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HomeMy WebLinkAbout12-11-06 REV-1500 EX + (6-00) OFFICIAL USE ONLY *' REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER . II 06 I- Z W C W o w c COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 i DECEDENTS NAME (LAST. FIRST, AND MIDDLE NITIAl) LFranklin, Gwendolyn M : DATE OF DeATH (MM-DD-YEAR,------ I DATE OF BIRTH (MM-DD-YEAR) I 04-21-2006 I 04-17-1926 . (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) I I COUNTY CODE YEAR I ~~IAl SECURITY NUMBER ~ 3-26-5911 I THIS RETURN MUST BE FILED IN DUPLICATE WITH THE I i SOCIAL SECURITY NUMBER ! ~-- ---------i--., .---- 1X11. Original Return o 2. Supplemental Return lOq~ NUMBER REGISTER OF WILLS [J 3. Remainder Retum (date of death prior to 12-13-82) U 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 354 Alexander Spring Road, Suite 1 Carlisle, PA 17015 W l- ll!: :l! (I) D. 4. Limited Estate D. 4a. Future Interest Compromise (date of death after lil g: ~ 12-12-82) ~ ~ ~ W 6. Decedent Died Testate (Attach 0 7. Decedent Maintained a Living Trust (Attach lL copy of Will) copy of Trust) "t I LJ 9. Litigation Proceeds Received 0 10. Spousal PovertY Credit (date of death between D 11.Election to tax under Sec. 9113(A) (Attach Sch 0) , 12-31-91 and 1-1-~5) -- ~fHiS'~~ilr.ur(1:)Jlt$fj~1(TJtlNi~~!~~9t4D~~~~'itrg;c~FiD1'~~'il,lJIIW~'ij"~1"aJlI;ili;Qf.'_DIiIlll ~ I NAME I COMPLETE MAILING ADDRESS ~ . Patricia R. Brown, Esq. ' ~ I FIRM NAME:(lf applicable) ~ I SALZMANN HUGHES PC ~ 8 I TElEPHON~ NUMBER : 717-2149-6333 ----j-_._- , i 1. Reali Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship z o j: :5 ::;) l- ii: >C o w 0:: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Sch~ule E) 6. Join$y Owned Property (Schedule F) D !Separate Billing Requested 7.lnter.jvivos Transfers & Miscellaneous Non-Probate Property (Sch~dule G or L) D 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) 12. Net Value of Estate (Line 8 minus Line 11) (1 ) None OFFICIAL USE ONLY (2) None (3) (4) (5) (6) (7) None None 6,640.00 677.84 27,221.09 _ 0 1~~ ""-> c::::> . c::;) 0" o f"T1 n =rJ~ (r,("') r~)o t~ ;;Q ---I '--' r-o-;m :..;:)0 (9) (10) 1,9'95.00 1,287.49 (11 ) (12) 13. Cha~table and Governmental 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) (13) (14) ~ N c.n 3,282.49 31,256.44 0.00 31,256.44 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amo-,nt of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) z or tr~nsfers under Sec. 9116(a)(1.2) 0 (16) j: 16.Amo~nt of Line 14 taxable at lineal rate 31,256.44 x .045 ~ ::;) Do.. 17.Amo~nt of Line 14 taxable at sibling rate 0.00 x .12 (17) :i: 0 0 18. Amou.nt of Line 14 taxable at collateral rate 0.00 .15 (18) )( x ~ 19. Tax pue (19) Copyright 2002 form software only The Lackner Group, Inc. 0.00 1,406.54 0.00 0.00 1,406.54 Form REV-1500 EX (Rev. 6-00; Rev-15G8 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERIT A/'fCE TAX RETURN RESIDENT DECEDENT Franklin, Gwendolyn M FILE NUMBER 21-06- ESTATE OF Include the proceeds of I~igation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 2004 Kia Rio Sedan VALUE AT DATE OF DEATH 6,640.00 TOTAL (Also enter on Line 5, Recapitulation) 6,640.00 (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 E (Rev. 6-98) Rey-1509 EX+ (6-98) ~ SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEAL l1H OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Franklin, Gwendolyn M FILE NUMBER 21-06- ESTATE OF If an asset was made joint within one year of the decedent's date of death, It must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A. Donna J Zile ADDRESS RELATIONSHIP TO DECEDENT 96 Peach Glen Road Gardners, PA 17324 Daughter B. Benjamin J Zile 96 Peach Glen Road Gardners, PA 17324 Grandson c. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST JOINTLY-HELD REAL ESTATE. 1 A,S 1/18/2005 M& T Bank - certificate of deposit 2,033.55 33.333% 677.84 TOTAL (Also enter on Line 6, Recapitulation) 677.84 (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 F (Rev. 6-98) rm Rev-1510 EX+ (8.98) * SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COM'AONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Franklin, Gwendolyn M FILE NUMBER 21-06- ESTATE OF This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF w,....", Y DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 ACNB - esteem checking account joint with 5.189.87 3.000.00 2.189.87 Donna Zile & Benjamin Zile; opened 10/14/2005 2 M& T Bank - classic checking joint with Donna 2.555.69 100.000 2.555.69 Zile and Benjamin Zile; opened 11/18/2005 3 ACNB - certificate of deposit joint w/Donna Zile 25.475.53 100.000 3.000.00 22.475.53 in trust for Benjamin Zile; opened 10/29/2005 TOTAL (Also enter on Line 7, Recapitulation) 27.221.09 (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 G (Rev. 6-98) REV-1151 EX+ (12-99) '* SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Franklin, Gwendolyn M Debts of decedent must be reported on Schedule I. FILE NUMBER 21-06- ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: Dugan Funeral Home 1,480.00 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. Attorney's Fees SALZMANN HUGHES PC 500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 15.