HomeMy WebLinkAbout12-20-07
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150'560'510'58
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes. INHERITANCE TAX RETURN
PO BOX 280601
Harrisburg, PA 17128-0001 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
1208-24-2413 ! I 04/09/2007
OFFICIAL USE ONLY
County Code Year
i~\ 1
Decedent's Last Name
Suffix
Date of Birth
108/31/1933
Decedent's First Name
MI
~
Ruth
E
Smith
(If Applicable) Enter Surviving Spouse's Information Below
Last Name Suffix
First Name
MI
[J
Spouse's Social Security Number
:--------.1
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
c::> 1. Original Return
SECOND
ca> 2. Supplemental Return
c::>
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c::>
c::> 4a. Future Interest Compromise (date of
death after 12-12-82)
c::> 7. Decedent Maintained a living Trust
(Attach Copy of Trust)
c::> 10. Spousal Poverty Credit (date of death c::> 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
r
l (717) 737-2033
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
4. Limited Estate
c::>
CJ
C:::)
M. Bach
Firm Name
REGISTER OF WILLS USE ONLY
At Law
First line of address
D
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C:>
c.=:.
State ZIP Code
[~~-]
f: '
S. Sporting Hill Rd.
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Second line of address
or Post Office
DATqFltEa
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en
0'\
Correspondent's e-mail address:jamesbach@comcast.net
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 complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGN TURE OF. R FILING ijETURN
7
orting Hill Rd. Mechanicsburg, PA 17
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
150'560'510'58
150'560'510'58
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15056052059
REV-1500 EX
Decedent's Name:
RECAPITULATION
Ruth
E Smith
Decedent's Social Security Number
1208-24-2413
I
I
..
o oc0
1. Real estate (Schedule A). ................... . . . . . . . . . . . . . . . . . . . . . . . .. 1.'
I
I
0.00
0.00
0.00
27,211.03
I
27 211 03/
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) c:::> Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c:::> Separate Billing Requested. . . . . . .. 7.
8 t t I G
A t (t t I L' 1 7)
oa ross sse s oa Ines - ................................... . 8. ,
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . . . 9. 10,453.05
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10. 610.35
11. Total Deductions (total Lines 9 & 10).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 11,063.34
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 16,147.69
13. Charitable and Governmental Bequests/See 9113 Trusts for which ..---
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 3,572.00
14. Net Value Subject to Tax (Line 12 minus Line 13) .. . . . . . . . . . . . . . . . . . . . . . . 14. 12,575.69
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 .0_
16. Amount of Line 14 taxable
at lineal rate X.O 45
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
1,571.87
17.
11,003.82
18.
19. TAX DUE. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
.,
L
15056052059
Side 2
15056052059
---I
x
REV-1500 E Page 3 I L~mDer
Decedent's Complete Address: DD ______ - - I
-.
DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER
Ruth E Smith 208-24-2413
STREET ADDRESS
35 Eastgate Drive
CITY I STATE I ZIP
Carlisle PA 17015
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
1,839.19
6,102.69
Total Credits (A + 8 + C ) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
6,102.69
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)
4,263.50
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A Enter the interest on the tax due.
(5)
(SA)
(58)
8. Enter the total of Line 5 + 5A This is the BALANCE DUE.
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;.......................................................................................... 0 [K]
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [K]
c. retain a reverSionary interest; or.......................................................................................................................... 0 iii
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [K]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 [K]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 [K]
4. Did decedent own an Individual RetirementAccount, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 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.
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. g9116 (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 PS. g9116 (a) (1.1) (ii)J. 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. 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. ~9116(a)(1.3)J. 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.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX' DIVISION
PO /lOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWAHCeOR DISAl.LOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05J
THOMAS W WAEAMAN
310 KNOTTWOOD CT
SUN CITY CENTER FL 33573
DATE 07-02-2007
ESTATE OF SMITH RUTH E
DATE OF DEATH 04- 09-2007
FILE NUMBER 21 07-0348
COUNTY CUMBERLAND
SSN/DC 208-24-2413
ACN 07001745
APPEAL DATE: 08-31-2007
(See reverse side lInder Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG. THIS.. LINE ."""+ ..RETAIN .lDWER.POlUlONFOR .YOURRECORDS .~.._. ...
