HomeMy WebLinkAbout01-11-08
--.J
REV -1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
15056041158
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
21 07
File Number
0383
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
Date of Birth
017-12-7984
04112007
01121922
Decedent's Last Name
Suffix
Decedent's First Name
GRADY
MARTHA
MI
W
(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 BOXES BELOW
[K] 1. Original Return
D 4. Limited Estate
[K] 6 Decedent Died Testate
(Attach Copy of Will)
D 9 Litigation Proceeds Received
D 2.
D4a.
Supplemental Return
D
D
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
D 7.
D 10. Spousal Poverty Credit (date of death D 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
Future Interest Compromise (date of
death after 12-12-82)
Decedent Maintained a Living Trust
(Attach Copy of Trust)
8. Total Number of Safe Deposit Boxes
THOMAS M. SHORB, ESQUIRE
717-846-9800
Firm Name (If Applicable)
STOCK AND LEADER
; "'~-...J
REGISTER -WILLS USE ONLy,
~8 c-:'~
".-c:
First line of address
SUSQUEHANNA COMMERCE CENTER EAST
Second line of address
): .
221 W. PHILADELPHIA STREET, STE. 600
-- -i
I..;:)
City or Post Office
State
ZIP Code
DATE FILED
YORK
PA
17401-2994
Correspondent's e-mail address:
TMS@STOCKANDLEADER.COM
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 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.
SIGNA 1URE OF PERSON R
~.;:(-f;
ADDRESS
SUSQUEHANNA COMMERCE CTR. PHILA.
SIGNATURE OF PREPARER OTHER THAN REPRE
STOCK AND LEADER, BY:
ADDRESS
SUSQUEHANNA COMMERCE CTR.E.STE.6oo
PLEASE USE ORIGINAL FORM ONLY
ST., YORK, PA 17401
DAT <:7
ID 60
Side 1
L
15056041158
6M46473000
15056041158
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.-J
15056042159
REV-1500 EX
Decedent's Name:G R A D Y
RE CAP ITU LA TION
1. Real estate (Schedule A)
2. Stocks and Bonds (Schedule B) .
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . .
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E).
6. Jointly Owned Property (Schedule F) D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested
8. T ota I 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 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)
Decedent's Social Security Number
017-12-7984
MARTHA
w
. 1.
250323.17
397680.94
0.00
. 2.
. 3.
. 4.
0.00
. 5.
231288.89
41144.08
. 6.
. 7.
82812.70
1003249.78
66072.10
8.
9.
10.
1248.13
11 .
67320.23
12.
935929.55
13.
0.00
935929.55
14.
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 .0D- 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .0ILS
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
935929.53
0.00
0.00
1 9. TAX DUE . . . . . .
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042159
6M464B 2.000
15. 0.00
16. 42116.83
17. 0.00
18. 0.00
19. 42116.83
W
15056042159
--.J
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
GRADY
STREET ADDRESS
File Number
0383
MARTHA
w
CUMBERLAND COUNTY
CITY
CAMP HILL
STATE
Tax Payments and Credits:
1 Tax Due (Page 2 Line 19)
2 Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
42116.83
0.00
38475.00
2025.00
Total Credits (A + B + C) (2)
40500.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
0.00
0.00
Totallnterest/Pena~y (0 + E) (3)
4 If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, 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)
0.00
1616.83
A Enter the interest on the tax due.
(5A)
0.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(58)
Make Check Payable to: REGISTER OF WILLS, AGENT
1616.83
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred; . . . . . . . . . . . . . .
b. retain the right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . .
d. receive the promise for life of either payments, benefits or care? ........
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
D
D
D
D
D
D
~
No
[K]
[X]
[K]
[X]
00
[K]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
D
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. 89116 (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 P.S. S 9116 (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 use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 89116(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 PS. 99116(1.2) [72 P.S. 89116(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. g9116(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.
6M4671 1000
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
REV-1502 EX + (6-98;
ESTATE OF
FILE NUMBER
Martha W. Grady
21 07 0383
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.
