HomeMy WebLinkAbout07-13-07
F<~v.'~ E); + IlHlOl
.. . COMMONWJ::.P.LTHOF
PENNSYLVANIA
. . '. . . .' DEPA~lTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
t-
Z
W
o
W
o
W
o
w
...
~~Ul
oCll:~
W lLo
:1:00
oCll:..J
~m
c
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENT'S NAME (LAST, FiRST, AND MIDDLE INITIAL)
FRANCES .lANE BAKER
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
OFFICIAL USE ONe Y
FILE NUMBER
2 1 -0 7 0 4 5 2
"CoITNh'CoiiE -YEAR- - - 'N'UiiSER- -
SOCIAL SECURITY NUMBER
196-14-3677
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (date ofdealh prior 10 12.13-82)
o 5. Federal Estate Tax Retum Required
~ 8. Total Number of Safe ~positl3<lxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
z
o
3
;::)
t-
~
C
o
w
IX:
09/12/2006 OS/2411923
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
~ 1. Original Retum
o 4. Limited Estate
[&] 6. Decedent Died Testate (AttachcopyofWiIQ
o 9. Litigation Prooeeds Received
o 2. Supplemental Retum
o 4a. Future Interest Compromise (dateofdealh after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
'0 '10. Spousal Poverty Credit (date of dealh between 12-31-91 and 1-1-95)
(8)
(11)
(12)
(13)
(14)
PA
17055
...
z
w
c
z
~
Ul
W
ClI:
ClI:
o
o
NAME
MURREL R. WALTERS III
FIRM NAME (If Applicable)
COMPLETE MAILING ADDRESS
198,599.40
OFFICIAL USE ONLY
54 EAST MAIN STREET
TELEPHONE NUMBER
717-697-4650
MECHANICSBURG
~
=
=
~
c....
c::
.-
:0
-rJ IT1
fh ,;:-)
G) C)
i'r, ::0
....'~
_ ~ ~::J
'.--) 0
- n -1"1
:!J
a
rn
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule 0) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
o Separate BilUng Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(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/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subjec1to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
o
~
t-
~
a.
:I
o
(.)
~
t-
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
187,910.70 X !:.!!!!... (15)
w
198,599.40
10,688.70
10,688.70
187,910.70
187,910.70
0.00
0.00
16. Amount of Line 14 taxable at lineal rate
X_(16)
X .12 (17)
X .15 (18)
(19)
17. Amount of Line 14 taxable at sibling rate
18. Amolln1 of Line 141axable at collateral rate
19. Tax Due
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Com Jete Address:
STREET AOORESS
101 SOUTH WALNUT STREET
CITY
MECHANICSBURG
STATE
PA
ZIP
17055
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
Total Credits (A + B + C) (2)
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + 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 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 1&:1
b. retain the right to designate who shall use the property transferred or its income; ........................................ D 00
c. retain a reversionary interest; or ...................................................................................................... D 1&:1
d. receive the promise for life of either payments, benefits or care? ............................................................. D 1&:1
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?..................... ......... ...... ........................ ......... ...... ......... .......... D 1&:1
3. Did decedent own an 'in trustfor" or payable upon death bank account or security at his or her death? ................. D 1&:1
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... D 1&:1
0.00
0.00
0.00
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Ju
PA
cJ7
ADDRESS
MURREL R. ALTERS III, ESQ.
54 EAST MAIN STREET, MECHANICSBURG
PA 17055
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. ~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 0% [72 P.S. ~9116 (a) (1.1) (ii)].
The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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. ~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 4.5%, 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 12% [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-1502 EX + (6-98)
.
. COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FRANCES JANE BAKER 21 07 0452
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real ro which is. in -owned with ri ht of survivorshi must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
198,599.40
101 SOUTH WALNUT STREET
MECHANICSBURG, PA 17055
ASSESSED VALUE OF $174,210.00 X 1.14
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
198 599.40
REV-1511 EX+(12-99)
'*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
. COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FRANCES JANE BAKER
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21
07
0452
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. MALPEZZI FUNERAL HOME 9,193.40
2. ROTHERMEL.S FLORIST 111.30
3. GINGRICH MEMORIALS - MEMORIAL ENGRAVING 125.00
.. ..
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) JOHN E. BAKER (COMMISSION RENOUNCED)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attomey Fees MURREL R. WALTERS III, ESQUIRE 900.00
3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation)
Claimant
Street Address
City Stale Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS - CUMBERLAND COUNTY 359.00
5. Accountanfs Fees
6. Tax Retum Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ 10.688.70
(If more space is needed. insert additional sheets of the same size)
t. ,,;, ~'!" :<.
REV-1512 EX + (6-98)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FRANCES JANE BAKER
FILE NUMBER
21 07
0452
Include unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
.n I -
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
" ,..Ie .):.,-~ c<.
'''-'':'.~ ".
-COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARiES
FILE NUMBER
R
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [indude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
.JOHN E. BAKER
101 S. WALNUT STREET
MECHANICSBURG, PA 17055
HUSBAND
100%
AMOUNT OR SHARE
OF ESTATE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
n. 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 IT - 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)