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REV-1500 EX + (6-00)
*' COMMONWEALTH OF
'. PENNSYLVANiA
, DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LA.ST, FIRST, AND MIDDLE INITIAL)
SOCKMAN THELMA L
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
[Xl 1. Original Retum
o 4. Limited Estate
o 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Retum
o 4a. Future Interest Compromise (date of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
OFFICIAL USE ONLY
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FILE NUMBER
21 -0 6 1 0 3 9
COUNTY"'COiiE -vE~ - - NUMBER- -
SOCIAL SECURITY NUMBER
2 0 1 - 1 8 - 0 559
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Retum (date of death prior to 12-13-82)
o 5. Federal Estate Tax Retum Required
~ 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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11/18/2006 02/07/1926
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LA.ST, FIRST, AND MIDDLE INITIAL)
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NAME
MURREL R. WALTERS III
FIRM NAME (If Applicable)
COMPLETE MAiLING ADDRESS
TELEPHONE NUMBER
717-697-4650
54 EAST MAIN STREET
MECHANICSBURG
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)
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(9)
(10)
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 See. 9116 (a)(1.2)
16. Amountofline 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
(8)
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
(11)
(12)
(13)
(14)
PA
17055
155,463.52
30,801.78
OFFICIAL USE ONLY
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677,092.40
X _(15)
658,406.15 X .045 (16)
X .12 (17)
X .15 (18)
(19)
490,827.1
18,686.25
658,406.15
658,406.15
29,628.28
29,628.28
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14,339.68
4,346.57
Decedent's Complete Address:
STREp ADDRESS 203 RUNSON ROAD
CITY I STATE I ZIP
CAMP HILL PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
29,628.28
23,000.00
1,150.00
Total Credits (A + B + C)
(2)
24,150.00
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.
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. (SA)
B. Enter the total of line 5 + SA. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
5,478.28
5,478.18
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? ....................................................................................................... 00 0
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 perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and compiete.
Declaration of preparer other than the personal representative is based on all information of which pre parer has any knowledge.
SIGNATURE ERSON R/=SPONSIBLE FOR FILING RETURN /J . _ ~ DATE.~
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ADDRESS
WILLIAM G. SOCKMAN
30 RIFE AVENUE MECHANICSBURG
PA 17050
DATE
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ADDRESS
M REL R. ALTERS III, ESQUIRE
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. 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-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 orfor 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. ~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
SaCKMAN THELMA L 21 06 1039
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 property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
155,463.52
230 RUNSON ROAD
CAMP HILL, PA 17011
NET PROCEEDS FROM SALE
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
155,463.52
REV-1508 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SaCKMAN THELMA L
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.
1039
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
DESCRIPTION
VALUE AT DATE
OF DEATH
352.29
HIGHMARK BLUE SHIELD REFUND
PA UNCLAIMED PROPERTY