ITEM DESCRIPTION
NUMBER
1. Real Estate known as 815 Mandy Lane, Camp Hill,
Cumberland County, PA @ sale price
VALUE AT DATE
OF DEATH
249,000.00
2 Real Estate Settlement Adjustments:
County Taxes $ 66.77
School Taxes 1,192.13
Sewer/ Trash 64.27
1,323.17
3W46951.000
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$
250,323.17
REV-1503 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
Martha W. Grady
21 07 0383
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM I
NUMBER I
1.AIG Financial Advisors, Inc Broker Account #5CK-741584
DESCRIPTION
VALUE AT DATE
OF DEATH
1,101 Shares
AT&T INC COM New York Stock Exchange
CUSIP: 00206RI02
Dividend accrued on 4/11/2007
43,087.64
390.86
2
49 Shares
ALCATEL-LUCENT SPONSORED ADR New York Stock Exchange
CUSIP: 013904305
607.60
3
200 Shares
ALLTEL CORP COM New York Stock Exchange
CUSIP: 020039103
12,387.00
4
400 Shares
CSX CORP COM New York Stock Exchange
CUSIP: 126408103
16,712.00
5
200 Shares
CONSTELLATION ENERGY GROUP INC COM New York Stock
Exchange
CUSIP: 210371100
17,707.00
6
2,432 Shares
EXXON MOBIL CORP COM New York Stock Exchange
CUSIP: 30231G102
187,689.60
7
200 Shares
GREAT PLAINS ENERGY INC COM New York Stock Exchange
CUSIP: 391164100
6,593.00
8
12 Shares
IDEARC INC COM New York Stock Exchange
CUSIP: 451663108
416.88
9
200 Shares
PPL CORP COM New York Stock Exchange
CUSIP: 69351T106
8,647.00
Total from continuation schedules .
103,442.36
3W4696 1 000
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
397,680.94
Estate of: Martha W. Grady
017-12-7984
Schedule B (Page 2)
Item
No.
Description
Value at Date
of Death
10 118 Shares
QWEST COMMUNICATIONS INTL INC COM New York Stock
Exchange
CUSIP: 749121109
1,040.17
11 113 Shares
UGI CORP NEW COM New York Stock Exchange
CUSIP: 902681105
3,064.56
12 240 Shares
VERIZON COMMUNICATIONS COM New York Stock Exchange
CUSIP: 92343V104
Dividend accrued on 4/11/2007
9,001.20
97.20
13 148 Shares
VODAFONE GROUP PLC NEW SPONS ADR NEW New York Stock
Exchange
CUSIP: 92857W209
4,072.96
14 206 Shares
WIND STREAM CORP COM New York Stock Exchange
CUSIP: 97381w104
Dividend accrued on 4/11/2007
3,044.68
51.50
Assets titled joint with Martha's deceased husband
15 200 Shares
PP&L, Stock
8,647.00
16 113 Shares
UGI Corp., Stock
3,064.56
17 145 Shares
COMCAST CORP NEW CL A The NASDAQ Stock Market LLC
CUSIP: 20030N101
3,970.83
18 106 Shares
AT&T INC COM New York Stock Exchange
CUSIP: 00206R102
Dividend accrued on 4/11/2007
4,148.31
37.63
19 13 Shares
VODAFONE GROUP PLC NEW SPONS ADR NEW New York Stock
Exchange
CUSIP: 92857W209
357.76
Securities not held in broker account
Total (Carry forward to main schedule)
40,598.36
Estate of: Martha W. Grady
017-12-7984
Schedule B (Page 3)
Item
No.
Description
Value at Date
of Death
20 Scudder U.S. Government Fund #00026004816
14,400.00
21 Lord Abbett U.S. Government Fund Class A
11,400.00
22 480 Shares
EXXON MOBIL CORP COM New York Stock Exchange
CUSIP: 30231G102
37,044.00
Total (Carry forward to main schedule)
62,844.00
R ~J-' 50B ~X .,. (5-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Martha W. Grady
FILE NUMBER
21 07 0383
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1 104,127.67 Par
Sovereign Bank Certificate of Deposit #2335538589
Interest accrued to 4/11/2007
104,127.67
373.07
2 M&T Bank Savings Account #15004208568806
Interest accrued to 4/11/2007
50,712.56
10.42
3 2005 Chevrolet Malibu
10,000.00
4 UGI, Corp, dividend check dated 04/01/2007
19.92
5 Johnson & Johnson, Lifescan rebate program
30.00
6 United States Treasury, 2006 Personal Income Tax refund
2,000.00
7 County of Cumberland, burial benefit
100.00
8 Refund, Lawn Doctor
144.20
9
Atomic Warehouse, Inc., refund
250.00
10 Estate of Francis R. Grady, reimburse for expenses paid
by Martha Grady
including $140.00 to the Register of Wills
11 Personal Property taken in kind
14,874.07
4,500.00
12 Personal Property @ net sale price
939.40
13 Commonwealth of Pennsylvania, 2006 Personal Income Tax
Refund
265.00
14 Refund of homeowners insurance premium
444.00
15 Verizon, refund
29.94
16 Holy Spirit Hospital, refund
25.00
AIG Financial Advisors, Inc Broker Account #5CK-741584
17 SUNAMERICA MONEY MARKET ACCOUNT HELD IN THE AIG BROKER
ACCOUNT
8,143.64
Total from continuation schedules
34,300.00
3W45AD 1000
TOTAL (Also enter on line 5, RecaDitulation) $
(If more space is needed, insert additional sheets of the same size)
231,288.89
Estate of: Martha W. Grady
017-12-7984
Schedule E (Page 2)
Item
No.
