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Home My WebLink About04-05-07 -..J 15056041125 REV-1500 EX (06-05) PA Department of Revenue '* BureauoflndividualTaxes . INHERITANCE TAX RETURN PO BOX 280601 Harrisburg, 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 7 3 4 Date of Birth 014469372 o 7 072 0 0 6 05221956 LAGACY RAYMOND MI E Decedent's 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 lXI 1. Original Return o 4. Limited Estate lXI o 2. Supplemental Return o o 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 0 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 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received o o o o o 8. Total Number of Safe Deposit Boxes DOUGLAS C . Y 0 HE, E SQ. 71762 0 2 4 2 4 Firm Name (If Applicable) LATSHA DAVIS YOHE & MCKENNA, P.C. REGISTER OF WILLS USE ONLY f::':> --.J City or Post Office State ZIP Code First line of address 1 7 0 0 BEN T C R E E K B L V D . Second line of address SUI T E 140 M E C H A N I C S BUR G P A 17050 -..i Correspondent's e-mail address:DYOHE@LDYLAW.COM ve examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, . n of pre er other than the personal representative is based on all information of which preparer has any knowledge. I NG RETURN ADORES 1025 VALLEY ROAD, ENOLA, PA 17025 OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 1700 BENT CREEK BOULEVARD SUITE 140 MECHANICSBURG PLEASE USE ORIGINAL FORM ONLY PA 17050 Side 1 L 15056041125 15056041125 --.J \ ~ --I 15056042126 REV-1500 EX Decedent's Social Security Number Decedent's Name: RAYMOND E. LAGACY RECAPITULATION 014469372 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. 1 4 5 1 9 . 5 6 ...... . 6. Jointly Owned Property (Schedule F) D Separate Billing Requested . . . . . . . 6. 6 9 2 3 2 . 9 4 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested . . . . . . . 7. 11. Total Deductions (total Lines 9 & 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 83752.50 15019.25 108157.66 123176.91 - 39424.41 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. 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. -39424.41 TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X.O _ o . 0 0 15. O. 0 0 16. Amount of Line 14 taxable at lineal rate X.O o . 0 0 16. O. 0 0 17. Amount of Line 14 taxable o . 0 0 at sibling rate X .12 17. o . 0 0 18. Amount of Line 14 taxable o . 0 0 at collateral rate X .15 18. O. 0 0 19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. O. 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT D Side 2 L 15056042126 15056042126 --.J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 06 0734 DECEDENTS NAME RAYMOND E. LAGACY STREET ADDRESS 1026 Valley Road CITY I STATE I ZIP Enola PA 17025 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 0.00 Total Credits (A + B + 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. Fill in oval on Page 2, 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) 0.00 0.00 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) A. Enter the interest on the tax due. 0.00 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 00 b. retain the right to designate who shall use the property transferred or its income; ............................... D 00 c. retain a reversionary interest; or ................................................................................................ D 00 d. receive the promise for life of either payments, benefits or care? ....................................................... D 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... D 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... D 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. D 00 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 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 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-15G8 EX + (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RAYMOND E. LAGACY FILE NUMBER 21 06 0734 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. DESCRIPTION ITEM NUMBER 1. Account No 70102 Account Type: Savings Members 1 st Federal Credit Union 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 2. 1985 Corvette (value based on sale of vehicle) 3. 1998 GMC Jimmy (value based on sale of vehicle) VALUE AT DATE OF DEATH 4,519.56 6,000.00 4,000.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 14519.56 REV-1509 EX+ (6-98) *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RAYMOND E. LAGACY FILE NUMBER 21 06 0734 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. Karen S. Fleisher 1026 Valley Road Enola, PA 17025 Domestic Partner B c JOINTL V-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY '10 OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. Property: 1026 Valley Road 134,750.00 50. 67,375.00 Enola, PA 17025 A. PSECU 3,715.87 50. 1 ,857.94 1 Credit Union Place, Harrisburg, PA 17110 Checking Account No. 0014469372 TOTAL (Also enter on line 6, Recapitulation) $ 69,232.94 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RAYMOND E. LAGACY SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 06 0734 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Sullivan Funeral Home - for funeral services Gingrich Memorials - for gravemarker 7,300.00 2,000.00 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) KAREN S FLEISHER Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 1 026 VALLEY ROAD City ENOLA State PA Zip 17025 1,000.00 B. Year(s) Commission Paid: 2. 3. AttomeyFees Latsha Davis Yohe & McKenna, P.C. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address 3,000.00 City State Zip Relationship of Claimant to Decedent 5. Probate Fees Initial Filing and Short Certificates - $114.00 Advertising - Patriot News - $272.68 Accountanfs Fees 386.68 4. 6. Tax Retum Preparer's Fees 7. Automobile Insurance Adjustment Repairs to GMC Jimmy Repairs to Corvette 6.00 162.13 164.44 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 15.019.25 REV-1512 EX + (12-03) '* SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RAYMOND E. LAGACY FILE NUMBER 21 06 0734 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 10,091.29 Union Plus Credit Card P. O. Box 8000 Baltimore, MD 21244-9000 Credit Card Account: 5467020007239893 2. Loan to Mortgage Electronic Registration Systems, Inc. P. O. Box 2026 Flint, MI 48501-2026 98,066.37 TOTAL (Also enter on line 10, Recapitulation) $ 108.157.66 (If more space is needed, insert additional sheets of the same size) 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 outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Karen S. Fleisher Collateral 100.00 1026 Valley Road Enola, PA 17025 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 $ ""'.,,""".. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RAYMOND E. LAGACY SCHEDULE J BENEFICIARIES FILE NUMBER 21 06 0734 (If more space is needed, insert additional sheets of the same size) LATSHA DAVIS YOHE & MCKENNA, EC. ATTORNEYS AT LAW PLEASE REPLY TO: Mechanicsburg WRITER'S E-MAIL: ltaylor@ldylaw.com April 5, 2007 Via Hand Delivery Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013-3387 Re: Estate of Raymond E. Lagacy, Tr. File No.: 2106-00734 Date of Death: July 7, 2006 Our File No.: 830-06 Dear Clerk: Enclosed for filing please find an original and two copies of the Inheritance Tax Return Resident Decedent, REV-1500 on behalf of the Estate of Raymond E. Lagacy, Jr. Please return a date-stamped copy of the Return to our office in the enclosed self-addressed stamped envelope. Please contact our office with any questions you may have regarding this filing. Sincerely, .. Enclosures ~ Lone A. Tay 0 cc: Karen S. Fleisher (w j enc.) Douglas Yohe, Esq. (wjo enc.) 1700 Bent Creek Boulevard, Suite 140 . Mechanicsburg, PA 17050 . (717) 620-2424 · FAX (717) 620-2444 350 Eagleview Boulevard, Suite 100 . Exton, PA 19341 · (610) 524-8454 . FAX (610) 524-9383 3000 Atrium Way, Suite 251 . Mt. Laurel, NJ 08054. (856) 231-5351 · FAX (856) 231-5341 Maryland Telephone: (410) 727-2810 114793