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HomeMy WebLinkAbout09-27-06 ~.1500 EX + (1-00) .. * w ..., li:ic(!2 ldii:g Gfiil ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 OFFICIAL USE ONLY REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER II COUNTY CODE YEAR SOCIAL SECURITY NUMBER llQ! DECEDENrs NAME (LAST. FIRST, AND MiDDlE INITIAL) Lightner, Joan G. DATE OF DEATH (MM-DO-YEAR) DATE OF BIRTH (MM-DD-YEAR) I- Z W C W U W C 03-24-2006 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MiDDlE IN mAL) 08-04-1921 204-03-0140 [!] 1. Original Return o 4. Limited Estate [!] 6. Decedent Died Testate (Attach copy of Will) 09. Litigation Proceeds Received 0356 NUMBER THS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 2. Supplemental Return o o o 4a. Future Interest Compronlse (dale of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10 Spousal PovertY Credit (date of death between . 12-'31-91 and 1-1-95) o 3. Rernlinder Return (dale of death prior 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) NAME George F. Douglas III FIRM NAME (If applicable) Saidis, Flower & Lindsay TELEPHONE NUMBER (717) 243-6222 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 Properly (Schedule E) 6. Jointly Owned Properly (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (Schedule G or L) 0 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) 11. Total Deductions (total Lines 9 & 10) !z w Q ~ Go II) ~ II: o U z o ~ ::;) t: 0.. 0( U w a:: COMPLETE MAILING ADDRESS 26 West High Street Carlisle, PA 17013 (1 ) None (2) None (3) None (4) None (5) 60,053.09 (6) None (7) None (9) 2,649.74 (10) 1,330.27 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 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 OFFICI&L USE ONLY <= r';"'1 .. C'"' ,___) -:.- 0 , ^ ';0-, , :::.0 V" ~cd "r) rr1 _Ll -;- C) -0 CJ -::-; r-- pi ,.-_'~~ ~ CJ .j .: ;:.~~ C") ~-i'" -n C) ,,{,,1 ~;') (:) -\1 .C) ."';5 ::::.; ...:-.>' (8) (11) (12) (13) (14) 15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) z or transfers under Sec. 9116(a)(1.2) Q 56,073.08 .045 (16) I- 16.Amount of Line 14 taxable at lineal rate x ~ ::;) 0.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) :E 0 u 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18) ~ x 19. Tax Due (19) 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT :P" J: \.D (..,) a:> 60,053.09 3,980.01 56,073.08 None 56,073.08 0.00 2,523.29 0.00 0.00 2,523.29 Copyright 2002 form software only The Lackner Group, Inc. Form REV.1500 EX (Rev. 6-00; .. Decedent's Complete Address: STREET ADDRESS 770 S. Hanover St. CITY Carlisle I STATE PA I ZIP 1 701 3 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CredllslPayments A. Spousal Poverty Creel it 8. Prior Payments C. Discount (1) 2,5!3.~t 0.00 3. InterestlPenalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C) (2) 0.00 TotallnterestlPenalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Une 20 to request a refund 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) 8. Enter the total of Line 5 + 5A This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 2,52.5.1.1 2,511.j"l 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;.................................................................................. 0 [!J b. retain the right to designate who shall use the property transferred or its income;.................................... 0 [!J c. retain a reversionary interest; or.................................................................................................................. 0 [!J d. receive the promise for life of either payments, benefits or care?.............................................................. 0 [!J 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................... ......... ........................................................... ... 