HomeMy WebLinkAbout10-11-06
"f' -.. U + (UtI
I!!
ll:CU)
MEll:
:ci~
UII.ID
II.
C
*'
OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 06
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
199-34-8171
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
OEPT. 2BOeOl
__~RRI!!.I!IJRG, PA 1712e.oeol
00140
NUMBER
!E
w
51
M
Q
DECEDENTS NAME (LAST. FIRST, AND MIDDLE INITIAL)
Summers, Sr., Lawrence E.
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
10/08/1945
12/30/2005
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVNlNG SPOUSE'~ NAME ( LAST, FIRST AND MIDDLE INITIAL)
Summers, Diana L.
1. Original Return
3. Remainder Return (date of death prior to 12-13-82)
o 4. Limited Estate
181
o
o 2. Supplemental Return
o
o
o
o 5. Federal Estate Tax Return Required
o 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Allach Sell 0)
4a. Future Interest Compromise (date 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 nd 1-1-95
6. Decedent Died Testate (Allach copy
of Will)
9. litigation Proceeds Received
",I-
w~
II! Q IRM NAME (If applicable)
8 2 Law Offices of Craig A. Diehl
ElEPHONE NUMBER
717/763-7613
z
o
~
j;!
it
~
W
II:
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)
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)
(11)
5,456.00
12. Net Value of Estate (Line 8 minus Line 11)
(12)
insolvent
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
14. Net Value Subject to Tax(Line 12 minus Line 13) (14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
~ 16. Amount of Line 14 taxable at lineal rate x .045 (16)
~ ------~---
::I
II. 17. Amount of Line 14 taxable at sibling rate x .12 (17)
:I
B
~ 18. Amount of Line 14 taxable at collateral rate x .15 (18)
19. Tax Due (19)
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Copyright 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
'Decedent's Complete Address:
STREET ADDRESS
1204 Mallard Court
CITY
STATE PA
ZIP 17011
Camp Hill,
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
0.00
Total Credits (A + B + C) (2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPAYMENT.
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
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is theBALANCE DUE
(3) 0.00
(4)
(5) 0.00
(SA)
(5B) 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;............................................................................. ~ I
:: :::~ :~:~~i~~~~:~~ea:s~~.~~~~I..~~~.~~.~~~:~.~~.~~~~~~..~~.i~.~~.~:~~..............................~~:::::::::::.........
d. receive the promise for life of either payments, benefits or care?...........................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?......................................................... ............ ..... ............... -..................... D ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death.?....... D ~
4. Did 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 of perjury. I declare that I have examined this return. including accompanying schadules and statements. and \0 the best of my knowledge and belief. it is true. correct and complete'- DeClaration
preparer other than the personal representative is based on all information of which preparer has any knowladge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
n.!-. Summers 103 November Drive, Apt. 2
Camp Hill" PA 17011
ADDRESS
PREPARER OTHER THAN REPRESENTATIVE
ket, Esquire
ADDRESS
DATE
3464 Trindle Road
Camp Hill, PA 17011-4436
I (j ()f, OJ,
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. S9116 (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. S9116 (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 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. S9116 (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. S9116
1.2) [72 P.S. S9116 (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. S9116 (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.
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Summers, Sr., Lawrence E.
FILE NUMBER
21 - 06 - 00140
Include the proceeds of litigation and the date the proceeds were received by the estatelll property Jolntly-owned with the right of
survivorship must be disclosed on schedule F.
--.--
ITEM DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
- - -- - ---- -----------
1 Commerce Bank 2.41
100 Senate Avenue
Camp Hill, PA 17011
50 Plus Checking Account # 0536043052
Balance at date of death (Account did not bear interest).
See Commerce Bank correspondence attached hereto as Exhibit E.
TOTAL (Also enter on Line 5, Recapitulation) 2.41
*'
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Summers, Sr., Lawrence E.
FILE NUMBER
21 - 06 - 00140
Include unrelmbursed medical expenses.
