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HomeMy WebLinkAbout11-27-06 (2) r -I 15056041046 REV-1500 EX (05-04) - .- PA Department of Revenue .. Bureau of Individual Taxes . Dept 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT ~AlilSE ONLY County Code Year File Number Date of Birth Decedenfs Last Name Suffix Decedenfs First Name MI (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 CO 1. Original Return t::) 2. Supplemental Return t::) t::) 4. Limited Estate t::) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required ~ t::) 4a. Future Interest Compromise (date of death after 12-12-82) t::) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) t::) 10. Spousal Poverty Credit (date of death t::) 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 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes t::) Firm Name (If Applicable) .. Correspondent's e-mail address: Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS Box, Duncannon, FA 17020 PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056041046 15056041046 -I Cb -.J REV-1500 EX Decedent's Name: RECAPITULATION 15056042047 1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (S,~hedule .c.).... . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 6. Jointly Owned PropertY (Schedule E) q Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c::::) Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). ... .. .... ... ... .... .. .. .. . ... ...... 8. 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 Governmental Bequests/Sec 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. 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 .0_ 16. Amount of Line 14 taxable at lineal rate X.O_ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 15. 16. 17. 18. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT c::::) L 15056042047 Side 2 15056042047 -.J '-----------~ REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENT'S NAME Charles v. Eckenrode STREET ADDRESS 801 Hanover Street .-- CITY I STATE I ZIP Carlisle PA 17020 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 2,232.13 Total Credits ( A + B + C ) (2) 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. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE AN~WER 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 [!] b. retain the right to designate who shall use the property transferred or its income; ............................................ D I!J c. retain a reversionary interest; or.......................................................................................................................... D ~ d. receive the promise for life of either payments, benefits or care? ...................................................................... D ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. D rn 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. 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. 99116 (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. 99116 (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. 99116(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. 99116(1.2) [72 P.S. 99116(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. 99116(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. Name of Attorney: R. Scott Cramer Personal Representative: Theodore C. Crouse ~ Addr s of Attorney: P. O. Box 159 Duncannon, P A 17024 Telephone No: (717) 834-5700 Address of Executor 41 Mill Road New Buffalo, PA 17069 Dated: I(.;U ~ 6 Description Value 1 . K&T Bank a. Account #9508930025 (On August 21, 2006 this acc't. was liquidated and a check made payable to the Estate of Charles Eckenrode, necessitating probate) $7,766.10 2. The Church Of God Home, Inc. 801 N. Hanover Street Carlisle, PA 17013 Rebate 9,094.71 Total 16,860.81 REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA INVENTORY Estate of Charles V. Eckenrode No. 2006-00765 Date of Death - 3/20/06 S. S. #210-07-1705 Personal Representative (s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/W e understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY ESTATE OF Charles V. Bckenrode FILE NUMBER: 2006-00765 (All orooerty iointly-owned with Ril!ht of Surviyorshio must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 . M&:T Bank a.) Account #9508930025 On 8/21/06 this acc't. was Liquidated and a check made Payable to the Estate of Charles Eckenrode, necessitating Probate. 