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs TOTAL (Also enter on line 9, Recapitulation) 1,995.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1612 EX+ (6-98) '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Franklin, Gwendolyn M FILE NUMBER 21-06- ESTATE OF Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Carlisle Regional Medical Center VALUE AT DATE OF DEATH 566.64 2 Chase 63.95 3 Verizon Wireless 48.41 4 West Shore EMS - Carlisle 608.49 TOTAL (Also enter on Line 10, Recapitulation) 1,287.49 (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+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER Franklin, Gwendolyn M NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal C1istributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-06- ESTATE OF RELATIONSHIP TO DECEDENT Do Not List Trusteelsl SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. Donna J. Zile 96 Peach Glen Road Gardners, PA 17324 Daughter remainder Total Enter dollar amounts for distributions shown above on lines 5 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) ---- L;4.SfJ'WILL.MVtD WSfJ'ft9t1JE:Jfl' OF GWENDOL YN !v1ILLER FRANKLIN I, GWENDOLYN rv1ILLER FRANKLIN, of Carroll County, Maryland, being of sound and disposing mind, memory and understanding and capable of making a valid deed and contract, do hereby revoke any and all wills and codicils heretofore made by me and do hereby make, publish and declare this instrument to be my Last Will and Testament in the manner and form following: FIRST: I direct my Personal Representative, hereinafter named, to pay my just debts and funeral service expenses as soon after my demise as is practicable, expending such sums for my funeral expenses as they may consider fitting and proper, regardless of any legal limitations and without the necessity of an Order of Court approving any of the same. I further direct that my body be donated to the State Anatomy Board. SECOND: I give, devise and bequeath all of my property and estate, whether real, personal or mixed unto my daughter, DONNA J. ZILE, if she survives me. In the event that DONNA J. ZILE f::til~ t" ~11rvive me. I give: devise and bequeath all of my property and estate unto my grandson, BENJAMIN 1. ZILE, per stirpes. If BENJAMIN 1. ZTLE also fails to survive me and he dies leaving no lineal descedants who do survive me, I give, devise and bequeath all of my property and estate unto my son, JOHN HENRY FRANK. THIRD: ! herein acknowledge my husband E.-\~ ARTHUR FRANKLIN, SR. in this my Last Will and Testament, and I intentionally leave him nothing herein. /:!/YJ :1 GMF ...' FOURTH: All estate and inheritance taxes payable with respect to all property included ffi my gross probate estate shall be paid by my Personal Representative out of my estate and they shall be charged against the respective devisees, legatees~ beneficiaries or other recipients according to the respective interest they receive. FIFTH: I hereby nominate and appoint my daughter, DONNA 1. ZILE, Personal Representative of my estate. In the event that my daughter, DONNA J. ZILE, should predecease me or fail to quaIify or continue as' Personal Representative of my estate, I hereby nominate my grandson, BENJAMIN J. ZILE, to serve as my Personal Representative. If BENJAMIN J. ZILE should also predecease me or fail to qualify or continue as Personal Representative of my estate, I hereby nominate my son, JOHN HENRY FRANK, to serve in his stead. SIXTH: No person named as Personal Representative of my estate shall be required to give bond as such, but ifbond for any reason shall, nevertheless, be required by a proper court, the cost of said bc::d shal~ =~ paid out of~y estate. SEVENTH: In any case in which my Personal Representative may be required, pursuant to any provision of this Will, to divide the principal of my estate into shares and distribute such shares, they are authorized to make such division or distribution in kind or in money or partly in kind ane partly in money. For the purpose thereof, the judgment of my Personal Representative shall be conclusive. EIGHTH: In addition to all the powers, duties and discretion granted to or imposed on my Personal Representative by law, ~ further confer upon my Personal Representative full power to do all things necessary and proper for the prompt settlement of my estate without application to, the approval of, or ratification by the Court having jurisdiction over the administration of my estate. In .b.t:fI- GMF ...,,:.,!,r, $. ''''''''........