_."M~"_._ _
ITEM DESCRIPTION AMOUNT
NUMBER
---- ----.-.-. -
1 Hershey Medical Center - Hospital bill 1,256.00
2 Odyssey Health Care - Medical bill 4,200.00
---"---
TOTAL (Also enter on Line 10, Recapitulation) 5,456.00
REV.1513 EX+ (~)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Summers, Sr., Lawrence E.
I FILE NUMBER
21 - 06 - 00140
--
RELATIONSHIP TO AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE
Do Not LIst TI'UStM(.)
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1 Diana Lynn Summers Spouse 100% Residue
103 November Drive, Apartment 2
Camp Hill, PA 17011
1
I
I
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropri te, on Rev 1500 cover sheE t
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
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE
EXHIBIT E
Commerce
.Bank
Convnerce Bank/Harrisburg N.A
100 Senate Avenue
Camp Hill Pa 17011
888-937 ~004
Page 1 of 1
STATEMENT DATE
--- ---
LAWRENCE E SUMMERS SR
POBOX 45
LEMOYNE PA 17043
---
IQ~3~O'30S2
ACCOUNT NO.
......... CHECKING *** :JO PLUS CLUB
ACCOUNT NUMBER 0536043052
PREViOUS STATEMENT BALANCE AS OF 12/20/05 .............. ....... ...
PLUS 0 DEPOSITS AND OTHER CREDITS ...... ......... ....
LESS 0 CHECKS AND OTHER DEBITS ........ ..............
CURRENT STATEMENT BALANCE AS OF 01/20/06 ..................... ....
NUMBER OF DAYS IN THIS STATEMENT PERIOD 31
CYCLE-011
2.41
.00
.00
2.41
-----------------------------------------------------------------------------------
*** BALANCE ~.'-" ***
12/20 ~
PAYER FEDERAL ID NUMBER
INTEREST PAID YEAR TO DATE
23-2324730
.00
~~~~~rA
--.+ ~ ~d(~~.
~
NOTE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Member FDIC
J. r'~,
~. Lt,
LAST WILL AND TESTAMENT OF LAWRENCE E. SOMMERS, SR.
KNOW ALL MEN BY THESE PRESENTS, That I, Lawrence E. Summers,
Sr. of the Township of East Pennsboro, County of Cumberland and
Commonwealth of Pennsylvania, do make, publish, and declare this
instrument to be my Last Will and Testament, hereby revoking and
making void any and all former Wills by me at any time heretofore
made.
FIRST: I direct the Executrix hereof to pay all my just
debts, funeral expenses and costs of administration as soon as
conveniently may be done after my death. I further direct the
Executrix hereof to pay all inheritance, estate, transfer and
succession taxes which may be levied or assessed upon any pro-
,
perty which is included as part of my gross estate for the
purpose of any such tax.
SECOND: I give, devise and bequeath unto my sons Lawrence
E. Summers, Jr. and Gregory J. Summers, my two statutes of the
Infant of Prague with two sets of antique wooden rosaries. Each
son is to have one statute and one set of rosaries and are to
decide between themselves which statute and which set of ros-
aries each shall receive.
.itV
...,\ ,n~
? C' ~; 1 \ v~ \J
vI..' -
~.... , ~.n~,..1
....., ~,'.:..J -~ \.:ij;';(,
~t ~ G.....J.;
j<./ :I':~~ri:='~'-.J
THIRD: I give and bequeath unto my son, Lawrence E. Summers
Jr. any automobile that I may own on the date of my death.
FOURTH: I give, devise and bequeath unto my wife, Diana Lynn
Summers the rest, residue and remaindeor of my estate, realty and
personlty, howsoever designated wheresoever situate provided that
she is living on the thirtieth (30th) day after the date of my
dea th .
