HomeMy WebLinkAbout01-03-07
JERRY A. WEIGLE
WEIGLE & ASSOCIATES, P.C.
Attorneys-at-Law
126 EAST KING STREET
SHIPPENSBURG, PENNSYLVANIA 17257-1397
Associates
JOSEPH P. RUANE
RICHARD L. WEBBER, JR.
Of Counsel
THOMAS L. BRIGHT
TELEPHONE (717) 532-7388 or (717) 776-4295
FAX (717) 532-5289
weil!leassociates(ii)earthlink.net
December 29,2006
Office of the Cumberland County Register of Wills
One Courthouse Square
Carlisle, P A 17013
In Re: Estate of Stella Fay Richardson
File # 21-06-0642
Dear Ladies and Gentlemen:
I have enclosed the following items with respect to the above:
1. Inheritance tax return, in duplicate original;
2. Copy of the inheritance tax return;
3. Check in the amount of $1,446.03 for the inheritance tax;
4. Check in the amount of $15.00 for the filing fee; and
5. Self-addressed envelope.
Please return a time-stamped copy of the inheritance tax return to me in the self-addressed
envelope. In addition, please note the postmark date, December 29,2006.
Thank you for your assistance.
Very truly yours, ~ 0
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Richard L. Webber, Jr.
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Enclosures
Copy: Linda Burd, Executrix
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REV-1500 EX + (B-OO)
*
OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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I DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
! Richardson, Stella Fay
I DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR)
. 03-17-2006 I 03-01-1920
:(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL)
06
0642
NUMBER
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
185-07-5638
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WillS
SOCIAL SECURITY NUMBER
L'CJ1 Original Return 0 2. Supplemental Return U 3. Remainder Return (date of death prior to 12-13-82)
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>::::!;(I) 04 Limited Estate 4a. Future Interest Compromise (date of death after 5. Federal Estate Tax Return Required
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:coo ~ 6. Decedent Died Testate {Attach 0 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes
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0..<0 copy of Trust)
0.. copy of Will)
<I: i i 9. Litigation Proceeds Received 0 10 Sf-ousal Pove~ Credit (date of death between D 11. Election to tax under Sec. 9113(A) (Attach SchO)
. 1 -31-91 and 1-1- 5)
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I NAME
. Richard l Webber, Jr., Esquire
I FIRM NAME (If applicable)
Weigle & Associates, P.C.
TELEPHONE NUMBER
717-532-7388
126 East King Street
Shippensburg, PA 17257
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) D Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
None
None
None
None
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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)
204,506.50
None
None
(8)
(9)
(10)
14,986.29
157,386.31
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204,506.50
172,372.60
32,133.90
0.00
32,133.90
(11)
(12)
13. Charitable 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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
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~ 16. Amount of Line 14 taxable at lineal rate 32,133.90 x .045 (16)
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c.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
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~ 19. Tax Due
(19)
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
0.00
1,446.03
0.00
0.00
1,446.03
Copyright 2002 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00;
Decedent's Complete Address:
STREET ADDRESS
210 Big Spring Road
CITY Newville
I STATE PA
I ZIP 17241
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
1,446.03
0.00
Total Credits (A + 8 + C)
(2)
0.00
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. (4)
Check box on Page 1 Line 20 to req uest a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
1,446.03
1,446.03
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 [!]
b. retain the right to designate who shall use the property transferred or its income;.................................... 0 :::!J
c. retain a reversionary interest; or.................................................................................................................. 0 :::!J
d. receive the promise for life of either payments, benefits or care?.............................................................. D :-!J
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?....................................................................................................................... D I~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 I~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?...................................................................................................................... 0 I~
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 schedules and statements, and to the best of my knowledge and belief, it is true, COmacl 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 ADDRESS
Linda Elaine Surd
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DATE
70 Enola Road
Newburg, PA 17240
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ADDRESS
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
Richard L Webber, Jr., Esquire J
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ADDRESS
DATE
126 East King Street
Shippensburg, PA 17257
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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 statute does not exempt 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 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 decedent's 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.
Rev-1508 EX+ (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Richardson, Stella Fay
FILE NUMBER
21-06-0642
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Farmers National Bank Acct # 220701 197.208.95
Accrued interest on Item 1 through date of death 45.90
2 Miscellaneous Deposit 610.14
3 Presbyterian Homes, Inc. - Refund 6.260.90
4 PSERS 380.61
TOTAL (Also enter on Line 5, Recapitulation)
204.506.50
(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)
REV-1151 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Richardson, Stella Fay
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-0642
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
100.00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
184-36-6185
Social Security Number(s) I EIN Number of Personal Representative(s):
184-36-6185
Street Address 70 Enola Road
City Newburg
Year(s) Commission paid 2007
State PA Zip 17240
9,135.19
2.
