HomeMy WebLinkAbout12-01-06
-I
FILE NO. 2006-00416
15056041125
REV -1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601
Hanisbura. 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 4 1 6
Date of Birth
16426 396 6
04262 0 0 6
09041912
MORGAN
ANNA
MI
E
Decedenfs Last Name
Suffix
Decedent's First Name
(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
[&J 1. Original Return
D 4. Limited Estate
[&J 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
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
DAVIDHRATTIGANESQ
Firm Name (If Applicable)
570 622 593 3
REGIS~OF WILLS U~LY _
C C7" _0
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'-:-.:1 -0 r'1 G) 0
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::;gJATE FILED.. C,) Q
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W ILL I A M SON F R lED B ERG
First line of address
JONESLLC
Second line of address
TENWESTWOODROAD
City or Post OffIce
State
ZIP Code
POT T S V ILL E
P A
17901
NEW BLOOMFIELD
DATE
POTTSVILLE
PLEASE USE ORIGINAL FORM ONLY
PA 17901
Side 1
L
15056041125
15056041125
--.J
.-J
15056042126
REV-1500 EX
Decedent's Name: ANNA E. MORGAN
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) D Separate Billing Requested . . . . . ., 6.
7. Inter-Vivos Transfers & Miscellaneous N.2D;Probate Property
(Schedule G) U 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 D8ductions (total Lines 9 & 10)
. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12.
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.
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Une 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X.O _
16. Amount of Line 14 taxable
at lineal rate X .00L
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
4 1 0 6
4 4
16.
17.
.
18.
19. Tax Due
.. . . . . .. . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . .. .. . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042126
Decedent's Social Security Number
164263966
2 4 4 8 0 0
1634709
1879509
1 0 9 4 3 7
1359428
1468865
4 1 0 6 4 4
4 1 0 6 4 4
1 8 4 7 9
1 8 4 7 9
D
15056042126
-.J
REV-1500 EX Page 3
.Decedent's Complete Address:
File Number
DECEDENrs NAME
ANNA E. MORGAN
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. CrednS/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
184.79
Total Credits (A + B + C) (2)
0.00
3. InterestlPenalty if applicable
D. Interest
E. Penalty
T otallnterestlPenalty ( 0 + E ) (3)
4. If Une 2 is greater than Une 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 Une 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
0.00
0.00
184.79
B. Enter the total of Une 5 + 5A. This is the BALANCE DUE.
(5A)
(5B)
A. Enter the interest on the tax due.
184.79
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 l&l
b. retain the right to designate who shall use the property transferred or its income; ............................... D l&l
c. retain a reversionary interest; or ................................................................................................ D l&l
d. receive the promise for life of either payments, benefits or care? ....................................................... D l&l
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .... ....................... ....... ......... ........... .... ............................. D I&l
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her'death? ......... D I&l
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .......... ..... .... ..... ............ ................... .................. ............ ..... .... .... D I&l
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)].
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.
REV-1503 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE.
STOCKS & BONDS
ESTATE OF
ANNA E. MORGAN
FILE NUMBER
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
MetLife, Inc., stock, 48 shares @ $51.00
(Exhibit B-1 )
VALUE AT DATE
OF DEATH
2,448.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, Insert additional sheets of the same size)
2 448.00
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(hade's
Scortfacle
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W'lln ml'n1 VYI'i'k~i
fRrr~: 1"1plt ~'.I.Llf
Exhibit B-1
0/11 noo/;. 1.10 01\Jr
REV-1508 EX + (6-98)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ANNA E. MORGAN
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntJy-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
16,072.79
Community Banks, checking account
2.
Capital Blue Cross, refund
274.30
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
16.347.09
REV-1511 EX+ (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ANNA E. MORGAN
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Buffington-Reed Funeral Home, balance owed on pre-paid funeral 84.37
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
SocIal Security Numbe~s)IEIN Number of Personal Representative(s)
Street Address
City State Zip
Yea~s) Commission Paid:
2. Attorney Fees Williamson, Friedberg & Jones, LLC 900.00
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 Cumberland County Register of Wills 110.00
5. Accountants Fees
6. Tax Return Prepare~s Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ 1 094.37
(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
ANNA E. MORGAN
FILE NUMBER
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Messiah Village Assisted Living Facility
VALUE AT DATE
OF DEATH
12,442.92
2. Alert Pharmacy Services
708.43
3. Specht & Co., 2005 tax preparation
45.00
4. Cabinet refinishing
75.00
5. Williamson, Friedberg & Jones, LLC, professional
services
322.93
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
13.594.28
REV-1513EX'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ANNA E. MORGAN
SCHEDULE J
BENEFICIARIES
FILE NUMBER
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 oU~ht s~usal distributions. and transfers under
Sec. 9116 (a (1. )]