-.- """""1'..... ......"" .,. - - r "-~ ,,~".'" "T~"'C,_,. '7"",""~-~.".__ -~~_." "<>._....~_..,._"""'..._ "..,.~ ,~;O.",~.,~ .,,-, ",.Il' -#'_ ~~_ "."..~~_'r",",,-"""- ...,.,,__~,.,~>,. i-.;,~;, ',_,,,;, -'. ,"""'.....,....'",,"'--. furtherance of the powers granted, I hereby more particularly grant and confer the tight to sell, lease, exchange, pledge, hypothecate, convey, and irrevocably dispose, in any manner whatsoever, conditionally or absolutely, any and all of my property, real and personal~ and to execute and deliver any and all necessary deeds or other instruments in writing necessary and expedient therefor . No purchaser or other person dealing with the Personal Representative shall be under any obligation to see to the application of the purchase money or other consideration. IN TESTIM:ONY WHEREOF, I have hereunto subscribed my name thi/b' ~~ of August, 2004. ~;~~dt>J1- ~Jth:'- GWEND YN MILLER FRANKLIN The preceding instrument consisting of three (3) typewritten pages, was on the day and date hereinabove written, signed, published and declared by the above named Testatrix, G WENDOL YN NIILLER FRANKLIN, as and for her Last Will and Testament, and also each of the preceding pages was initialed by her, and she signed the same in our presence and we the undersigned at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. /~ .~ /~ /:? .' ,//../ i~~/ 0( /<.. f, \ ~~ C:> \~S 1643 LIBERTY ROAD SUITE 105 ELDERSBURG, MD 21784 /1 / 'JI I. / I {A YtL /;fii d:;~~ WITN(ESf 1643 LIBERTY ROAD SUITE 105 ELDERSBURG, MD 21784 ;/ ;" ,f:~//l?/::-;:- GMF f:! M&rBank Manufacturers and Traders Trust Company, 631 Holly Pike, Mount Holly Springs, PA 17065 7174863038 FAX 7174867269 September 18, 2006 Salzmann Hughes, P.C. 354 Alexander Spring Rd., Suite 1 Carlisle, P A 17013 A TIN: Jacqueline RE: Gwen M. Franklin Ms. Franklin maintained two accounts at M&T Banle Checking account #9838248160 opened Jan. 18,2005 Certificate of Deposit #31003914739883 opened Nov. 29,2005 Both account are titled jointly in the following names: Gwen M. Franklin or Donna J. Zile or Benjamin J. Zile I have supplied a copy of the most recent checking account statement for your use. If you have any question, please contact me at (717) 486-3038. :;;JIY, wend~ .16 Branch Manager Mt. Holly Springs Office (717) 486-3038 !:1 M&I'Bank. 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 September 21, 2006 Donna Zile Estate of: Gwen Franklin 96 Peach Glen Rd. Gardners, PA 17324 RE: Estate of: Gwen Franklin Account Number: 31003914739883,9838248160 Date of Death: April 21, 2006 Dear Sir or Madam: Per a memo from Wendy Rang at M&T Bank, dated September 18, 2006, please be advised at the time of death, the balance on the above referenced account was: 1. Type of Account Certificate of Deposit Account Number 31003914739883 Opening Date 11/29/05 (account closed 09/18/06) Balance on Date of Death $2,027.53 Accrued Interest $ 6.02 Total $2,033.55 2. Type of Account Checking Account Account Number 9838248160 Opening Date 11/18/05 (account closed 09118/06) Balance on Date of Death $2,555.69 Accrued Interest $ 0.03 Total $2,555.72 /'...., ADAMS COUNlY NATIONAL BANK September 19, 2006 Salzmann Hughes, P .C. Attorneys & Counselors at Law 354 Alexander Spring Rd-Suite 1 Carlisle, P A 17015 Re: Estate of Gwendolyn M Franklin Dear Ms. Brown: The following information is being provided as per your request: Acct. Type Account Account Accrued Ownership Date Joint No. Principal on Interest to D.O.D. 0.0.0. Checking 2209853 $5,188.30 $1.30 It. wI Donna 10-14-05 Zile and Benjamin Zile C.D. 165942 $25,000.00 $475.53 Jt. w Donna 10-29-05 Zil e in trust for Benjamin Zile Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at (717)339-5116. Sincerely, '-A~ h~ Lois Kime Deposit Services Kelley Blue Book - Trade-In Pricing Repoti - Kia, Rio .~I~!!~.!.~ , <, lJittt.c.. 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