0 [!J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 Ii] 4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................ .............. ......... ......... ........ .............. ..... ......... .... ................. D [!] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties ~ perjury, I declare that I have examined this reIIm, including ~ schedules and statements, and to the best ~ my knowledge and belief, ills true, correct and COIT1lIete. 0ecIaIati0n ~ IlI'IlPIII't!I' other then the personal reg, _llatIwe Is based an II Informatlon ~ which IlI'8PlIl'eI' has any knowledge, SIGNATURE OF PERSON RESPONSIBlE FOR RETURN ADDRESS Joseph G. L htner DATE 125 Bernhelsel Bridge Road Carlisle, PA 17013 1'11~~ ADDRESS DATE ADDRESS ~. 2.7) lAlJ(. DATE 26 West High Street Carlisle, PA 17013 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. 59116 (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. 59116 (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 retum 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. 59116 (a) (1.2)]. The tax rate Imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries Is 4.5%, except as noted in 72 P.S. 59116 1.2) [72 P.S. 59116 (a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. 59116 (a) (1.3)]. A sibling Is defined under Section 9102, as an IndMdual who has at least one parent in cornmon with the decedent, whether by blood or adoption. Rev.1508 EX+ (....) . . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAl.. PROPERTY COMMONWEALTH OF PENNS\'LVANlA INHERITANCE TAX RET\JRN RESIlENT DECEDENT ESTATE OF Lightner, Joan G. FILE NUMBER 21-2006-0356 Include the prac:eeds of IIllgatIon and the d8te the prac:eeds ~ received by the estate. All propII1y joInt1y-..c1 with the right oIaurvtvorahlp must bII dlscloHcl on Khedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Blue Cross, refund of premium 409.20 2 Chapel Point, refund of nursing home costs 8.166.67 3 Chapel Point, refund of pet deposit 150.00 4 retirement payment 283.29 5 Sentinel, refund 30.29 6 M&T Bank, checking acct. #770302 2.069.78 7 Pennsylvania State Bank, certificate of deposit #9150001018 41.372.85 8 Pennsylvania State Bank, checking acct. #10304228 7.571.01 TOTAL (Also enter on Une 5, Recapitulation) 60,053.09 (If more space Is needed. additional pages of the same size) Copyright (c) 2002 fonn software only The Lackner Group, Inc. Fonn PA-1500 Schedule E (Rev. 6-98) ~V.1151 EX+ (12""1 . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lightner, Joan G. Debts of decedent must be reported on SChedule I. FILE NUMBER 21-2006-0356 ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 719.41 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 1,478.33 See continuation schedule(s) attached 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 177.00 See continuation schedule(s) attached 5. Accountanfs Fees 6. Tax Retum Preparer's Fees 7. Other Administrative Costs 275.00 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 2,649.74 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev.1502 EX+ (6-88) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEAl. TH Of' PENNSVl.VANIA INHERITANCE TAX~ RESIDENT DECEDeNT ESTATE OF Lightner, Joan G. FILE NUMBER 21.2006-0356 ITEM NUMBER DESCRIPTION 1 Ewing Bros. Funeral Home. prepaid plan AMOUNT 0.00 2 Second Presbyterian Church, donation for services 500.00 3 Sunnyside Restaurant, funeral meal 219.41 Subtotal 719.41 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) .. Rev.1502 