910.08
2007 FEDERAL INCOME TAX REFUND
30.00
PROCEEDS. SALE OF CAR
1988 BUICK
3,000.00
SALE OF HOUSEHOLD GOODS
175.00
MEMBERS 1ST FEDERAL CREDIT UNION
TWO CERTIFICATES OF DEPOSIT PLUS SAVINGS ACCOUNT
73,182.18
PNC BANK
CHECKING
7,213.47
PNC BANK
MONEY MARKET
24,305.36
PNC
CERTIFICATE OF DEPOSIT
31,080.88
AMERIPRISE ANNUITY
PAYABLE TO JANICE K. WITMER
$110,334.13 AND $18,052.44
AMERIPRISE ANNUITY
PAYABLE TO WILLIAM G. SOCKMAN
$110,344.13 AND $18,052.44
AMERIPRISE ANNUITY
PAYABLE TO MATTHEW WITMER, ANDREW WITMER, DAVID WITMER,
MISTY SOCKMAN & WILLIAM G. SOCKMAN, JR. @ $18,756.94 EACH
128,396.57
128,396.57
93,784.70
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
490,827.10
REV-1511 EX+(12-99)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
saCKMAN
THELMA
L
Oebts of decedent must be reported on Schedule I.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21
06
1039
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. MYERS FUNERAL HOME 7,960.00
2. FLOWERS & GRAVE OPENING 1,236.68
3. MINISTER OF CHURCH, FUNERAL SERVICE 250.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) .JANICE K. WITMER (COMMISSION RENOUNCED)
Social Security Numbe~s)IEIN Number of Personal Representative(s)
Street Address
City State Zip
Yea~s) Commission Paid:
2. Attorney Fees MURREL R. WALTERS III 4,200.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS - CUMBERLAND COUNTY 675.00
5. Accountanfs Fees
6. Tax Return Prepare~s Fees
7. PENNSYLVANIA DEPARTMENT OF HEALTH - 2 DEATH CERTIFICATES 18.00
TOTAL (Also enter on line 9, Recapitulation) $ 14,339.68
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
saCKMAN THELMA L
Decedent's Name
Page 1
21 06 1039
File Number
Schedule H - Funeral Expenses & Administrative Costs - 81
ITEM
NUMBER DESCRIPTION AMOUNT
B. ADMINISTRATIVE COSTS:
Personal Representative's Commissions
2. Name of Personal Representative (s) WILLIAM G. SOCKMAN (COMMISSION RENOUNCED)
Sodal Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
SUBTOTAL SCHEDULE H.B1
REV-1512 EX + (6-98)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SaCKMAN
FILE NUMBER
THELMA L
21
06
1039
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1. .J..J. SKELTON
OIL
1,731.09
2. PENN WASTE
TRASH
133.83
3. PA AMERICAN WATER
149.79
4. PP&L ELECTRIC
183.06
5. VERIZON
TELEPHONE
27.80
6. WILLIAM SOCKMAN
BATTERY FOR CAR
68.89
7. HARLEYSVILLE INSURANCE
CAR INSURANCE
505.50
8. HARLEYSVILLE INSURANCE
HOMEOWNERS INSURANCE
178.00
9. BOROUGH OF CAMP HILL
SEWER
85.00
10. .JANET L. MILLER, TAX COLLECTOR
2007 COUNTYITOWNSHIP TAXES
690.10
11. CINDY ROWE
CAR REPAIR
100.70
12. SHERWIN WILLIAMS
EXTERIOR HOUSE PAINT
25.21
13. HOME DEPOT
LIGHT FIXTURE
82.60
14. WILLIAM SOCKMAN, .JR.
LAWN MAINTENANCE
360.00
15. DAVID WITMER
TRIM SHRUBS
25.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4,346.57
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
S()r.KMAN
SCHEDULE J
BENEFICIARIES
THELMA L
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS ~nclude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
.JANICE K. WITMER
914 HERMAN AVENUE
MECHANICSBURG, PA 17055
WILLIAM G. SOCKMAN
30 RIFE DRIVE
MECHANICSBURG, PA 17050
MATTHEW WITMER
52 BRIAN ROAD
CARLISLE, PA 17025
ANDREW WITMER
OLD WILLOW MILL ROAD
MECHANICSBURG, PA 17050
DAVID WITMER
914 HERMAN DRIVE
MECHANICSBURG, PA 17055
MISTY SOCKMAN
272 CHARTWOOD DRIVE
HARRISBURG, PA 17111
WILLIAM G. SOCKMAN, .JR.
5200 E. TRINDLE ROAD
MECHANICSBURG, PA 17050
FILE NUMBER
21 06
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
1039
AMOUNT OR SHARE
OF ESTATE
DAUGHTER 50% OF RESIDUE
SON 50% OF RESIDUE
GRANDSON 18,756.94
GRANDSON 18,756.94
GRANDSON 18,756.94
GRANDDAUGHTER 18,756.94
GRANDSON 18,765.94
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 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)