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HomeMy WebLinkAbout08-23-07 (2) i , ---1 15[]5b[]41147 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 REV-1500 OFFICIAL USE ONLY County Code Year INHERITANCE TAX RETURN 21 07 RESIDENT DECEDENT File Number 0042 Date of Birth 12232006 03241908 Decedent's Last Name Suffix Decedent's First Name VERNON MI P HOFFMAN (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 X 1 Original Return 2. Supplemental Retum 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4 Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) X 6 Decedent Died Testate (Altach Copy of Will) 7. PAif:~he~~~~i~:~~~~t Living Trust o 8. Total Number of Safe Deposit Boxes 9 Litigation Proceeds Received 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) ~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ame Daytime Telephone Number IVO V OTTO III 7172433341 Firm Name (If Applicable) MARTSON LAW OFFICES ----",. REGISTER-b(-)WILLS usi ONLY First line of address i-; 10 EAST HIGH STREET f', ~ G:;' Second line of address City or Post Office CARLISLE State PA ZIP Code 17013 DATE' FILED -.J Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and bel,ef. ,t ,s true, correct 'lnd complete. Declaration of preparer other than the personal representative is based on a ion of which preparer has any knowledge S~N:'T'/fOF1:j' SO,N,RE?_O_ 2I-EFJ~~! NGRETURN Philip V. Hoffman 71 "O;TE1o! / L..., ',( / /);/ X._ u _ rf"_ .,CCRESS I / . //) I ' / DA E Ivo V Otto III '"\ )1- 0 ~ 10 East High Street, Carlisle, PA 17013 Side 1 L 15[]5b[]41147 15[]5b[]41147 ---1 -I 15056042148 REV-1500 EX Decedent's Name: Ve rn 0 n Pa u I i n e H offma n 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. 6. Jointly Owned Property (Schedule F) Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested............. 7. 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. 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 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 o . 0 0 15. 522,817.25 16. o . 0 0 17. o .00 18. 19. Tax Due. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 Decedent's Social Security Number 530,000.00 5,343.15 23,804.52 559,147.67 35,383.52 946.90 36,330.42 522,817.25 522,817.25 o .00 23,526.78 o . 0 0 o . 0 0 23,526.78 D 15056042148 -I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Vernon Pauline Hoffman STREET ADDRESS 72 Ladnor Lane File Number 21-07-0042 CITY STATE ZIP Carlisle 17015 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 23,526.78 20,000.00 1,052.63 3 Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 21,052.63 Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theDVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (3) (4) (5) (5A) (5B) 2,474.15 2,474.15 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:............................................................................. x b. retain the right to designate who shall use the property transferred or its income;................................ x c. retain a reversionary interest; 0["......................................................................................................... x d. receive the promise for life of either payments, benefits or care?........................................................... x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?......................................................................................... no.................... x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death.?....... x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................................................................................................... x 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. 99116 (a) (1.1) (i)l. 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. 99116 (a) (1.1) (ii)J. The statutedoes not exempta 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. 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 four and one-half (4.5) percent, 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 twelve (12) percent [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.1502 EX+ (6.98) ,*' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline FILE NUMBER 21-07 -0042 All real property owned solely or as a tenant In common must be reported at fair market valuliair market value IS defined as the price at which property would be exchanged between a wilhng buyer and a wilhng seller. neither being compelled to buy or sell. both having reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Real Estate - Residence situate at 72 Ladnor Lane, South Middleton Township, Cumberland County, PA, known as Tax Parcel No. 40-11-0288-045A, being described in Deed dated January 3,1974, and recorded in Cumberland County, PA, Deed Book "0", Volume 25, Page 1055, and being conveyed to P. Reynolds Hoffman and Vernon P. Hoffman. P. Reynolds Hoffman died July 23,1984, leaving title vested soley in Vernon P. Hoffman. See attached appraisal. VALUE