1. Michael S. Morgan Lineal
3701 Colony Club 1/7 of 1/3 Real Estate
Arlington, TX 76016 1/8 Residuary Estate
2. Thomas A. Morgan, cia Kay Morgan Lineal
351 Carver Drive 1/7 of 1/3 Real Estate
Bethlehem, PA 18017 1/8 Residuary Estate
3. Dr. Jeffrey P. Morgan Lineal
150 Bypass Road 1/7 of 1/3 Real Estate.
Barnesville, GA 30204 1/8 Residuary Estate
4. Paula R. Carroll Lineal
699 Brown Bear Court 1/7 of 1/3 Real Estate
Winter Springs, FL 32708 1/8 Residuary Estate
5. Steven Carlton Lineal
1307 Bellaire Circle 1/7 of 1/3 Real Estate
Orlando, FL 32804
6. Donna Schmidinger Lineal
Tore Kovsgatan 79, 25247 1/4 of 1/3 Real Estate
Helsingborg, Sweden
7. David Morgan Lineal
Fisher's Ferry, Box 85B 1/4 of 1/3 Real Estate
Sunbury, PA 17801
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 $
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ANNA E. MORGAN
Decedent's Name
Page 1
21 06
File Number
Schedule J - Beneficiaries - 1
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 (include outright spousal distributions)
8. Heidi Prayon Lineal
15216 Sovereign Place 1/4 of 1/3 Real Estate
Chantilly, VA 20151
9. Sarah Morgan Lineal
8410 Fenwick Avenue 1/4 of 1/3 Real Estate
Tampa, FL 33647
10. Mark Carlton Lineal
1649 Thistlewood Drive 1 n of 1/3 Real Estate
Washington Crossing, PA 18977
11. Todd Carton, c/o Kay Morgan Lineal
351 Carver Drive 1 n of 1/3 Real Estate
Bethlehem, PA 18017
12. Judy Weber Lineal
R.D. #2 1/3 of 1/3 Real Estate
Ashland, PA 17921
13. Sandra Moll Lineal
507 Village Drive 1/3 of 1/3 Real Estate
North Wales, PA 19454
14. Beth Smink Lineal
1100 Valley Forge 1/3 of 1/3 Real Estate
Landsdale, PA 19446
15. Donald R. Morgan Lineal
344 Soule Road 1/2 Residuary Estate
New Bloomfield, PA 17068
,., "'"":......I.IlIlIl\W'U.'~MIllUAWlLII<K.'
LAST WILL AND TESTAMENT.
ANNA E. MORGAN of 909 East Main Street, Hegins, Schuylkill County,
Pennsylvania, 17938, being of sound mind, memory and understanding and
considering the uncertainty of life, do hereby make, publish and declare this to be
my Last Will and Testament; hereby making null and void all prior wills and
codicils thereto, by me heretofore made~
FIRST
I direct that all my debts, including the expenses of my last illness, and
funeral expenses be paid as soon after my death as may conveniently be done.
SECOND
I direct that my home shall be sold and the net proceeds from the sale of the
real estate, after the payment of all expenses in connection with the sale of the real
estate and any inheritance tax payable by my estate with respect to the value of the
real estate, shall be divided in three (3) equal shares as follows:
~. A one-third (1/3) share to DONNA SCHMIDINGER, DAVID
~ MORGAN, HEIDI PRA YON and SARAH MORGAN;
~ . A Dne-third (1/3) share to MICHAEL S. MORGAN,
~ THOMAS A. MORGAN, JEFFREY P. MORGAN and PAULA R.
I CARROLL, STEVEN CARL TON, MARK CARL TON and TODD
~
CARLTON; and
~ A one-third (1/3) share to SANDRA MOLL, JUDY WEBER
.~
. --~ iIDilBETHSMIl'lK:-u_-~.---~.u --- -- --.- - -------- .- -------
~
f
" .
~
~
.~
lUll JMJ:\WI...o-DlIR\Wu....w.K..UAWILUCX.:
The inheritance tax payable with respect to the real estate shall be paid out of
the proceeds of the sale of the real estate and shall not be paid out of my residuary
estate, I appoint HEIDI PRA YON guardian of any funds that pass to SARAH
MORGAN with those funds to be held by her for SARAH with the principal and
income to be distributed when she attains the age of majority. The guardian shall
not be required to post bond or file accountings.