7,766.10 2. The Church Of God Home, Inc. 801 N. Hanover Street Carlisle, PA 17013 Rebate 9,094.71 TOTAL (Also enter on line 5.caoitulation) $16 , 860 . 81 (/fmore space is needed, insert additional sheers of same size.) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Charles V. Eckenrode FILE NUMBER 2006-00765 Debts of decedent must be reported on Schedule I ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: Funeral Home - Zimmerman -Auer Funeral Home Inc. $1,050.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commission - Name of Personal Representative (s) Social Security Number(s) /EIN Number of Personal Representative(s) Street Address: 3021 Raccoon Valley Road City State Zip 2. ATTORNEY FEES R. Scott Cramer, Esquire 843.00 4. F AMIL Y EXEMPTION: (If decedent's address is not the same as claimant's, attach explanation) Claimant - Street Address - City - State Zip - 4. Relationship of Claimant to Decedent - PROBATE FEE - Register of Wills 87.00 5. ESTATE NOTICE - TOTAL (Also enter on line 9. Rec:aDltulatlon) 1,980.00 SCHEDULE J BENEFICIARIES ESTATE OF Charles V. Eckenrode FILE NUMBER: 2006-00765 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELA TrONSHIP AMOUNT SHARE OF ESTATE A. Taxable Bequests: 1. Doris L. Reed c/o Shirley Stetler 24 Shady Lane Annville, FA 17003 none entire ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE B. Charitable and Governmental Bequest NONE CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ (If more space is needed, insert additional sheets of same Size) ~ r!1 M&I'Bank 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 10/31/2006 R Scott Cramer Attorney At Law 5 South Market Street PO Drawer 159 Duncannon, Pennsylvania 17020 Re: Estate of: Charles V Eckenrode Social Security: 210-07-1705 Date of Death: March 20, 2006 Dear Sir or Madam: Per your inquiry dated October 18, 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 950893025 Ownership (Names of) Charles V Eckenrode · Opening Date 06/10/02 Qosed 08/21/06 Balance on Date of Death $ 0.00 Accrued Interest $ 0.04 (Accrued interest up to the date of3/20/06) Total 0.00 Please be advised, there was no safe deposit box fOlmd for the above decedent. * For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call the Paxton Street Office # 717-255-2240. Sincerely, -,~~ Nancy Clagett Records Management OTT CRAMER lmey at Law Market St. . Drawer 159 man, PA 17020 LAST WILL I, Charles V. Bckenrode, of 601 Wilhelm Road, Box 147-B, Harrisburg, Dauphin County, Pennsylvania, declare this to be my Last will, hereby revoking all prior Wills and Codicils. FIRST: I direct that the expenses of my last illness and funeral be paid out of my estate as soon after my death as is convenient and expeditious in the judgment of my Executor, hereinafter named. SECOND: I have made no provisions in this my Last Will for my children as I do not wish them to receive any share of my estate. THIRD: I give, devise and bequeath my entire estate to my friend, Doris L. Reed. FOURTH: Should my friend, Doris L. Reed, predecease me, then and in that event, I give, devise and bequeath my entire estate to my friends, Theodore C.. Crouse and Janice A. Crouse, husband and wife. FIFTH: All estate, inheritance and other death taxes, together with any interest and penalties payable with respect to property or interests therein subject to taxation by reason of my death and whether passing under my will or any codicil thereto, or otherwise including jointly held and other non- testamentary property shall be paid out of the principal of my residuary estate without apportionment. SIXTH: I hereby nominate, constitute and appoint my friend, Theodore C. Crouse, Executor of this my Last will. I further direct that he shall not be required to post any bond to secure the faithful performance of his duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last.Will~ which consists of one (1) sheet of paper, dated th1s U~\ day of June, 2002. (\tl.1liV[vj~ (SEAL) !' Charles V. ECkenrode . _ ", ""_"_"'~~'_"~_<' . .'~" ...,.."'___,,_.~__.w_ ._,.._,_......".,_"'~"'...-~.~~...",...~...,.".~".,....,..,.".,..,.~"'''''<-'-~...,.._.~._--_.,~-.,--<.-,-~._~' .--~....-..~-.