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15D5bDlf1125
REV-1500 EX (~5)
PA DeparlmenIofRevenue *'
=:~uaITaxes INHERITANCE TAX RETURN
HanIlIbunI. PA 171~1 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
206308271 02212006
OFFICIAL USE ONLY
CountyCode Year
2 1 0 6
File Number
~-"
Date of Birth
09141911
Decedenfs Last Name
MAGARGLE
Suffix
Decedenfs First Name
EVELYN
MI
C
(If Applicable) Enter Surviving Spouse'. Infonnatlon Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
IX! 1. Original Retum 0
o 4. Limited Estate 0
IX! 6. DeoecIent Died Testate 0
(Attach Copy of W1IQ
o 9. Litigation ProceecIs Received 0
2. Supplemental Retum
o
o
3. Remainder Retum (date of death
prior to 12-13-82)
5. Federal Estate Tax Retum Required
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 0 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 Teleph~ Number ~
~ c::::.
7 1 7 iS3556 9~ 1 J~ ~-:o
) u :;:po .J:J f T)
,..,,_( - (fl(-)
.. '. c.."J
USI!'&lL Y <.' ::rJ
, -. ...~)
ff1
c::J
-0 ({'f 0
:J;: =R
-=s
""q
8. Total Number of Safe Deposit Boxes
o A V I 0 H R A 0 C L IFF E S Q
Firm Name (If Applicable)
REGISTER
)
1"1
R A 0 C: ~~ IFF LAW, O. F' F ICE P C
First line of address
2 0 E R FOR 0 R 0 A 0
,
...:.-:;
-."-1
~? --j
T)?
W
o
Second line of address
SUITE200
City or Post Office
State ZIP Code
DATE FILED
LEMOYNE
P A
17043
Correspondenfs e-mail address:DHRAD@IX.NETCOM.COM
Under penallles of perjury, I declare that I have examiled 1hIs re\Um, IncIucIng ~ schedules and sla18menls, and kl the best of my knowledge and beIef,
K is 1nIe. CCJmlCl and compIele. DecJaratIon of prepII'lII' other than the pemonal replesenIBtive Is besed on aI i1fonnalIon of which prepII'lII' has IIIIY knowledge.
SIG ROF PER SPONSIB OR ~1/frRETURN DATE
Uti tol'v(v(,
MECHANICSBURG
P AlIVE
ADDRESS
20 ERFORO RO, STE 2
LEMOYNE
PLEASE USE ORIGINAL FORM ONLY
,
PA 17043
Side 1
L
15D5bDlf1125
15D5bDlf1125
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15056042126
REV-1500 EX
Decedenfs Social Security Number
206308271
Decedent's Name: EVELYN C. MAGARGLE
RECAPITULATION
1. Real estate (Schedule A)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B)
.................................. 2.
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.
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested . . . . . .. 6.
7. Inter-VIVos Transfers & Miscellaneous N.2D;Probate Property
(Schedule G) U Separate Billing Requested . . . . . .. 7.
7 3 2 1 3 2
8. Total Gross Assets (total Lines 1-7)
........................... 8.
7 3 2 1 3 2
7 6 5 0 0
7094379
7170879
-6438747
9. Funeral Expenses & Administrative Costs (Schedule H) . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10)
. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Govemmental 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.
-6438747
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 0 0 0
at lineal rate X .04L 16. 0 0 0
17. Amount of Line 14 taxable 0 0 0
at sibling rate X .12 17. 0 0 0
18. Amount of Line 14 taxable 0 0 0 0 0
at collateral rate X .15 18. 0
19. Tax Due . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . .. . . . . . . . . . 19. 0 0 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
o
Side 2
L
15056042126
15056042126
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REV-1500 EX Page 3
Oecedenfs Complete Address:
File Number
.
