HomeMy WebLinkAbout07-27-07 (2)
REV-l+S00 EX + (6-001
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I-
Z
W
C
W
(,)
W
C
W
I-
lil: :$Ul
t) 1I::lil:
W C\.t)
J:oo
.. II::...J
... C\.lD
c\.
c(
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Reed William F.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 6 1 0 5 2
C'OUNTYCOOE -YEA~ - - NuMBER- -
SOCIAL SECURITY NUMBER
o 7 2 - 0 5 - 5 3 1 3
THIS RETURN MUST BE FilED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3, Remainder Return (date of death prior to 12-13-82)
o 5, Federal Estate Tax Return Required
_ 8, Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
THIS SECTION MUST BE COMPLETED. AL.L CORRESPONDENCE AND CONFIDENTIAL..i TAX INFORMATION SHOULD. BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
R. Mark Thomas 101 South Market Street
FIRM NAME (If Applicable)
z
o
~
~
..J
::>
!:::
a.
~
(,)
w
a::
z
o
~
~
I-
::>
a.
::!E
o
(,)
><
~
I-
11/19/2006 10/18/1907
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
N/A
00 1, Original Return
o 4. Limited Estate
00 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after 12-12.82)
o 7, Decedent Maintained a Living Trust (Attach copy olTrust)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1.95)
PA 17055
OFFICIAL USE ONLY
17,840.64: _
'.:0
:-Il
--rJ
,
r..........')
C::J
c:::>
_....J
(-
(=
1--
1'-'
-.l
I-
Z
W
C
Z
o
c\.
Ul
W
II::
II::
o
t)
TELEPHONE NUMBER
717-796-2100
Mechanicsbur
,
9,701.451
I
I
IF
~
---;.-;
:...~
o
..
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
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)
o 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)
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)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
0'1
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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
0.00 X _(15)
0.00 X _(16)
0.00 X .12 (17)
26,781.09 X .15 (18)
(19)
27,542,09
717.00
44,00
(11)
(12)
(13)
761,00
26,781.09
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
20. 0
ICHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
(14)
26,781,09
0,00
0,00
0.00
4,017.16
4,017.16
o
d t' C
I t Add
ece en s omple e ress:
STREET ADDRESS
3433 Bedford Drive
CITY I STATE I ZIP
Camp Hill PA 17D11
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
4,017.16
3 500 00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
3,500.00
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 Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
517.16
517.16
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 00
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00
c. retain a reversionary interest; or ...................................................................................................... 0 00
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?............................................................................................... 0 00
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? ................. 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 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.
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 Otf:SON RESPO~E FO;g~
ADDRESS 343~Drive
Cam Hill
RER
DATE
6/26/2007
SIGNATURE 0
PA
17011
DATE
ADDRESS
6/26/2007
101 South Market Street
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)].
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. 99116 (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-<me 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 P.S. 99116{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-1503 EX'" (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Reed William F.
FILE NUMBER
21 06
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
1052
ITEM
NUMBER
1.
DESCRIPTION
~meriprise Financial (see attached statement dated 2/15/07)
Westwood Center, 4611 Trindle Road
~amp Hill, PA 17011
VALUE AT DATE
OF DEATH
17,840.64
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
17840.64
REV-1508 EX'+ (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Reed. William F.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 06
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.
1052
ITEM
NUMBER
1.
2.
DESCRIPTION
Benkovich & Associates - Ameriprise Financial (see attached statement dated 2/15/07)
Westwood Center, 4611 Trindle Road
Camp Hill, PA 17011
\II & T Bank, Checking Account No. 42678242
VALUE AT DATE
OF DEATH
3,162.23
6,539.22
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
9 701.45
REV-1511 EX'+ (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Reed William F.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21
06
1052
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Prepaid
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees R. Mark Thomas 600.00
3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 117.00
5. Accountanfs Fees
6. Tax Return Pre parer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ 717.00
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (6-98)
'*
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Reed. William F.
FILE NUMBER
21
06
1052
Include unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
ast Pennsboro Ambulance Service. Inc.
P. O. Box 47
::nola, PA 17025
44.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
44.00
""'-n" ex .".
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Reed. Willi::lm F. ?1 06 1052
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. Harry R. Barlow 100.00
3433 Bedford Drive
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 n - 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)
FEB-15-07 04:39 PM BENKOVICH AND ASSOCIATES 7177616282
P.01
A;;;'~;ip;T;~ ct
Financial
Jack Benkovlch, CFP~. CFS
Senior Financial Advisor
Benkovlch & Associates
February 15, 2007
A financial advisory practice of
Arnenprise Financial Services, Inc.
Westwood Center
4661 Trindle Road
Camp Hill, PA 17011
Tel: 717.761.4208
Fax: 717.761.6282
Toll Free: 800.962.8694
john .a.benkovich@ampf.com
An Amerlprlse Platinum
Financial Services'" practice
Mr. R. Mark Thomas
Attomey At Law
101 South Market Street
Mechanicsburg, P A 17055-3851
Re: Estate of William F. Reed
Dear Mark:
Thank you for your inquiry regarding the account of William F. Reed. The value
of the account as of 11119/2006 is listed below:
Ameriprise Brokerage Account
Account Number
000513183848021
Total Value
$2 1,002.87
Client Name:
Date of Death:
WILLIAM REED
1111912006
Account:
Valuation Date:
513183848021
11/1712006
Estimated Values
~;,i~:III!I'lJJIfi~""'.ll7llI!'A'I,-...t()""AL'
"~.jr.--::'1_,:;w;,-,,~~,YHY.'l:I,,>.:'i t~4 '.
