HomeMy WebLinkAbout01-08-07
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:L5D5bD4:L:L47
REY-1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes ~
PO BOX.280601 ~
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN 21 06
RESIDENT DECEDENT
File Number
0937
174051668
10142006
Date of Birth
10081912
Decedent's Last Name
WAGNER
Suffix
Decedent's First Name
CHARLOTTE
MI
M
(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
D 1. Original Return D 2. Supplemental Return D 3. Remainder Return (date of death
prior to 12-13-82)
D 4. Limited Estate D 4a. Future Interest Compromise D 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
00 6. Decedent Died Testate D 7. Decedent Maintained a Living Trust 1 8. Total Number Of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
D 9. Litigation Proceeds Received D 10 Spousal pove\% Credit ~date of death D 11. Election to tax under Sec. 9113(A)
. between 12-31- 1 and -1-95) (Attach Sch. 0)
~ORRESPONDENT - THIS SECnON MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENnAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
IVO V OTTO III 7172433341
City or Post Office
CARLISLE
State
PA
ZIP Code
17013
REGISTER OF:tiI~ USE Ol!lL.Y
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Firm Name (If Applicable)
MARTSON DEARDORFF WILLIAMS
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First line of address
10 EAST HIGH STREET
Second line of address
Correspondents e-mail address:
Under penalties of pe~UlY, I declare that I have examined this return, Including accompanvi,ng schedules and statements, and to the best of my knowled~ 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 D E
~ ~~ Marjorie A. Rhoades I ~ 10 fJ
Ivo V Otto III
DA (/07
10 East High Street, Carlisle, PA 17013
Side 1
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lSDSbD4:L:L47
lSDSbD41J.47
-1
PA Inheritance Tax Return
Signature of Additional Fiduciaries
ESTATE OF FILE NUMBER
Wagner, Charlotte M. 21-O6-O93~
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 #2
----8~IrJU4~~
Ray H. S enberger
442 Old Stage Road
Name
Address1
Address2
City, State, Zip
Date
Lewisberry, PA 17339
J/<iIIJ7
~
15056042148
REV-1500 EX
Dec::edent'1 Name:
CHARLOTTE M. WAGNER
Decedent's Social Security Number
174051668
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.
59,498.32
6. Jointly Owned Property (Schedule F) D Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested............. 7.
8. Total Gross Assets (total Lines 1-7)....................................................................... 8.
59,498.32
13,775.35
624.51
14,399.86
45,098.46
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/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 Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X .00
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14i8X8ble
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
45,098.46
0.00
15. 0.00
16. 2,029.43
17. 0.00
o . 00
18.
19. 2,029.43
45,098.46
o . 00
o . 00
19. Tax Due............................. ......................................... ...... ......... ................................
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
D
Side 2
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15056042148
15056042L48
--.J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-06-0937
DECEDENrs NAME
Charlotte M. Wagner
STREET ADDRESS
457 C Street
CITY I STATE IZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
2,029.43
101.47
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
101.47
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
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 S + SA. This is the BALANCE DUE.
(3)
(4)
(5)
(5A)
(5B)
1,927.96
1,927.96
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "XU IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;..................................................................................
b. retain the right to designate who shall use the property transferred or its income;....................................
c. retain a reversionary interest; or..................................................................................................................
d. receive the promise for life of either payments, benefits or care?..............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death withOut
receiving adequate consideration? .................................. ........ .................................... .... ............................ ... ...... D
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.
Yes No
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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 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 exemDt 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. ~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-1101 EX+ (6.")
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wagner, Charlotte M.
FILE NUMBER
21-06-0937
ESTATE OF
Indude the proceeds of litigation and tha date the proceeds were received by the estate.
All property JoIntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 American Red Cross - Lifeline refund
VALUE AT DATE
OF DEATH
17.50
2 Embarq, phone service - Refund of credit balance
6.85
3 Franklin Templeton CD (35472QAN7) - $35000 face; 4.95%; matures 4/24107
34.921.80
Accrued interest on Item 3 through date of death
96.25
4
M&T Bank MM #15004200023519
21.121.03
Accrued Income on Item 4 through date of death
2.00
5
M& T Checking #895504
1.241.15
6
Peerless Insurance - Refund of premium
19.00
7
Personal property - Proceeds of Rowe's auction
263.00
8
Shipley Energy - Refund
581.88
9
The Sentinel- Refund
27.86
10
Personal property - Retained by heirs, appraised value
1.200.00
TOTAL (Also enter on Line 5, Recapitulation)
59.498.32
(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-1111 EX+ (12-81)
*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wagner, Charlotte M.