THIRD
I give, devise and bequeath all the rest, residue and remainder of my estate as
follows:
To DONALD R. MORGAN, a one-half (1/2) share; and
To MICHAEL S. MORGAN, THOMAS A. MORGAN,
JEFFREY P. MORGAN and PAULA R. CARROLL, a one-half (1/2)
share, share and share alike.
FOURTH
I nominate, constitute and appoint DONALD R. MORGAN, as Executor of
this my Last Will and Testament. In the event that he does not survive me, or if he
renounces, resigns, or is otherwise unable to act as Executor, I nominate,
constitute and appoint MICHAEL S. MORGAN and DAVID A. MORGAN, as
Co-Executors of this my Last Will and Testament. My Executors shall not be
entitled to receive Executor's Commission for serving as Executors but shall be
entitled to reimbursement for expenses that they incur in performing their duties as
Executors, including but not limited to reimbursement for travel, mileage,
. telephone and the like, and including but not limited to travel for their trip home
2
.'''1 )l91IJ;lMNlJ)loDlIR\Wn.LWoKlI.OAWILUC)('
for the funeral and the initial dealings with probating the Will shortly after my
death.
IN WITNESS WHEREOF, I, ANNA E. MORGAN, have to this my Last
Will and Testament, consisting of three (3) pages, set my hand and seal
this /['+h day of 0 ci-vbe ( , 1998.
U?~l"v 7. :7?2tnr
ANNA E. MORGAN
SIGNED, SEALED, PUBLISHED and DECLARED by ANNA E.
MORGAN, the Testatrix above named, as and for her Last Will and Testament, in
the presence of ~s, who at her request, in her presence and in the presence of each
other, all being present at the same time, have hereunto subscribed our names as
witnesses.
3
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF SCHUYLKILL
On this, the 15th day of October, 1998, before me, the undersigned
officer, personally appeared DAVID H. RATTIGAN, ESQUIRE, known
to me or satisfactorily proven to be a member of the bar of the Highest
Court of Pennsylvania, and certified that he was personally present when
the foregoing acknowledgement and affidavit were signed by the Testatrix
and witness.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
~)
COMMONWEALTH OF PENNSYLVANIA :SS.
COUNTY OF SCHUYLKILL
I, DAVID H. RATTIGAN, one of the witnesses, whose name is
signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that I was present and saw the Testatrix
sign and execute the instrument as her Last Will and Testament; that the
Testatrix signed willingly and executed as her free and voluntary act for the
purposes therein expressed; that each subscribing witness in hearing and
sight of the Testatrix signed the will as a witness; and that to the best of my
knowledge the Testatrix was at the time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn to and affirmed to and subscribed to before me by
DAVID H. RATTIGAN, Witness, this 15th day of October, 1998.
I
DAVID H.RATTIGAN
A Member of the Bar of .
Court of Pennsylvania
.-......-.....--........ ..---.. .----l-31A\\~t--. ....---....-... ... --.-
COMMONWEALTH OF PENNSYLVANIA :SS.
COUNTY OF SCHUYLKILL
I,
RUBY L. MORGAN
, one of the witnesses, whose name
is signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that I was present and saw the Testatrix
sign and execute the instrl.1:ment as her Last Will and Testament; that .the
Testatrix signed willingly and executed as her free and voluntary act for the
purposes therein expressed; that each subscribing witness in hearing and
sight of the Testatrix signed the will as a witness; and that to the best of my
knowledge the Testatrix was at the time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn to and affIrmed to and subscribed to before me by
RUBY L. MORGAN
, Witness, this 15th day of October, 1998.
~ ~m '
- . - v~(7\ IJ---~CUrv
. Itness ( _
J" "
~J~
DAVID H. RA TTIGAN~" QUIRE
A Member of the Bar oft .; Highest
Court of Pennsylvania
COMMONWEALTH OF PENNSYLVANIA :88.
COUNTY OF SCHUYLKILL
I, ANNA E. MORGAN, Testatrix, whose name is signed to the .
. attached or foregoing instrument, having been duly qualified according to
.law, do hereby acknowledge that I have signed and executed the instrument
as my Last Will and.Testament; that I signed it as my free and voluntary act
and for the purposes therein expressed.
Sworn to or affixed and acknowledged before me, by ANNA E.
MORGAN, the Testatrix, this 15th day of October, 1998.
/?~ C. ~
ANNA E. MORGAN :j/
DAVID H. RATTIGAN,
A Member of the Bar of
Court of Pennsylvania