-..._. '-'." --1' r The writing contained on the one (1) preceding page was signed and sealed by Charles V. Eckenrode and by him published and declared as his Last Will, in the presence of us, who have hereunto subscribed our names as witnesses at his request, in his presence, and in the presence of each other. ~~ -:J'J'l ~Y'Ltll/ COMMONWEALTH OF PENNSYLVANIA) )SS COUNTY OF PERRY ) I, Charles V. ECkenrode, testator, 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. \~V f~~, SWORN or affirmed to and acknowledged before me by, Charles V. Bckenrode, testator, thisLc4~day of ~~'L ,2002. SCOTT CRAMER ,ttomey at Law S. Market St. . O. Drawer 159 cannon, PA 11020 ~~~ NOTARW. SEAL. FIJJH B.EANOR GlJNl"RtJM, No8y AaIc ..,=::.~~~ SCOTT CRAMeR ttomey at Law S. Market St. O. Drawer 159 :annon, PA 17020 COMMONWEALTH OF PENNSYLVANIA) )SS COUNTY OF PERRY ) We, 'i?Srd/::{)om-e/ and (-fAnnY' tY). i'afff2&,J the witnesses whose names are signed to the at ached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his Last Will; that Charles V. Eckenrode signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. 1?~ / . $L -?l/. t~ SWORN or affirme to ,before me by and . thisU-\~ day of :::J ~n ~ s}Jbscribed . LA AN"/' , witnesses, , 2002. ~u.,~~~ NOTARIAL SEAL RUTH B.EANCR GUNTRt.I.t, ~NIIc ~1Oft Boro, Perry County My CommIssiaI, ExpIres May 11. 2G05 2M7f1020 ,I Ill' ., Ol 8 ~ g: .. ~ ~: w Z' ~~~ ~I I ~ / C~tl"E~~.enl"c)(f~t .. . . l'IlOMrTJeI: ..j.... ;:l)ATE:' ~a _.~Jfj~~f'..'~i~;M~;&~~:~;;~{ -~"s:,.,";.-,..--;..-.'., ';":':::~::';;. ><~:. '.':~""'. ,:'~.'-; ,'::::-:< ... ".....:.;.;. :.;':.,~' ~,,,~,:.. ,;:..... .... ".~.. "." :'"',.:, 'r> .'-~, .-,..:;.>, :.:;:'.: <,: '_.~,". "-::'::::J,::':,.,,',: :-" ~ ", . . -:.',-::.:'-::'-'. ';.:..:::.. . ....... v' \: . __. : '.f:"' .. ::. '~:: .. ~'i:;:; . . ".....::.. :,.:<,:.-,:". ."" '...~. ~:,.. ,.' ':,.--. ;. '~,-::':'~'.:.- ...-.....:,.,., ',' I A THORIZED SIGNATUI , ","'n ) IIi ~~ 2531 2111 )1: ~O 200o~ ?~I: (;800.. 2l(t; 58?8 5 Sill DEPOSIT TICKET Dollars Cents CURRENCY COINS CHECKS 1. List Singly 2. . Be sure 3. each item is endorsed 4. Total From Other Side Total Items TOTAL (Art ~ ,. /0 PNCl8ANK. PNC BaDk. N.A. 040 Central pA DATE ~ 1"60 I (:)(.0 CHECKS AND OTHER ITEMS ARE RECEIVED FOR DEPOSIT SUBJECT TO THE RULES AND REGULATIONS OF THIS FlNANClALlNSTITUTlON. DEPOSIT."AY NOT.. AVAlLA.L. ~ 1II"_An WITHDRAWAL ESTATE OF C hl1tUt's C CtLtn tZ.od<:- Use reverse side for additional listing or attach tape. HARlAND I: (; ~00"1 1.0 ~ol: 500 31 ~ 20 2 ~ bll8 1.0 "io .. 0 1.0 ~ -..J I-' "io o z- z- U-I OJ I'\J ,J] lJ1 lJ1 - .. ..., ~ n ~a (j-llCl ;;:zn C~ == "'z 0 r- 0 "" S'l<: ~ la ~ 2j~ ~ ::;; trl ::clP ~~ ~ ~ ~ A ~ W CD .... :D m 3: ~ z o m a iJ r- en o o 1.0 .. o 1.0 ~ -..J I-' AUER MEMORIAL HO"E Fai<:7175419943 Nav 21 2006 10: 33 P.01 Zmmenna~ - FUNERAL HOME, INC. 4100 JONESTOWN ROAD. HARAISBUR<.i. PA 17108 . 717546-4001 · MARIANNE: E. CORl. SUPERVISOR 26823 3-21-2"6 Theodore C. Crouse 47 Kill Street ... Buffalo, PA 17869 Charles V. Eckenrode - Dec....d X PrOfessional Services $995." Llaoustne Other SUB 'lO'J.'AL $995." Casket OUter Conta! ner Suit/Dre.. Underclothing Slippers Register Book IIeaorial rolclerll TbanIt You Card. Crucifix Oth.r SUB 'lO'J.'AL $.... Grave Opening Charge ceaetery Bquipaent _.paper _.paper New.paper Honorartua :x: !5 Cert t :U eel Copie. I $6." $3.... Hairdre..er !'lowers Flowers ][ County Coroner Pee $25." Other Other SUB 'l'O'tAL $55." IfO'l'AL $1,.5.... 4-3-2'" PAIO $1,'59.41 BALAIICE DUB -$9.4' R. SCOTT CRAMER ATTORNEY AT LAW 5 S. MARKET ST., P.O. DRAWER 159 DUNCAN NON, PENNSYLVANIA 17020 (717) 834-5700 FAX NO. (717) 834-9012 November 22, 2006 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, Pennsylvania 17013 RE: Estate of Charles V. Eckenrode No. 2006-00765 Dear Sir/Madam: Please find enclosed herewith an original and one (1) copy of the Pennsylvania Inheritance Tax Return with regard to the above-referenced estate, along with a check in the amount of $2,232.13, which represents the tax owing and a check in the amount of $30.00 for the filing fee. Should you have any questions regarding same, please do not hesitate to contact my office. ..:r Very truly yours, d~ 0< 1-- - cc , ::!C :::l 0 a.. LL C) L~ OUr', ...... ::,c: U) "':c" N ~&, ~5 :>~ U I ,~.'.. ~ &: ~!;] ~ 05 ~SC/jmhu Enclosures Office of R. Scott Cramer R. Eleanor Guntrum cc: Theodore C. Crouse (w/Encl.) =~_~.~.,==.c:.-.._..:~;~. fj~~ 'C'-.( "I. J~j~; .~.fk'~..:..,...... "'.; ,;;.. ( -, ((---- ( tl ~'. .,., <.1.) ~ ~:"1 (\) t/I :;) o ..c ....., S- :;) (\) 8~(") :;).-4 t/I ?"> C) 0 ......~V'lr- ...... ~ .-4 . r- :;) (\) ~ot/l.... u:;)...... '+- oP- o"'Cl ..c ~~ ... s-cOs-(\) (\)...... :;)...... ~s-ot/l t/I (\) c...:> .r- .~-% (\) ~ (\):;)~cO ~c...:> 0'-'