'S2'f;OO..
The date of death values provided are for estate tax purposes and are not a value to be paid.
Accounts may be subject to market fluctuation as govemed by each product. Values for any
proprietary mutual funds include accrued dividends as applicable. Values provided for
brokerage products are manually calculated, and should be used as estimates only. The prices
used to provide values are estimates obtained from outside sources believed to be reliable.
Ameriprise Financial does not guarantee the values.
Sincerely,
An Ameripnse associated franchise. Al1lenpnse FinanCial Services. Inc. offers finanCial adVISOry services, investm~nts. Insurance and annuity products.
RiverSource'''' products are offere.-d by affiliates of Amenprjse Financial Services, Inc.. Mell,ber NASD and slPe
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Recetpt Date:
Rece~pt Time:
Recelpt No.:
11/29/2006
15:15:42
1046484
REED WILLIAM F
Estate File No. :
Paid By Remarks:
2006-01052
R MARK THOMAS
CJ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PET LTRS ADM OTHER
WILL
SHORT CERTIFICATE
JCP FEE
AUTOMATION FEE
Check# 1126
Total Received.........
60.00
15.00
12.00
10.00
5.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
CUMBERLAND COUNTY GENERAL FUN
$102.00
$102.00
oJ .
LAST WILL AND TEST AMENT
BE IT REMEMBERED THAT
I, WILLIAM F. REED, a resident of Dauphin County, Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and declare this to be my LAST
WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me.
I
I declare that I am not married and that I have no children.
II
I direct that all my just debts and funeral expenses shall be paid from my residuary estate as
soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death, of whatever nature
and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the
expense of the administration of my estate.
IV
I give, devise and bequeath all my property, whether real or personal, wherever situate,
including any property over which I may have a power of appointment to HARRY R. BARLOW
provided that he survives me by thirty (30) days. If Harry R. Barlow predeceases me or fails to
survive me by thirty (30) days, then I give, devise and bequeath all my property, whether real or
personal, wherever situate, including any property over which I may have a power of appointment
to OLGA MONIGHAN. If Olga Monighan predeceases me or fails to survive me by thirty (30)
days, then I give, devise and bequeath all my property, whether real or personal, wherever situate,
including any property over which I may have a power of appointment to DENNIS MONIGHAN.
4.
v
I nominate, constitute and appoint HARRY R. BARLOW as Executor of this LAST WILL,
to serve without bond. If HARRY R. BARLOW is unable or unwilling to act in that capacity, then
I nominate, constitute and appoint DENNIS MONIGHAN as Executor of this LAST WILL, to
serve without bond.
IN WITNESS WHEREOF, I, WILLIAM F. REED, have set my hand to this LAST WILL
this/(P-rrP day of /aI~
,2005.
w~F;Q~
WILLIAM F. REED
Signed, sealed, published and declared by the above-named WILLIAM F. REED, as and for
her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in
the presence of each other, have hereunto subscribed our names as witnesses.
~
f./ ~ (/[ G?~
~4.~
2
. . -' '. .
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CLTM.a~IU. A "WD t>A/M/N
I, WILLIAM F. REED, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the
purposes therein expressed.
7:J~ T~
WILLIAM F. REED
Sworn o~rmed to .ay.d acknowledged before me by WILLIAM F. REED, Testator,
this /h day of IVOVM&E/Z., 2005.
-\
AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA
ss. .11~j:J
COUNTY OF CU~m:CRLAND 2::>J'~4r
We, .J0I#.A ~r and ffA~((9 /l.. f3t/,.<t.t>W ,
the witnesses whose names are signed to the attached or foregoing instrument being duly qualified
according to law, do depose and say that we were present and saw Testator sign and execute the
instrument as his LAST WILL; that WILLIAM F. REED signed willingly and that he executed it as
his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight
of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was
at the time 18 years of age or more, of sound mind and under no constraint or undue influence.
-<~~~
!}!nt/ ({~ ,~d4-
Sworn o~rmed to ~ acknowledged be ore me
this I~ dayof IYP~~, ,2005.
., ~ -", I'
;r,_,
"
n.::"
:'1
, ....:;:.)
~.
~.'
" r...,
COMMONWEALTH OF PENNSYLVANIA
NotaIlaI Seal
, Joseph w. Souders, Notary PublIc
" ('. "~ Susquehal'V1a Twp., DauphIn COlIlIy
.;; My CommIssIon Explres Feb. 5. 2001
.' ) ;.; 'ff Member. Pennsylvania Association tl Notaries
/' "'{ 1,,,,-
? I..., i'
. '/, ';'. '!sO':,'
! (Jr''- ,'\ "
.- I I" ~ -, :~"f'
~ (?/",.,ltft'"