REV=i54S-EX.AFP-COS=055--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-02-2007
ESTATE OF SMITH
RUTH
E DATE OF DEATH 04-09-2007
COUNTY
CUMBERLAND
S.S/D.C. NO. 208-24-2413
eX) ACCEPTED AS FILED C) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CASH PERSONAL & MIse PROPERTY ACCOUNT NO.
FILE NO. 21 07-0348
TAX RETURN WAS:
ACN
07001745
PERSONALPRDPERT
TYPE OF ACCOUNT:
DATE ESTABLISHED
C )SAVINGS C) CHECKING C )TRUST (JTIME CERTIFICATE
01-01-2007
12,168.33 NOTE: TO INSURE PROPER CREDIT TO
1.000 YOUR ACCOUNT, SUBMIT THE
12,168.33 UPPER PORTION OF THIS NOTICE
.. _______________.-'.DJL______.___.-WI-:t:.W__Y'O.UR__TAX .P-AY-MEN-T-TO-TI4E- .. .. ..
12,168.33 REGISTER OF WILLS AT THE
.12 ABOVE ADDRESS. MAKE CHECK
1,460.20 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
Account Balance
Percent Taxable X
Amount Subject to Tax
Dehts.-..and...D.9-ducti.-o.n.s--._-."_,
Taxable Amount
Tax Rate X
Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-20-2007 CD008068 73.01 1,460.20
.--- ~. })
TOTAL TAX CREDIT I ( 1,533.21
'" &. "1.1__ ..... ......." "J(~I 7~ n11"1<1
LAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B060I
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-1607 EX AFP (03-0S)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-30-2007
SMITH
- ..', -. ---_.....~_.. -.
04-09-2007
21 07-0348
CUMBERLAND
101
RUTH
E
SUSAN M KLING
205 OAK DRIVE
MT HOLLY SPRINGS PA 17065-1804
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account. submit the upper portion of this form with your tax payment.
... RETAIN LOWER PORTION FOR YOUR RECORDS
+-
CUT ALONG THIS LINE
---------------------------------------------------------------------------
*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
REV-1607 EX AFP (03-05)
ESTATE OF SMITH RUTH. E FILE NO.21 07-0348 ACN 101 DATE 07-30-2007
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE. AND. IF APPLICABLE.
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-23-2007
PRINCIPAL TAX DUE: 4,569.48
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-20-2007 CD008065 228.47 4,569.48
- -'---
TOTAL TAX CREDIT 4,797.95
BALANCE OF TAX DUE 228.47CR
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 228.47CR
*
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN *1.
NO PAYMENT IS REQUIRED.
REV-1509 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Smith, Ruth E.
FILE NUMBER
RELATIONSHIP TO DECEDENT
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINTTENANT(S) NAME
ADDRESS
W. Wagaman
JOINTLY.OWNED PROPERTY:
lETTER DATE
ITEM FOR JOINT MADE
NUMBER TENANT JOINT
1.
A.
j""""""''''''"1'
1 2.1
L._i
1''-]
L:I
r'--'-'''''''''
, 4.!
,.....~.v_..!
r--",
I 5.,
L.......!
}'--"--'1
j 6.;
L..J
Oak Drive
Holly Springs, PA 17065
Knottwood Court
City Center, FL 33573
DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAl INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTlY-HELD REAL ESTATE.
Wachovia Bank, Act. # 247412091757101
Wachovia Bank, Act. #247412061757118
Wachovia Bank, Act. #247412071757120
Wachovia Bank, Act. #247412051963812
Account Wachovia Bank Acct. #3064980603052-1
Accont Wachovia Bank Acct. #3064980603052
27,211.03
TOTAL (Also enter on line 6, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
JO
REV.1511 EX+ (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Smith, Ruth E.
FILE NUMBER
ITEM
NUMBER
A.
DESCRIPTION
Debts of decedent must be reported on Schedule I.