Debts of decedent must be reported on Schedule I.
FILE NUM'ER
21-06-0937
ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 9,611.50
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 Martson Deardorff Williams & Otto 3,725.00
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 173.00
5. Accountant's Fees
6. Tax Return Preparer's Fees 12.00
7. Other Administrative Costs 253.85
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 13,775.35
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1600 Schedule H (Rev. 6-98)
ReY.1502 EX+ (8-11)
*
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wagner, Charlotte M.
FILE NUMBER
21-06-0937
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Eby Rock of Ages - Monument inscription
100.00
2
Ewing Brothers Funeral Home, Inc. - Funeral expenses
9,511.50
Subtotal
9,611.50
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1102 EX+ ("HI
*
SCHEDULE H.B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wagner, Charlotte M.
FILE NUMBER
21-06-0937
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Embarq, phone service - Nov, 2006
31.70
2
Martson Deardorff Williams & Otto - Costs advanced - security valuation report
1.55
3
Martson Deardorff Williams & Otto - Costs advanced - filing fee, Inheritance Tax
Return
15.00
4
PPL, electric service - Oct-Nov, 2006
41.30
5
PPL, electric service - Final bill
14.30
6
Reserved for additional filing fees and miscellaneous expenses
150.00
Subtotal
253.85
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500Schedule H-B7 (Rev. 6-98)
Rev-U12 EX+ (....)
*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEAllli OF PENNSYLVANIA
INHERITANCE TAX RETURN
RE8IOENT DECEDENT
Wagner, Charlotte M.
FilE NUIWIBER
21-06-0937
ESTATE OF
Inelude unrelmbursed meclleal expense..
ITEM
NUMBER DESCRIPTION
1 Borough of Carlisle, water/sewer - Sept-Oct., 2006
VALUE AT DATE
OF DEATH
16.18
2 Edward E. Wagner - Real estate tax proration to date of death
517.67
3 Embarq, phone service - Oct-Nov, 2006
38.32
4 PPl, electric service - Sept-Oct, 2006
52.34
TOTAL (Also enter on LIne 10, Recapitulation)
624.51
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 fonn software only The Lackner Group, Inc.
Fonn PA-1500 Schedule I (Rev. 6-98)
REV.U13 EX+ (9-40)
ESTATE OF
NUMBER
I.
1
2
3
4
5
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wagner, Charlotte M.
NAME AND ADDRESS OF
PERSON{S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
Clistributions.l and transfers
under Sec. l:I116{a){1.2)]
Heather L. Rhoades Jones
3 Wiles Creek Cirele
Middletown, MD 21769
FILE NUNlBER
21-06-0.37
SHARE OF ESTATE I AMOUNT OF ESTATE
(Words) ($$$)
RELATIONSHIP TO
DECEDENT
Do Not List TruatH(s}
Granddaughter
2,500.00
Holly L. Rhoades May
24 Clemens Drive
Dillsburg, PA 17019
Kristin L. Rhoades O'Neil
609 Front Street
Marysville, PA 17053
Granddaughter
2,500.00
Granddaughter
2,500.00
Jennifer A. Sollenberger
442 Old Stage Road
Lewlsberry, PA 17339
Granddaughter
2,500.00
Jessica M. Sollenberger
7 Standish Neck Road
Gorham, ME 04038
Granddaughter
2,500.00
See continuation schedule attached Continuation 36,574.62
Total 49,074.62
Enter dollar amounts for distributions shown above on lines' 5 through 18, as appropnate, on Rev 1500 cov~ r sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE~T 0.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1~O Schedule J Rev. 6-98
SCHEDULE ~
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Charlotte M. Wagner 174-05-1668 10/14/2006
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$S)
6 Marjorie A. Rhoades Daughter One-half estate 18,287.31
7 Mary Avenue residue
Mechanicsburg, PA 17055
7 Ray H. Sollenberger Son One-half estate 18,287.31
442 Old Stage Road residue
Lewisberry, PA 17339
Totall 36,574.62
1
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rI M&fBank
499 Mitchell Road, MiIlsboro, DE 19966 Mail Code DE-MB-12
MDW & 0
Attorneys At Law
10 East High Street
Carlisle, Pennsylvania 17013
Re: Estate of: Charlotte M Wagner
Social Security: 174-05-1668
Date of Death: October 14. 2006
Phone (888) 502-4349
Fax (302) 934-2955
11/712006
Dear Sir or Madam:
Per your inquiry dated October 27, 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
895504
Ownership (Names of)
Charlotte M Wagner ·
Opening Date
03/14/89 Closed 10/31/06
Balance on Date of Death
$1,241.15
Accrued Interest
$ 0.00
Total
$1,241.15
2. Type of Account Savings Account
Account Number 015004200023519
Ownership (Names of) Charlotte M Wagner ·
Opening Date 03/14/89 Closed 10/30/06
Balance on Date of Death $21,121.03
Accroed Interest $ 2.00
Total $21,123.03
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LAST WILL AND TESTAMENT
I, CHARLOTTE M. WAGNER, of the Borough of Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing
mind and memory, do hereby make, publish and decliare this to be
my Last Will and Testament, hereby revoking any and all former
Wills or Codicils by me made.
