513~'I.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FREDERICK J. BITTNER
SCHEDULE J
BENEFICIARIES
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 pnclude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Kimberly A Casselberry Lineal 122,067.37
777 Glen Arden Dr, Lewisberry, PA 17339
2 Carol M Lambert Lineal 96,257.55
PO Box 396, May town, PA 17550
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART n - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
FILE NUMBER
0258
(If more space is needed, insert additional sheets of the same size)
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LAST WILL AND TESTAMENT
OF
FRED BITTNER
I, FRED BITTNER, of Cumberland County, Pennsylvania, declare this to be my Last Will
and Testament. I revoke all other Wills and Codicils that I may have previously made.
Article I
My just debts and expenses of my last illness, funeral, and administration of my estate shall
be paid by my Executor from the principal of my residuary estate as soon as practicable after my
death.
Article IT
All inheritance, estate, and succession taxes (including interest and penalties thereon, but not
including any generation skipping tax) payable by reason of my death shall be paid out of and be
charged generally against the principal of my residuary estate without reimbursement from any
person. This provision is not a waiver of any right which my Executor has to claim reimbursement
for any such taxes which become payable as the result of any property over which I have the power
of appointment.
t: \ -'
_::;".1. :,....>.j..\
-1 i _ il/~ ",) "j ~
.Article ill
I give, devise and bequeath in accordance with any memorandum which I have either
handwritten or signed, located with my Will or with my valuable papers and found within 30 days of
the probate of my Will. Gifts may only be to persons who survive me or to organizations which exist
at my death, and if there is a conflict, the memorandum having the latest date shall govern.
Article IV
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, I give, devise and bequeath IN EQUAL SHARES to my daughters, KIMBERLY A.
CASSELBERRY, of York County, Pennsylvania and CAROL M. LAMBERT ofL ancaster
County, Pennsylvania.
However, if a beneficiary does not survive me by thirty (30) days, but leaves descendants
who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the
beneficiary would have received had he or she survived me by thirty (30) days.
Article V
I nominate, constitute, and appoint KIMBERLY A. CASSELBERRY and CAROL M.
LAMBERT Executrices of my Last Will and Testament. I direct that my Executrices be permitted
to serve without bond and in addition to those powers granted by law, I grant them power to
distribute in cash or in kind in like or in unlike shares and to file any qualified disclaimer I could
have filed ifliving. My Executrices shall receive reasonable compensation for services rendered to
my estate.
-2-
Article VI
ill addition to the powers conferred by law, I authorize my Executrices, in her absolute
discretion:
(a) . to retain in the form received and to sell either at public or private sale, any real estate
or personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification,
(d) to exercise any option or right arising from the ownership of investments,
(e) to compromise claims without court approval and without consent of any beneficiary,
(f) to file any federal income tax return for any year for which I have not filed such return
prior to my death,
(g) to make distributions in cash or in kind, or in both, and to determine the value of any
such property,
(h) to employ any attorney, investment advisor, or other agent deemed necessary by my
Execut*; and to pay from my estate reasonable compensation for all their services,
(i) to conduct alone or with others, any business in which I am engaged in, or have an
interest in at time of my death, and
(j) to receive reasonable compensation in accordance with their standard schedule of fees
in effect while their services are performed.
- 3 -
IN WITNESS WHEREOF, I, FRED BITTNER, hereby set my hand to this my Last Will
and Testament, on
!~! 7-3,/- Q)
,2003, at Harrisburg, Pennsylvania,
jC,~~~~.
FRED BITTNER '-
In our presence, the above-named FRED BITTNER signed this and declared this to be his
Last Will and Testament, and now at his request, in his presence, and in the presence of each other,
we sign as witnesses,
Name
Address
fHuJa.U ~
f~s~
~cssV" ~{I"f"<< <; CI ~(~.slr_x.r"5 1/4 (10 q
~VaL01,
<?LfCf SI'( !ll/~ c; CI. ;1Ctrn -itlr~,R7 /?/(fj
-4-
I, FRED BITTNER, Testator, who signed the foregoing instrument, having been duly
qualified according to law, aclmowledge that I signed and executed this instrument as my Will, and
that I signed it willingly as my free and voluntary act for the purposes therein expressed.
Sworn to or affinned and
aclmowledged before me by
FRED BI TNE the Testator,
on I' ,2003.
~Q~
(~ Public
r- ,
d1 ~ .#)~~
FRED BITTNER ---
JAN L BROWN. NOTARY PUBLIC
LOWER PAXTON TWP. DAUPHIN COUNTY
MY COMMISSION EXPIRES MARCH 29 2004
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the Testator sign and execute this
instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the
purposes therein expressed; that each of us in his sight and hearing signed the Will as witnesses, and
that to the best of our lmowledge, that he was at that time eighteen (18) years or more of age, of
sound mind, and under no constraint or undue influence.
Sworn to or aftinned and
subscribed to before me
tP~
Witness
,2003.
() ~~
\ / /
O~ ~-\
~~ Public
~M- CCks~
ess
NOTARIA l
JAN L BROWN, NOTARY PUBLIC
LOWER PAXTON TWP. DAUPHIN COUNTY
MY COMMISSION EXPIRES MARCH 29 2004
- 5 -