Description
Value at Date
of Death
Securities not held in broker account
18 Assurant, Union Security Account at Fortis Insurance
Company
34,300.00
Total (Carry forward to main schedule)
34,300.00
R::V-1509 EX+ (&-98)
SCHEDULE F
JOINTL V-OWNED PROPERTY
COMMONWEA L TH OF PENNSY LV A NIA
INHERrT A NCE TAX RETURN
RES IDENT DECEDENT
::STATE OF
FILE NUMBER
Martha W. Gradv 21 07 0383
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELA TIONSHIP TO DECEDENT
A.
Grady, Stephen P
512 Gale Road, Camp Hill, PA
17011
Son
JOINTL y-oWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DA TE OF DEA TH
rTEM FOR JOINT MADE INCLUDE NAME OF FI~JANCIAL INSTITUTION AND BANK ACCOUNT DA TE OF DEA TH DECD'S VALUE OF
NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR
NUMBER TENANT JOINT JOI~ TL Y-HELD REAL EST ATE VALUEOFASSET INTEREST DECEDENTS INTEREST
1 A 8/1/1985 Citizens Bank Checking
Account #6100737977 11,931.60 50.0000 5,965.80
2 A 3/6/1998 Citizens Bank Checking
Account #6101191234 70,356.56 50.0000 35,178.28
TOTAL (.AJso enter on line 6 ReCi'lnihJIi'ltinn\ $ 41,144.08
(~ rrore space is needed, insert additional sheets of the sarre size)
3Iv46t, E 1 000
REV-1510 EX + (5-98)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Martha W. Grady
FILE NUMBER
21 07 0383
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes
ITEM
NUMBER
1
DESCRIPTION OF PROPERTY
IN:LlOE TI-E NlIME OF TI-E TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND
TI-E DATE OF TRANSFER ATIACHA COPY OF THE DEED FOR REAL EST ATE
DATE OF DEATH % OF DECD'S
VALUE OF ASSET INTEREST
5,040.27 Par
Citizens Bank Certificate of
Deposit #6250310003
opened within a year of death
with Stephen P. Grady, son
Interest accrued to 4/11/2007
5,040.27 100.0000
7.43100.0000
2
Lord Abbett IRA
80,700.00 100.0000
3 I American Funds IRA
65.00 100.0000
TOTAL (Also enter on line 7, Recapitulation) $
(If more space IS needed, insert additional sheets of the same size)
3 W 4 6AF 1 000
EXCLUSION
(IF APPLICABLE)
3,000.00
0.00
0.00
TAXABLE
VALUE
2,040.27
7.43
80,700.00
65.00
82,812.70
~::V-<511 EX + (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
=STATE OF
Martha W. Grady
FILE NUMBER
21 07 0383
ITEM
NUMBER
A.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
1 .
FUNERAL EXPENSES:
Office of Cemeteries, Diocese of Harrisburg
Install VA marker
Total from continuation schedules
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
2.
Name of Personal Representative(s)
Street Address
City
State
lip
Year(s) Commission Paid:
Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State
lip
4. Probate Fees
Relationship of Claimant to Decedent
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
7W46AG 1 000
PeoplesBank
Service charge
Total from continuation schedules
TOTAL (Also enter on line 9, Recapitulation)
(If more space IS needed, insert additional sheets of the same size)
$
AMOUNT
225.00
14/855.99
14,507.65
10.00
36/473.46
66/072.10
Estate of: Martha W. Grady
017-12-7984
Schedule H Part 1 (Page 2)
Item
No.