FIFTH: In the event that my wife, Diana Lynn Summers, does
not survive me or does not survive by the said period of thirty
(30) days, then in that event, I give, devise and bequeath unto
my sons Lawrence E. Summers, Jr. and Gregory J. Summers and unto
my said wife's sons Steven A. McKenney and John N. MCKenney the
rest, residue and remainder of my estate in equal shares, share
and share alike, per stirpes. '!he gift, devise and bequest set
forth in this paragraph is subject to the following conditions:
(a) If Lawrence E. Summers, Jr. has attained his 25th 0
birthday, then in that event his share is to be given to him at
time of settlement of my estate. If he has not attained his
25th birthday a t time of settlement then h is share is to be
held in trust for him until he attains his 25th birthday, at
wh ich time h is share shall be distr ibuted to h fm.
.i '~)).
:J\.L.
- 2 -
(b) If John N. McKenney has attained his 25th birthday,
then in that event his share is to be given to him at time of
settlement of my estate. If he has not attained his 25th birth-
day at time of settlement then his share is to be held in trust
for him un til he attains h is 25th bir thday, at wh ich time his
share shall be distributed to him.
(c) If Gregory J. Summers has attained his 30th birthday,
then in that event his share is to be given to him at time of
settlement of my estate. If he has not attained his 30th birth-
day at time of settlement then his share is to be held in trust
for him until he attains his 30th birthday, at which time his
share shall be distributed to him. If the guardian of his person
and the Executor agree that he is mature enough to handle his
share at anytime after his 25th birthday then in that event the
Trustee may distribute to him his share of my estate.
(d) If Steven A. McKenney has attained his 30th birthday,
then in that event his share is given to him at time of settle-
ment of my estate. If he has not attained his 30th birthday at
time of settlement then his share is tO,be held in trust for him
until he attains his 30th birthday, at which time his share shall
I
be distributed to him.
SIXTH: In the event that my wife, Diana Lynn Summers does
not survive me or does not survive me by the said period of
thirty (30) days and any of my beneficiaries set forth in para-
graph Fifth herein have not attained the requisite age for
- 3 -
--( L.}.
7"--. .
'i/'
distribution of his share of my estate, then in that event, I
give, devise and bequeath in trust for the benefit of that
beneficiary or those beneficiaries as the case may be, his or
their share as the case may be unto Pennsylvania Na tional Bank
for the benefit of that beneficiary or those beneficiaries as the
case may be. I further give the said trustee, Pennsylvania
National Bank the authority to invade each beneficiary's trust,
principal or income of the trust for the health, support,
maintenance and education of such beneficiary. Further, in the
event that Gregory J. Summers, is a minor on the date of
my death, then in that event I direct the said trustee,
Pennsylvania National Bank to honor the instructions of the
guardian of the person of Gregory J. Summers, as to when and as
to what amount the trustee shall invade the trust as hereinbefore
set forth and I release the said trustee, Pennsylvania National
Bank, from any claim or demand whatsoever as long as they follow
the instructions of the guardian of the person of Gregory J.
Summers.
SEVENTH: In the event that my wife, Diana Lynn Summers,
does not survive me or does not survive me by the said period of
thirty (3D) days and my son Gregory J. Summers has not attained
his majority, then in that event, I appoint my brother Charles
j) t.J> .
"'1"'-..
\J
- 4 -
W. Summers the guardian of the person of my said son Gregory J.
Summers.
-f &.)
r'
..-
EIGHTH: The Trustee shall have the following powers:
(a) To exercise all powers granted to trustees by the
common law or any applicable statutes as they
exist at this date or are subsequently amended.
If there is any conflict between the common law
or statutes and this will with respect to the
duties, powers and liabilities of trustees, the
terms of this Will shall prevail;
(b) To retain any property becoming a part of the trust
estate, including non-productive property, without
having to account for the loss of income;
(c) To convey, sell, transfer, exchange, partition,
mortgage, pledge, lease, assign, or otherwise
dispose of, hypo theca te, 0 r deal wi th any and all
properties in the trust estate;
(d) To borrow or lend money for such purposes and on
such terms and conditions as the Trustees deem
appropriate;
(e)
To invest and reinvest any assets, funds, properties,
- 5 -
or income of the trust estate in such properties or
investments (whether income-producing or not) as the
Trustees deem appropriate;
(f) To accept from any source any property acceptable
to the Trustees to be held as part of any trust
hereunder.