1.
I direct that all my just debts, funeral expenses, and
administrative expenses be paid from my estatie, as soon as
practicable after my death.
2.
I give the sum of Two Thousand Five Hundred Dollars
($2,500.00) unto each of my grandchildren, HEATHER L. RHOADES,
HOLLY L. RHOADES, KRISTIN L. RHOADES, JENNIFER A. SOLLENBERGER,
, ,
and JESSICA SOLLENBERGER and I direct that .the same shall be
held for said grandchildren as follows:
my da ugh ter ,
MARJORIE A. RHOADES, shall hold, invest .and reinvest said
legacies for her children; and my son, RAY H. SOLLENBERGER,
shall hold, invest and reinvest said legacies fo~ his children.
Said grandchildren shall not receive the principal of their
legacy until they attain the age of twenty-five (25) years. I
direct that all income arising from same shall be accumulated
unless my children shall determine that it shall be used for
secondary education.
In the event the total of these legacies shall exceed
II thirty-five percent (35') of my gross taxable estate, then I
declare this paragraph to be null and void.
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All the rest, residue and remainder of my es~ate, both real
I give, devise and bequeath,
in equal
shares,
unto my children, MARJORIE A. RHOADBS and RAY H.
SOLLENBERGER, absolutely.
4.
I further appoint MARJORIE A. RHOADES and RAY H.
SOLLENBERGER as Executors of my estate and direct that they
shall not be required to file ~ny bond to secure the faithful
performance of their duties.
5.
I authorize and empower my personal representatives, in
their sole and absolute discretion, to purchas~ or otherwise
acquire and retain any investments of which I die seized or any
real or personal property of any nature; to sell, lease, pledge,
mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my
estate for such terms and such prices as they may deem
advisable; to borrow money for any purposes conn~cted with the
protection and preservation of my estate; to mort!gage or pledge
any real or personal property forming a part of mr estate or to
join in or secure the partition of same; to compromise any
claims or demands of my estate against others or of others
against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional
shares in property different in kind from any other share; and
2
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I to execute and deliver such instruments as may be necessary to
carry out any of these powers.
IN WITNESS WHEREOF I have hereunto set my hand and seal
this
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day of..,-"';'" ~l. \ ,,'.:..V.: ~",
, 1988.
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Charlotte M.' Wagner' >'
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named
testatrix, as and for her Last Will and Testament, in the
presence of us, who at her request, have hereunto subscribed our
names as wi tnes ses thereto, in the presence of the said
testatrix and of each other.
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I, Charlotte M. Wagner, testatrix, whose name is signed to
the attached or foregoing instrument, having been duly qualified
I according to law, do hereby acknowledge that I signed and
I executed the instrument as my Last Will; that I signed it
' willinglYl and that I signed it as my free and voluntary act for
I the purposes therein expressed.
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I Charlotte M. Wagner
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Sworn or affirmed to and acknowledged before me by
Charlotte M. Wagner, the testatrix, this (~/Ih day of
/~~t.iYTL..{l'''- , 1988.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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N';;t;;i;~i1~ (j U_L ,~, '-
Kimberly E.Wiser, Notary Public ~
Carlisle Borough, ~umberland Count)' .
My Commission Expires Dec. 23, 1991
55.
We, .:..:I~?~.,.. dl'l.__/)/. .', ........../ ,.._, ,.1_ Jj,:..('." .}t...<-"::_~:L<-:"t:........
the witnesses whose names! are signe'd to the attached or
foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw the testatrix sign
and execute the instrument as her Last Will; that the testatrix
signed willingly and that the testatrix executed ,it as her free
and voluntary act for the purposes therein expreslsed; 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.
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I Sworn or affirmed to and subscribed before me this
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Kimberly E.Wiser, Notary Public
Carlisle Borough, Cumberland County
My Commission Expires Dec. 23, 1991
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