DECEDENrS NAME
EVELYN C. MAGARGLE
STREET ADDRESS
100 MT ALLEN DRIVE
CITY I STATE I ZIP
MECHANICSBURG PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Une 19) (1)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
0.00
Total Credits ( A + B + C) (2)
0.00
3. InterestJPenaJty if applicable
D.lnterest
E. Penalty
0.00
0.00
0.00
TotallnterestJPenalty ( D + E) (3)
4. If Une 2 is greater than Une 1 + Una 3, enter the difference. This is the OVERPAYMENT.
FOlln oval on Page 2, Une 20 to request a refund. (4)
5. If Une 1 + Una 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5)
B. Enter the total of Une 5 + 5A. This is the BALANCE DUE.
(5A)
(5B)
A. Enter the interest on the tax due.
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; ...................................................................... 0 00
b. retain the right to designate who shall use the property transferred or its income; ............................... 0 00
c. retain a reversionary interest; or ................. ........ ......... ................. ........ ............................... ...... 0 00
d. receive the promise for life of either payments, benefits or care? ....................................................... 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........ ........................... ........ ........... ................................. 0 00
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. 0 IXJ
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 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 zero (0) percent [72 P.S. ~9116(a)(1.2)J.
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 decedenfs 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 cornmon with the decedent, whether by blood or adoption.
REV-1509 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
EVELYN C. MAGARGLE
FILE NUMBER
If an anet Wllmld. joint within on. year of the dec:edent'. date of death, It mUlt be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. R. LYNN MAGARGLE
4920 WOODBOX LANE
MECHANICSBURG, PA 17055
SON
B
c
JOINTL Y-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY "OF DATE OF DEATH
ITEM FOR JOINT MADE INClUDE NAME OF ANANCIAlINSTITUTJON AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VAlUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTl Y-HELD REAl ESTATE. VAlUE OF ASSET INTEREST DECEDENT'S INTERES
1. A. WACHOVIA BANK Checking Acct#1014222848967 14,642.64 50. 7,321.32
TOTAL (Also enter on line 6, Recapitulation) $ 7.321.32
T
(If more space is needed. insert additional sheets of the same size)
REV-1511 EX + (12-99)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
EVELYN C. MAGARGLE
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
Debts of decedent must be reported on ScMdule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (5)
Social Security Number(s)IEIN Number of Personal Representatiwl(s)
Street Address
City S1ate ZIp
Year(s) Commission Paid:
2. AttomeyFees Radcliff Law Office, P.C. 750.00
3. Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
City State ZIp
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountants Fees
6. Tax Retum Preparer's Fees
7. Filing Fee - Inheritance Return 15.00
TOTAL (Also enter on line 9. Recapitulation) $ 765.00
(If more space is needed, Insert additi0nai sheets of the same size)
REV-1512 EX + (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
EVELYN C. MAGARGLE
Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses.
FILE NUMBER
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PA Department of Public Welfare (Class 3 Claim) 10,995.52
2. PA Department of Public Welfare (Class 6 Claim) 56,377.67
3. Messiah Village (February 2006) 2,288.50
4. Messiah Village (January 2006) 1,282.10
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insertaddltlonal sheets of the same size)
70.943.79
~_15"EX.'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
EVELYN C. MAGARGLE
SCHEDULE J
BENEFICIARIES
FILE NUMBER
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Ust Trultee(l) OF ESTATE
I. TAXABLE DISTRIBUTIONS [mclude o~ht S~usaI disbibutlons, and transfers under
Sec. 9116 (a (1.)]
1. R. Lynn Magargle Lineal 0.00
4920 Woodbox Lane
Mechanicsburg, PA 17055
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
n. 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)
3East mill attb QTtsbtuttut.
OF
EVELYN c. MAGARGLE
BE IT REIIElmERED, that I, EVELYN C. MAGARGLE, of 30 North
Broad Street, Hughesville, Lycoming County, Pennsylvania, being
of sound and disposing mind, memory and understanding, do make,
publish and declare the fOllowing as and for my Last Will and
Testament, hereby revoking and making null and void any and all
Wills and Testaments or writings in the nature thereof by me at
any time heretofore made:
FIRST:
It is my wish that my legal debts and funeral
expenses and transfer, inheritance or estate taxes, if any, be
paid by my Executor herein named as soon as practicable after my
decease.
SECOND: All the rest, residue and remainder of my
estate, whether real, personal or a combination thereof, ~nd
wheresoever the same may be situate at the time of my death, I
give, devise and bequeath to my husband, LORAINE C. MAGARGLE,
provided he survives me by at least thirty (30) days.
THIRD: In the event that my husband predeceases me or
fails to survive me by at least thirty (30) days, I then give
and bequeath the sum of FIVE HUNDRED ($500.00) DOLLARS to such
charities as my Executor, in his sole discretion shall
designate.
