HomeMy WebLinkAbout03-02-07
REV.1500 EX + (6-~O)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT, 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
~NrMB~R ilCiIi ;!h ,--
-----__0_
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM-DD-Year)
95- 3 2 - 1 389
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
06/28/2006 02/27/1943
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
00 1, Original Return
D 4, Limited Estate
D 6, Decedent Died Testate (Attach copy of Will)
D 9, Litigation Proceeds Received
SOCIAL SECURITY NUMBER
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 between 12.31-91 and 1-1-95)
o 3, Remainder Return (date of death prior to 12-13.82)
D 5, Federal Estate Tax Return Required
Q.. 8, Total Number of Safe Deposit Boxes
D 11, Election to tax under See, 9113(A) (Attach Sch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Lawrence J. Nea ,Es uire 108-112 Walnut Street
FIRM NAME (If Applicable)
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3. Closely Held Corporation, Partnership or Sole-Proprietorship
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)
8. Total Gross Assets (total Lines 1-7)
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)
12, Net Value of Estate (Line 8 minus Line 11)
13, Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
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TELEPHONE NUMBER
717 238-4798
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
Harrisburg, PA 17101-1609
(1)
(2)
(3)
(4)
(5) 9,131.78
(6) 550.00
(7)
OFFICIAL USE ONLY
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(8)
9,681.78
9,651.13
307,249.72
(11)
(12)
(13)
316,900.85
-307,219.07
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
-307,219.07
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16, Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18, Amount of Line 14 taxable at collateral rate
19. Tax Due
0.00 X _(15) 0.00
0.00 X _(16) 0.00
0.00 X ,12 (17) 0.00
0.00 X ,15 (18) 0.00
(19) 0.00
20, D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
'ece en s ample e ress:
STREET ADDRESS 3 Ed d'
gewoo Drive
CITY I STATE PA I ZIP
Mechanicsburg 17055
E>
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I t Add
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
0.00
Total Interest/Penalty ( D + E) (3)
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 (4)
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)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
0.00
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
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
c. retain a reversionary interest; or ...................................................................................................... 0
d. receive the promise for life of either payments, benefits or care? ............................................................. 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?................... ........................... ................................................ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0
4. ~~~t~~~:~e~~:;i:i:~I::~~~nua~:o~~ti.r.~~.~Q ~~~.~~!~~~;~:: .~:;.~~~:~~~~~~;.i.:~~~~:. ~.~~~~....................... [6'/~
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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876 Mandy Lan-e
earn Hill, PA 17011
DATE
1..z ...en
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, 99116 (a) (1.1) (i)J.
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, 991'16 (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. 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 4,5%, except as noted in 72 P.S, 99116(1.2) [72 PS. 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. 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.
REV-15081;X + (6-98)
. .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Le90 Philio S
FILE NUMBER
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1, Citizens Bank - checking account no. 6213378603 1,333.97
2. 1983 Ford Bronco - Auction sale 275.00
3. Member's First - savings account no. 230631-00 143.27
4. Member's First - checking account no. 230631-11 2,972.03
5. ISG Steelton LLC - vacation pay 1,752.65
6. MittallSG Steelton LLC - final paycheck 2,005.11
7. Comcast Cable refund 59.03
8. Mittal - bonus 544.59
9. Philip Lego - US Saving Bond - redeemed 27.66
10. Express Scripts - refund 18.47
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
9,131.78
REV-1509 ~X + (6-98)
.
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Leao Phi/in S
FILE NUMBER
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
ADDRESS
RELATIONSHIP TO DECEDENT
A. David A. Lego
803 Highland Court
Mechanicsburg, PA 17050
Son
B
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 NUMBER OR SIMILAR DATE OF DEATH DE CD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 7/27/95 1987 Toyota MR2 (Auction sale) 1,100.00 50. 550.00
TOTAL (Also enter on line 6, Recapitulation) $ 550.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX. + (12-99)
. .
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Leao PhiliD S.
FILE NUMBER
ITEM
NUMBER
A.
1.