Description
Amount
2
parthemore
Funeral Expense
9,756.05
3
West Shore Country Club
funeral luncheon
2,522.94
4 Office of Cemeteries, Diocese of Harrisburg
Interment
800.00
5
Stephen P. Grady
advances to parthemore
1,777.00
Total (Carry forward to main schedule)
14,855.99
Estate of: Martha W. Grady 017-12-7984
2
3
4
5
6
7
8
Schedule H Part 7 (Page 2)
Cumberland County Register of wills
Probate fees, Frank Grady Estate
140.00
Stock and Leader
Costs:
File Releases $
5.00
5.00
Stephen P. Grady
cost of Short Certificates
32.00
Stephen P. Grady
cost of short certificates
62.00
Stock and Leader
Telefax Charges
2.25
Stock and Leader
Costs:
EVP, stock pricing
10.85
Stock and Leader
Costs:
Medical Records $
Postage Expense
Corom. Sett1. LLC
EVP, Stock pricing
171.11
1.65
100.00
21.70
294.46
9 Joe Haver1
cost to paint 815 Mandy Lane
800.00
10 Tim Daniel Remodeling
repairs to front porch
1,268.00
11 Central State Distributors
cost of new garage door
923.00
12 Patrick Rainel1
repairs to real estate
381.95
13 Postmaster
cost of stamps
16.40
14 Joe Haverl
cost to paint 815 Mandy Lane
1,600.00
15 Apex Appraisals, rne.
cost of real estate appraisal
275.00
Total (Carry forward to main schedule)
5,810.91
Estate of: Martha W. Grady 017-12-7984
Schedule H Part 7 (Page 3)
16 PA American Water
water service 165.54
17 Comcast Cable
cable service 99.32
18 PP&L
electric service 2,126.73
19 Bryan Worthington
lawn care expense 1,677.35
20
21
22
23
24
25
26
27
Stock and Leader
Costs:
Probate will $430.00
Cumberland Cty.
Law Journal
Short Certs.
Patriot News
Postage expense
75.00
12.00
226.62
5.70
749.32
Patti Grady
Reimbursement - packing items
58.46
Real Estate
Commission
Selling Expenses:
$ 14,940.00
15.00
2,490.00
5,000.00
22,445.00
Notary Fees
Transfer Tax
Sellers Assist
PeoplesBank
Check charge
37.00
Cumberland County
Costs:
File Inventory
File PA Inh. Tax
Addl. Fee for Ltr.
Register of Wills
$ 15.00
15.00
250.00
280.00
Hampton Township
Sewer/trash
257.06
Capital Area Carpet Cleaners
Services rendered
232.09
Tim Daniel Remodeling
Cabinets for house
50.00
Total (Carry forward to main schedule)
28,177.87
Estate of: Martha W. Grady 017-12-7984
Schedule H Part 7 (Page 4)
28
Suzanne Walsh
Reimbursement for trash removal
150.00
29
Croft Brothers
Repairs to house
213.47
30
Citizens Bank
Verizon and PPL bills
132.52
31
David Cordier
services rendered
75.00
32
Marie Hubie, Tax Collector
2007-2008 school taxes
1,913.69
Total (Carry forward to main schedule)
2,484.68
REV-~~12 EX + i12-03)
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Martha W. Grady
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21 07 0383
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
i
ITEM I
NUMBER i
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
West Shore Country Club
monthly charge
775.97
2
Holy Spirit Hospital
medical services rendered
57.50
3
Cardiovascular Surgeons Inc
medical services rendered
10.00
4
Moffitt Heart & Vascular Group
Medical expense
130.00
5
Ortho Institute of PA
Medical expense
10.00
6
Select Medical Corp.
Medical expense
50.00
7
Assoc. Otolaryngologists of PA
Medical expense
214.66
3W4EAH 2 000
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1,248.13
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Martha W. Grad
i
SCHEDULE J
BENEFICIARIES
REV-1513 EX+ (9-00)
1
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
!TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
I under Sec. 9116 (a) (1.2)]
Stephen P. Grady
1512 Gale Road
Camp Hill, PA 17011
FILE NUMBER
21 07 0383
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER
I
5,040.27 Par
Citizens Bank Certificate of Deposit
#6250310003
Inventory Value: 2,040.27
Accrued: 7.43
Citizens Bank Checking Account
#6100737977
I Inventory Value: 5,965.80
Citizens Bank Checking Account
#6101191234
Inventory Value: 35,178.28
One Third of Residue: 297,579.25
Son
340,771.03
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
31/\'45; 1 000
TOTAL OF PART 1\ - 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)
$
0.00
Estate of: Martha W. Grady
017-12-7984
Schedule J Part 1 (Page 2)
Item
No. Description
Relation
Amount
2 Michael F. Grady
44 Wentz Avenue
Springfield, NJ 07081
One Third of Residue: 297,579.25
Son
297,579.25
3 Suzanne Walsh
46 Kiersted Place
Mahwah, NJ 07430
One Third of Residue: 297,579.25
Daughter
297,579.25