Name of Personal Representative(s)
,'"M''' ... "''''''-'''', '_...........................-1
Social Security Number(s)/EIN Number of Personal Representative(s) 1?2~:~~::~?~~....H._...._....__.._...._J
1_........................ .....--.....--."........................-......... ,..--......----....-..-................-.-.~.--....-...........-...'1
Street Address ,205 Oak Drive, Mt Holly Springs, PA 170652617.75 I
~...__.._.__._...__,..,....._....._........_._._..__~._.._'.__....__.._~......._........_............_.,.._.._..._._......__1
,---...............-.................'.',....".--............'.. .."..,---.....,.-..,.--.......".-.......-..."..1 r ...............j ! -_.., ....-." ...................1
City l~!:...~9.!~x...~pring~.._.. _......... _..__.......__.. .._._._~.._J State t'.~.....JZip t~I.0_6..~.......,,_..j
1.
Inc., Mt.
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Year(s) Commission Paid:
Attomey Fees Jam e sM. B a c h, At tor n e y at Law
Family ExemPtion~(~ d~ced~ni's a~Pes~ {ntt th~ JJme ~s iclliJant's~ ~a'Ch ~~p~n~tronY n i c s bur g, P A
2.
3.
Relationship of Claimant to Decedent
4.
Probate Fees
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7.
~'-""''''~'';:
j 10.1
it..",.."..)
1
AMOUNT
r;:,'i'f./'?~...~f;lij.f;io;~m~!!!:!~l'iii:1;rtP+;:jo"\:ti';~;Y:"1'f:ti!:I;~
~ 200.00 h
1,360.55
143.00
TOTAL (Also enter on line 9, Recapitulation)
(If more space is n~eded, insert additional sheets of the same size)
REV-1512 EX+(12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Smith, Ruth E.
.FILENUMBER _
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. iPhone Bill (Verizon) -,,,,,,,,.,,,,,"",,,.,,,,
2.02
2. ... . Card Service (Credit Card) 311.19
3. Credit Card 1~
4. Card (Credit Card) 103.28
TOTAL (Also enter on line 10, Recapitulation) $~
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
(If more space is needed,insert additional sheets of the same size)
"
REV-l513 EX+ (9-DO)
.
SCHEDULE J
BENEFICIARIES
. ESTATE OF
Smith, Ruth E.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
RELATIONSHIP TO DECEDENT
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s)
I TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under
r----'-'.,"'.'..,..~-"-'"....,,.......,-,.,"",.,.~~~,J,.11.~.{~lJLglL_,........,.,.,..,."."_.,.~,""~",",,...,._.,..,,,."'''''''''''''''''''''''"''';
ISusan M. Kling- 205 Oak Drive, Mt. Holly Springs, PA 17065 I
,-----,--~-~.,_._-...-._..-._--_.,-,_.~..._-~-,_..._---_.,..--".-....-....--.. .._'''~..."".."I
1..--.""..""....
McKay- 22 Bellaire Ave" Carlisle, PA17011 jsister-n-Iaw
l,""."....E...=.','".,_....,"....'"".,""_'"".,.,.,,"'_"'"""'".~,,'"''''_"",,.,'".....,.........;
AMOUNT OR SHARE
OF ESTATE
Horning-124 W. Portland Street # 12, Mechanicsburg, PA 17055
l_...__M.,~'M.._."..,.,...__.
I
lsister-n-Iaw
I
L...._""",=,_"',....."'''''-,....."'''''.,.""'''."",....."''';,,~'''''''',,.."'~,...,,''''."""".,,,j
Cassel-185 Cedar Lane, Carlisle, PA 17013
Kling-2858 Morningside Dr., Camp Hill, PA 17011
Kling-131 W. WestSt., Carlisle, PA 17013
Hill-21 Mt. Rock Rd, Newville, PA 17241
L Kling, Jr. 2310 New york Ave., Camp Hill, PA 17013
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
'~r,,'l!Uti~~:\t"~i:liif.i
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
(If more space is needed, insert additional sheets of the same size)
of the Bretheren-253 E. Garfield St, Sh,ippensburg, P A 17527
Emmanuel Church-113 S. 13th Street, Harrisburg, PA 17104
of Enola, 98 S. Enola Drive, Enola, PA 17025
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
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