EX+ (848' '*' SCHEDULE H.82 ATTORNEY'S FEES continued COMMOHWEAl TH OF PENNSYLVANIA INHERITANCe TAX RE1\lRN RESIDENT D1!CEDENT ESTATE OF Lightner, Joan G. FILE NUMBER 21-2006-0356 ITEM NUMBER DESCRIPTION 1 Saldis, Flower & Lindsay AMOUNT 1.478.33 Subtotal 1.478.33 Copyright (c) 2002 form software only The Lackner GrouP. Inc. Form PA-1500 Schedule H-B2 (Rev. 6-98) Jtev.150Z EX+ (MIl) . .eHI!DULI! H.B4 PROBATE FEES continued COMMClNWEALlH OF PENNS'r\.VANIA INHERITANCE TAX RETURN RESIlENT DeCEDENT ESTATE OF Lightner, Joan G. FILE NUMBER 21-2006.Q356 ITEM NUMBER DESCRIPTION 1 Register of Wills of Cumberland Co. AMOUNT 177.00 Subtotal 177.00 Copyright (c) 2002 tonn software only The Lackner GrouP. Inc. Fonn PA-1500 Schedule H-B4 (Rev. 6-98) oRev-1502 EX+ (8-88) . SCHI!DULI! H.87 OTHER ADMINISTRATIVE COSTS continued COMMONWEAI.TH OF PENNSYLVANIA NERITANCE TAX RETURN RESIlENT DECEDENT ESTATE OF Lightner, Joan G. FILE NUMBER 21-2006-0356 ITEM NUMBER DESCRIPTION 1 Cumberland Law Journal, estate notice AMOUNT 75.00 2 Register of Wills, filing fee for return 15.00 3 The Sentinel, estate notice 185.00 Subtotal 275.00 Copyright (c) 2002 form software only The Lackner Group. Inc. Form PA.1500 Schedule H-B7 (Rev. 6-98) ftev.1512 EX+ (1-18) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA NlERITANCE TAX RETURN RESIlENT DECEDENT ESTATE OF Lightner, Joan G. FILE NUM,BER 21-2006-0356 Include uMllmbursed medical experIHS. ITEM NUMBER DESCRIPTION 1 Borough of Carlisle, Per Capita tax VALUE AT DATE OF DEATH 5.00 2 Chapel Point, final bill 1.241.59 3 Final phone bill 3.98 4 Millenium Pharmacy, medications 79.70 TOTAL (Also enter on Une10, Recapitulation) 1,330.27 (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 I (Rev. 6-98) REV.1513 EX+ (~) . .eNI!DULI! .. BENEFICIARIES COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Lightner, Joan G. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS ~nclude outright spousal aistributions and transfers under Sec. 9116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not lilt TruatMlsl FILE NUMBER 21.2006-0356 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. 1 Ann M. Lightner 4311 Voss Hills Place Dallas,TX 75287 Daughter 1/3 2 Charles G. Lightner, Jr. 9 Oak Flat Road Newville, PA 17241 Joseph G. Lightner 125 Bemhelsel Bridge Road Carlisle, PA 17013 Son 1/3 3 Son 1/3 of the estate Total Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate, on Rev 1500 cover sheet ll. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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 0.00 Form PA-1500 Schedule J (Rev. 6-98) I en N Z ;::) ""'"" ...0 C1)~cg Coo -'0 .c('/)N 0)0_ .- ,~ ...I~N '0- ON('/) C"C C'llZO ~~C Iii It: z o i= ~ o Q. 0:: o o ..J <C (3 z <C z u: C) z ::i 0:: w l- t/) cg o o N uS N CI) C :s .., C o >0; C'll C'll en ... "Co C 2- 'r'" .- 0 'r'" ...JO ~ ~-_'r'" ...C'llCl)<c !fS-a.. ~._ CI) oen-'l::= -en~'- LL.CI):::E:::J: .!!! 'C5 c.. "C...enE ~a..~C'll (I)<CNO ~ 0 t- cg ~ U) N 'r'" CW 'r'" en ~ffi tI9- ...... tI9- t- :!: 0 ('/) Ct- eo e wtn ~ c:) ;:)w tI9- e 0:::0::: 'r'" UW .,. Ut- c(!: 'r'" N W N eo 0 cD N oz cg ...... 0:3 an ~ ...... 'r'" oc( tI9- ~ JXl tI9- <C ~ '- Z 0 0 ~ a.. a.. . . ... ... CI) CI) C C t- - - U) .c .c c; 0) 0) w :::i :::i 0::: 0 0 .c .c c.. c.. CI) CI) en ~ 0 .., .., ..: ~ CI) CI) C C - - .c .c ~ 0) ....I :::i ci 0 C C C'll C'll 0 0 .., .., 0 an an w 0 e Z ~ ~ W I:L. ~ ~ 0 N N w 0 e t- e( Q co ell) N 'r'" t-a: N e ~ 'r'" Zw 0 e :::JID C"') e o~ 0 e O:::J 'r'" an ~Z 'r'" en Il.t- o~ .!! wo I:J) I:L.O c: rJ ~~ :i2 l;: u ~ III .c Gl 0 0 ..n co co LO I LO C") ...... I ...... ..... ...... - m (]) E - o m - c o o (]) en ctl (]) a. (])- o c $ en .in en m ... (]) ..c 1:: .2 >. c m \f- o Q) ..0 C m o - .