AT DATE OF DEATH 530.000.00 TOTAL (Also enter on Line 1, Recapitulation) 530,000.00 (If more space is needed. additiDnal pages of the same size) Copyright (C) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) Rev-1503 EX. (6-98) '. SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline FILE NUMBER 21-07 -0042 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 29078E105 12 shares of Embarq Corp 52.21 626.52 Accrued dividend on Item 1 through date of death 6.00 2 852061100 250 shares of Sprint Corp - Com Fon 18.8175 4.704.38 Accrued dividend on Item 2 through date of death 6.25 TOTAL (Also enter on Line 2, Recapitulation) 5.343.15 (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 B (Rev 6-98) Rev-1508 EX+ (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline FILE NUMBER 21-07 -0042 Include the proceeds of Iillgation and the date the proceeds were received by the eslate. All property jolntly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Citizens Bank, checking account #610072-808-0, date of death balance VALUE AT DATE OF DEATH 3,711.11 2 Masland Associates, refund 124.37 3 PacifiCare Life and Health Insurance Co, premium refund 234.04 4 United Health Care Services, Inc., refund 170.00 5 United Health Care Services, Inc., refund 85.00 6 1988 Jeep Grand Wagoneer, Kelley Blue Book value 1.425.00 7 1996 Cadillac DeVille Sedan, Kelley Blue Book value 3.795.00 8 Personal property and household goods, per attached appraisal 14.260.00 TOTAL (Also enter on Line 5, Recapitulation) 23.804.52 (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-1151 EX+ (12-991 SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline Debts of decedent must be reported on Schedule I. FILE NUMBER 21-07 -0042 ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 9,505.83 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State Zip 2 Attorney's Fees Martson Law Offices (estimated) 20,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Philip V. Hoffman Street Address 72 Ladnor Lane 3,500.00 City Carlisle State PA Zip 17015 Relationship of Claimant to Decedent Son 4. Probate Fees Cumberland County, PA Register of Wills 414.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1,963.69 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 35,383.52 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline FILE NUMBER 21-07 -0042 ITEM NUMBER DESCRIPTION AMOUNT 1 Hoffman-Roth Funeral Home, Carlisle, PA 9.505.83 Subtotal 9.505.83 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) .* SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline FILE NUMBER 21-07 -0042 ITEM NUMBER AMOUNT DESCRIPTION 1 Boyer & Ritter, preparation of 2006 personal income tax returns 515.00 2 Cumberland County Recorder of Deeds, filing fee 39.50 3 Cumberland County Register of Wills, additional probate fee 100.00 4 Cumberland County Register of Wills, filing fee, Inheritance Tax Return 15.00 5 Cumberland Law Journal, advertising Letters Testamentary 75.00 6 EVP, online stock valuation 3.10 7 Linden Hall Antiques, appraisal fee 165.00 8 Martson Law Offices, reserved for miscellaneous costs and filing expenses 200.00 9 Met-Ed, electric service pending disposition of real estate 377.16 10 Postage-Certified mailing to Department of Public Welfare 4.64 11 S.W. Barrett Real Estate & Appraisal Service, real estate appraisal fee 325.00 12 The Sentinel, advertising Letters Testamentary 144.29 Subtotal 1.963.69 Copynght (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-B? (Rev. 6-98) Rev-1512 EX+ (6.98) ,~ ~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ,:'OMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoffman, Vernon Pauline FILE NUMBER 21-07 -0042 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Carlisle Regional Medical Center, account payable VALUE AT DATE OF DEATH 216.13 2 Citizens Bank, checking account #610072-808-0 - Outstanding checks on date of death 81.67 3 Embarq, account payable 46.84 4 Kenetic Imaging, Inc., account payable 52.19 5 Lancaster HMA Phys Mgmt Cent Pen, account payable 49.09 6 Met Ed, account payable 282.98 7 PA Department of Revenue, 2006 PA-40 income tax 218.00 TOTAL (Also enter on Line 10, Recapitulation) 946.90 (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 I (Rev. 6-98) REV.1513 EX> (9-00) .* SCHEDULE J BENEFICIARIES COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Hoffman, Vernon Pauline NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-07 -0042 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. 1 Helen Mae Heiges cIa 72 Ladnor Lane Carlisle, PA 17015 Sister No funds available to pay Item 4 Specific Bequest Granddaughter Portion of Sch. E, Line 8 assets 750.00 2 Kimberly Ann Hoffman cIa 72 Ladnor Lane Carlisle, PA 17015 3 Philip V. Hoffman 72 Ladnor Lane Carlisle, PA 17015 Son Sch. A, Line 1; balance of Sch. E, assets, less expenses 522,067.25 Total 522,817.25 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copynght (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98)