2.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
Musselman Funeral Home
Rolling Green Cemetery
5,905.00
1,195.00
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Joseph J. Lego
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 3 Edgewood Drive
City Mechanicsburg State PA Zip 17055
Year(s) Commission Paid: 2007
Attorney Fees - Lawrence J. Neary, Esquire
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
300.00
1,500.00
City
State
Zip
Relationship of Claimant to Decedent
Probate Fees Register of Wills of Cumberland County
301.00
Accountant's Fees
Tax Return Prepare~s Fees
Cumberland County Law Journal - Estate advertisement
Carlisle Sentinel - Estate advertisement
Auctioneer's Commission - 87 Toyota
37.50
57.63
55.00
TOTAL (Also enter on line g, Recapitulation) $
9,651.13
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Lego, Philip S.
Decedent's Name
Page 1
File Number
Schedule H - Funeral Expenses & Administrative Costs - 81
ITEM
NUMBER DESCRIPTION AMOUNT
B. ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) David A. Lego 300.00
Social Security Number(s)/EIN Number of Personal Representative(s) 202-52-8249
Street Address 803 Highland Court
City Mechanicsburg State P A Zip 17050
Year(s) Commission Paid: 2007
SUBTOTAL SCHEDULE H-B1 300.00
REV-1512lOX + (6-98)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Leao. PhiliD S.
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1, West Shore Emergency Medical Services
check #136 - processed on 6/29/06
VAWEATDATE
OF DEATH
75.00
2. Mortgage payment - offset - Member's First - 7/6/06
1,339.93
3. Mortgage payment - offset - Member's First
1,339.93
4. Mortgage payment - offset - Member's First
410.80
5. Internistrs of Central PA
23.20
6. Holy Spirit Hospital
425.52
7. Bally's Park Place
2,000.00
8. Boscov's Credit Card
175.32
9. Capital One
2,611.51
10. Capital One
1,362.67
11. Capital One
6,094.97
12. Cabela's Club Visa
252.98
13. First National Bank of Omaha
13,179.69
14. Goodyear Credit Plan
331.13
15. Harry Cahng
206,000.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
307,249.72
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Lego, Philip S.
Decedent's Name
Page 1
File Number
Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16. Hilton Casino & Resort 2,000.00
17. Kay Park 50,000.00
18. Sears 5,627.07
19. Theresa Imes 10,000.00
20. Trump Marina 2,000.00
21. Trump Plaza Casino 2,000.00
SUBTOTAL SCHEDULE I 71,627.07
GRAND TOTAL SCHEDULE I $ 307,249.72
~".''''''.I*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Leao. Ph'lin S
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, and transfers under
Sec. 9116 (a) (1.2)]
1. Joseph J. Lego Lineal
3 Edgewood Drive 50%
Mechanicsburg, PA 17055
2. David A. Lego Lineal
876 Mandy Lane 50%
Camp Hill, PA 17011
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 II - 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)
~~ Citizens Bank
525 William Penn Place
Suite 153-2618
Pittsburgh, P A 15219
August 16, 2006
LA WRENCE J NEARY
1 08-112 WALNUT STREET
HARRISBURG PA 17101-1609
Estate of PHILIP S LEGO
Date of Death: Jun 28, 2006
SSN: 195-32-13 89
Dear Sir/Madam:
In accordance with your request, the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, pleas{:
call 1-888-999-6884
Sincerely,
~ VafbfictOLNtIvJ
Carole Gregory
Operations Services
~~ Citizens Bank
--
Account Number 6213378603
--
Account Title PHILIP S LEOO --
Date Opened 3/30/2006 --
Account Type Checking --
Principal Balance as of DaD $1333.97 --
Interest from Last Posting to DaD $ .00
Account Balance as of DaD $1333.97 --
YTD Interest to DaD $.00
~1st
MEMBERS 1st
FEDERAL CREDIT UNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
230631 -00
OS/29/2003
$143.27
$.11
$143.38
None
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
230631 .11
OS/29/2003
$2,972.03
$.00
$2,972.03
None
HOME EQUITY LOAN:
Account Number/Suffix
Date Loan Established
Principal Balance at Date of Death
Daily Interest
Payment Amount/Frequency
Next Due Date
Name of Co-Borrower
Collateral
230631 -03
04/06/2006
$118,446.22
$19.9249
$1,339.93/monthly
09/01/2006
Nancy A. Lego
Property: 3 Edgewood Drive
Mechanicsburg, PA
Contractual Pledge of Shares
~= 1'~aAL CREDIT UNION
~eA.~t: :)d
Insurance Services strvisor
August 29, 2006
Estate of: PHILIP S. LEGO
Date of Death: June 28, 2006
Social Security Number: 195-32-1389
5000 Louise Drive · Po. Box 40 . Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.members1st.org