Attorney's Fees
Weigle & Associates, P.C.
5,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
294.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
457.10
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation)
14,986.29
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-981
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Richardson, Stella Fay
FILE NUMBER
21-06-0642
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Eby Granite Works
100.00
Subtotal
100.00
Copyright (c) 2002 form software only The Lackner GrouP. Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Richardson, Stella Fay
FILE NUMBER
21-06-0642
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cumberland County Register of Wills - Filing fee for inheritance tax return
15.00
2
Cumberland Law Journal - Legal Advertisement
75.00
3
David Burd - reimbursement for contractor's bill
300.00
4
Valley Times-Star - Legal Advertisement
67.10
Subtotal
457.10
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
. .
Rev-1512 EX+ (6-98)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Richardson, Stella Fay
FILE NUMBER
21-06-0642
ESTATE OF
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Continuing Care
VALUE AT DATE
OF DEATH
556.79
2 Continuing Care
1.051.66
3 Graham Medical Clinic
54.50
4 Pennsylvania Department of Public Welfare - Class 6 Claim
144.223.49
5 Pinker & Associates
37.64
6 Presbyterian Homes, Inc.
7,950.87
7 Presbyterian Homes, Inc.
3.130.75
8 PSERS
380.61
TOTAL (Also enter on Line 10, Recapitulation)
157,386.31
(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)
ESTATE OF
NUMBER
I.
1
2
3
4
5
.
SCHEDULE ~
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Richardson, Stella Fay
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-06-0642
RELATIONSHIP TO
DECEDENT
DO Not List Trustee(s)
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
Linda Elaine Surd
70 Enola Road
Newburg, PA 17240
Daughter
One-Sixth
Dan Richardson
362 Roxbury Road
Newville, PA 17241
Son
One-Sixth
David Richardson
3512 Enola Road
Newville, PA 17241
Son
One-Sixth
Erma Richardson
850 Woodlawn Street
Schaumburg,IL 60194-1641
Daughter
One-Sixth
George Richardson
804 Pine Road
Carlisle, PA 17013
Son
One-Sixth
See continuation schedule attached Continuation
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Copyright (c) 2002 form software only The Lackner Group, Inc.
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Form PA-1500 Schedule J (Rev. 6-98)
0.00
5,355.65
5,355.65
5,355.65
5,355.65
5,355.65
5,355.65
32,133.90
SCHEDULE .J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Stella Fay Richardson 185-07 -5638 03/17/2006
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
6 Donna Schreiber
477 Mine Road
Lebanon,PA 17042
Daughter
One-Sixth
5,355.65
Total
5,355.65
1
. .
~ FARMERS NATIONAL BANK
OF NEWVILLE A Division afAdams COI/IlI)' National Balik
July 25, 2006
Richard L. Webber Jr., Esquire
126 East King Street
Shippensburg, PA 17257
RE: Estate of Stella Fay Richardson
Dear Mr. Webber:
Mrs. Richardson had a checking account #22-070-1 with this bank in her
name alone. The balance in the account on the date of her death, March 17,
2006, was $197,208.95 with $45.90 accrued interest payable. The account was
opened March 22, 1984.
Sincerely yours,
~~::+r-
Executive Vice President
PO. Box I
N<":'I'.Tville,PA InLH . (717) 7'76-5317.
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF FINANCIAL OPERATIONS
DIVISION OF THIRD PARTY LIABILITY
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105.8486
July 27, 2006
WEIGLE & ASSOCIATES
RICHARD L WEBBER ESQUIRE
126 EAST KING STREET
SHIPPENSBURG PA 17257
Re: STELLA RICHARDSON
CIS #: 650158002
SSN: 185-07-5638
Date of Death: 03/17/2006
Dear Attorney Webber:
Please be advised that the Department of Public Welfare maintains a
claim in the amount of $144,223.49 against the above-mentioned estate. This
claim is for restitution of medical assistance granted on behalf of the
decedent for which the Probate Estate is now responsible to reimburse the
Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as
amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's
itemized statement of claim.
A portion of this medical expense, namely $.00, was incurred during the
last six months of the decedent's life; therefore, it is a Class 3 claim
pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20
Pa. C.S.A. 3392(3). The balance of the claim, namely $144,223.49, is to be
entered as a priority Class 6 claim against the estate.
Please acknowledge receipt of this letter and advise whether the
Commonwealth's claim is admitted and when payment may be expected. If the
estate accounting is complete, please provide a copy. If the estate contains
real estate, please provide copies of the deed, the latest tax assessment,
and a current appraisal, if available.
Sincerely,
~~.~
Angela S. Bonner
Claims Investigation Agent
717-705-9701
717-705-8150 FAX
Enclosure