NINTH: No Trustee shall be responsible or liable for any
loss to the Trust estate that may occur by reason of depreciation
in value of the properties at any time belonging to the trust
estate nor for any other loss to the trust estate that may occur,
except that each Trustee shall be liable for his, hers or its own
negligence or willful misconduct.
TENTH: Any Trustee may resign by filing a written instru-
ment duly acknowledged of record in the Deed Records of
Cumberland County, which filing shall deprive immediately any
such resigning Trustee of all powers as Trustee hereunder except
those powers appropriate to the administration of the trust
during the time required for the transfer of the Trust assets;
provided, nevertheless, that at least thirty (30) days prior to
such filing, the resigning Trustee shall give written notice
thereof to those persons who could in the discretion of the
-! S}
7\.
; \,
- 6 -
Trustee receive income from the Trust estate and are at such time
sui juris. No purchaser from, or other person dealing with, any
Trustee is obligated to examine such Deed Records, and any such.
person acting in good faith shall be protected in all transac-
tions with any Trustee, whether or not any such resignation has
taken place. If the original Trustees and all successor Trustees
named herein, or if any other successor Trustee shall resign, or
otherwise cease or fail to serve, the president judge of
Cumberland County, acting in his individual capacity and not his
judicial capacity, shall appoint as successor Trustee (a) any
individual who is not a beneficiary of the trusts, or (b) any
national or state bank, trust company or other financial institu-
tion in the United States having trust powers and a capital and
surplus of One Million Dollars ($I,OOO,OOO.OO) or more.
ELEVENTH: Upon the appointment and qualification of any
successor Trustee, the same duties shall devolve upon, and the
same rights, powers, authorities, privileges, and discretions
shall inure to him, her or it as to the Trustee originally
designated hereunder; and all rights, powers, authorities,
privileges, and discretions shall be exercised without the
supervision of any court.
.... '1,,\,
J! 11 I ~)
!i--
Iv
.,
- 7 -
TWELFTH: I appoint my said wife, Diana Lynn Summers,
to be Executrix of this my Last Will and Testament. I do hereby
give to the Executrix hereof full power, discretion and authority
at any time or times to sell, at private or public sale, mort-
gage, lease, pledge, exchange or otherwise deal with or dispose
of the property comprising my estate as deemed best, to settle
and compound any and all claims in favor of or against my estate
as deemed best and, for any of the foregoing purposes, to make,
execute and deliver any and all deeds, mortgages, contracts,
leases, bills of sale or other instruments necessary or desirable
therefor.
THIRTEENTH: In the event my said wife, Diana Lynn Summers
fails or refuses for any reason to serve as executrix of this
my Last Will and Testament, then in that event I appoint David W.
Knauer as executor of this my Last Will and Testament.
FOURTEENTH: Lastly, I direct that no fiduciary appointed by
this, my Last Will and Testament, shall be required to give Bond
and that if, notwithstanding this direction, any Bond is required
by any law, statute or rule of court, no Surety shall be required
thereon.
-P7J'~'
6'-'
- 8 -
. .
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, consisting of nine (9) typewritten
pages on the margin
initials this 2-1/11 day
page) I have affixed my
, A.D. 1989.
rl-
Signed, sealed, published and declared by Lawrence E.
Summers, Sr. the above named Testator, as and for his Last Will
and Testament in the presence of us and each of us, who at his
request, and in his presence, and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
u..."-te Ct/. !~
~~
Ii .'/..
1. ..../\.v:L<~
/ I
, f
....,......'