~ m .0 \ f ~~ ~J ~~ :>. .sa c a; ; .~ .... ~ a. ~ .C E .!;;;. 0 0 :!:: en -l () F!1 M&fBank MAY to. 2006 . 499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12 Phone (888)502-4349 Fax (302) 934-2955 May 8, 2006 Law Offices Saidis, Flower & Lindsay 2109 Market Street Camp Hill, Pennsylvania 17011 Re: Estate of: Joan G Liflhtner Social Securitv: 204-03-0140 Date of Death: March 24, 2006 Dear Sir or Madam: Per your inquiry dated April 28, 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 Checking Account Account Number 770302 Ownership (Names of) Joan G Lightner * Opening Date 07/01/71 Closed 04/24/06 Balance on Date of Death $2,069.78 Accrued Interest $ 0.00 Total _..__.__.w_______..._________________.....______..________________________.._____________.. $2,069.78 ------------------------------------------------.-..-...------------------------ Please be advised, there wac; 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 Stonehedge Office # 717-240-4524. Sincerely, ~~ Nancy Clagett Records Management . . " LAST WILL AND TESTAMENT I, JOAN G. LIGHTNER, of South Middleton Township, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my last will and testament, hereby revoking and making void a~l former wills by me at any time heretofore made. FIRST. I direct all my just debts and funeral expenses, including all inheritance taxes that may be assessed against my estate, be fully paid and satisfied out of my estate by my personal representative hereinafter named as soon as conveniently may be done afte~ my decease. SECOND. I give,devise and bequeath all of my estate, ~eal and pe~so~al, whatsoever and wherever situate, to my husband, Charles G. ~fghtner, to be his absolutely. THIRD. . l't1 the event my said husband should p;J::'edecease me or we should both die as the result of a common disaster, then in either of those events, r give, devise and bequeath all of my estate, real and personal, whatsoever and wherever situate, in equal shares to my children, namely, Joseph G.Lightner, Ann M. Lightner and Charles G. Lightner, Jr., share and share alike, or to their issue if any of them should predecease me; and, in the event any of my said children should' predecease me without issue, then to the surviving children or child, or to their, his Or her issue. FOURTH. I direct that my personal ;J::'epresentative hereinafter named in his discretion may convert all or any part ofl"emy estate, real and personal, whatsoever and wherever situate, into cash at either public or private sale or sales at the best price or p~ices obtainable in his disc~eti.on and make dfstribut.ion, in kind, in cash, or partly in kind and partly in cash in his df.scretion. LASTLY, I nominate, constitute and appoint my said husband, Charles G. Lightner, Executor, of this my last will and testament. rn the event my said'husband should predecease me, resign, renounce, refuse or be unable to serve for any' reason or should die before my estate is fu1ly administered, then in any of tb,oseevents, 1. nominate, constitute and appoint my s'on, Jose:ph G. Lightner, successor E:x:ecutor, df this my last will arid testament. r direct! that my persona1 representative shall not be required to give bond to serve in, this! or any otb,e'X;' jurisdiction. IN WITNESS WHEREOF, r 'have hereunto get-~y hand and seal this30 day of ~~;~' , 1985. i..'~!f ~ f'; . I . (SEAL) . . " Signed, sealed, published and declared by the above named Testatrix, Joan G. Lightner, as and for her last will and testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. /"~) .. M_......, . - ,.~ ~4P74/... '~ 'J -/ ~ ~ 1-. J~_r g