FOURTH: In the event my said husband predeceases me or
fails to survive me by at least thirty (30) days, I then give,
devise and bequeath my entire residuary estate into two (2)
equal shares to be distributed as follows:
ORE (1) SHARE to my son, R. Lyg BGARGLE or to his issue
per stirpes:
ONE (1) SHARE to be divided equally among my three (3)
granddaughters, KAREN J. MAGARGLE, ROBIN LYNNE MAGARGLE and
SUSAN J. MAGARGLE, children of my late son, DR. RC>BALD K.
MAGARGLE.
In the event that an outstanding balance remains on a loan
made by my husband and I to my granddaughter, Karen J.
Magargle, at the time of distribution of my estate under this
Paragraph, I direct that the balance due on said loan be
considered a debt payable to my estate which may then be
deducted from the inheritance of Karen J. Magargle.
FIFTH: In the event my said husband and I are killed
in what is known as a common disaster so that it is not readily
discernible which of us died first, it shall be presumed for the
purpose of settling our estates that I predeceased my husband
and he survived me.
2.
SIrrH: I hereby authorize and empower my Executor
herein named to sell any or all of the real or personal property
of my estate at public or private sale for such price or prices
and upon such term or terms as he shall deem best.
SEVEBTH: I hereby authorize and empower my Executor
herein named to distribute my estate in cash or in kind, or
partly in cash and partly in kind, as he shall deem best.
EIGHTH: I hereby authorize and empower my Executor
herein named to settle any and all claims for or against my
estate on such terms as he shall de~m best.
NINTH: I hereby authorize my Executor herein named to
manage, control, operate, maintain and improve any real or
personal property of my estate, including any operating business
concerns, during the period of administration of my estate.
TENTH: I hereby excuse any fiduciary from filing a
bond in this or any other jurisdiction.
ELEVENTH: I nominate, constitute and appoint my husband,
LORAINE C. MAGARGLE, Executor of this, my Last Will and
Testament, and my son, R. LYRE MAGARGLE, as First Alternate
3.
Executor and CODONWEALTH BANK AND TRUST COMPANY, N.A., as
Second Alternate Executor.
IN WITNESS WHEREOF, I hereby sign, seal, publish and
declare this as my Last Will and Testament, consisting of six
(6) typewritten pages, in the presence of the persons witnessing
it at my request this 11th day of January, 1990.
l~(!,.~
Evelyn . C'. Mag-a gl
(SEAL)
SIGHED, SEALED, PUBLISHED and DECLARED by EVELYN C.
MAGARGLE, the Testatrix above named, to be her Last Will and
Testament, in our presence, and we, at her request and in her
presence, and in the presence of each other, have hereunto
subscribed our names as witnesses this 11th day of January,
1990.
~~,,~~~~~
c;0$~l~LIl ~hN_';J
4.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
SSe
COUNTY OF LYCOMING
.
.
I, EVELYN C. MAGARGLE, Testatrix, whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will: that I signed it
willingly: and that I signed it as my free and voluntary act for
the purposes therein expressed.
lt~~.~
Evelyn . ~Kagar. e, Testatrix
Sworn or affirmed to and acknowledged before me by EVELYN
c. MAGAaGLE, the Testatrix, this 11th day of January, 990.
NOTARIAL SEAl]
STEVEH D. HESS, Notary PubJie
Hughesvilic, Lycorr.ing County, Pa.
My Commission Expires Feb. 24, 1990
5.
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA :
ss.
COUNTY OF LYCOMING
.
.
We. the witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw Testatrix sign and
execute the instrument as her Last Will~ that she signed
willingly and that she executed it as her free and voluntary act
for the purposes therein expressed~ that each of us in the
hearing and sight of the Testatrix signed the will as witnesses~
and that to the best of our knowledge the Testatrix was at that
time 18 or more years of age, of sound mind and under no
constraint or undue influence.
....
c9-*~~ } () . !fAVJ/~?~)
Sworn or affirmed to and subscribed to before me by the
witnesses, this 11th day of January,
NOTARIAL SEAr.:
STMN D. HESS, Notary Public
HughesvllJe, Lycon:ing County, PL
My Commission Expires Feb. 24, 1990
1990.
~).~
Notary Publ. c
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6.