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HomeMy WebLinkAbout01-25-08 ---I 15056041125 REV-1500 EX (06-05) PA Department of Revenue '* Bureau of Individual Taxes . INHERITANCE TAX RETURN PO BOX 280601 HarrisburQ, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year 2 1 0 7 File Number 063 6 Date of Birth 496145592 06282 007 06011913 Decedent's Last Name Ulmer Suffix Decedent's First Name Laura MI E (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 [g] 1. Original Return D 4. Limited Estate [g] 6. Decedent Died Testate (Attach Copy of Will) D 9. Litigation Proceeds Received D D D D 8. Total Number of Safe Deposit Boxes 2. Supplemental Return D D o 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 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 I V 0 v . o t t 0 I I I 717 243 3 3 4 1 Firm Name (If Applicable) Mar t son Law Offices REGISTER. ()F WILLS US~NL Y r~~ ) C:-:.:J --~ .::.,~ N c..r~ \.) First line of address 1 0 E a s t H i g h S t r e e t Second line of address City or Post Office State ZIP Code ~T!iFILED N Car 1 i s 1 e P A 1 7 0 1 3 Correspondent's e-mail address:iotto@martsonlaw.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. SI RE PERSON RE 0 18 FO ILlNG RETURN DATE Drive PARER OTHER THAN REPRESENTATIVE ---- Carlisle PA 17013 DATE High Street Carlisle PLEASE USE ORIGINAL FORM ONLY PA 17013 Side 1 L 15056041125 15056041125 -...J ~ ....J 15056042126 REV-1500 EX Decedent's Social Security Number Decedent's Name: La ur a E. Ulmer RECAPITULATION 496145592 2. Stocks and Bonds (Schedule B) .................................. 2. 248000.00 281217.56 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 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. 4 9 0 2 . 0 2 . . . .. . . 6. Jointly Owned Property (Schedule F) D Separate Billing Requested . . . . . . . 6. 1 3 9 9 9 1 . 2 9 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested . . . . . . . 7. 8. Total Gross Assets (total Lines 1-7) ........................... 8. 6 7 4 1 1 O. 8 7 4 1 9 6 3. 6 2 1 7 9 3. 1 8 4 3 7 5 6. 8 0 6 3 0 3 5 4. 0 7 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. 6 3 0 3 5 4 . 0 7 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.O _ o . 0 0 15. o . 0 0 16. Amount of Line 14 taxable 6 3 0 3 5 4 . 0 at lineal rate X .012- 7 16. 2 8 3 6 5. 9 3 17. Amount of Line 14 taxable o . 0 0 o . at sibling rate X .12 17. 0 0 18. Amount of Line 14 taxable o . 0 0 at collateral rate X .15 18. o . 0 0 19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 2 8 3 6 5. 9 3 20. Fill IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ Side 2 L 15056042126 15056042126 -I REV -1500 ex Page 3 Decedent's Complete Address: File Number 21 07 0636 DECEDENT'S NAME Laura E. Ulmer STREET ADDRESS 627 Glendale Street CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Une 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 28,365.93 22,000.00 1,157.86 Total Credits (A + B + C) (2) 23,157.86 3. Interest/Penalty if applicable D. Interest E. Penalty T otallnterest/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) 0.00 0.00 5,208.07 5. If Line 1 + Line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) B. Enter the total of Une 5 + SA. This is the BALANCE DUE. (SA) (58) A. Enter the interest on the tax due. 5,208.07 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; ...................................................................... D IRI b. retain the right to designate who shall use the property transferred or its income; ............................... 0 IRI c. retain a reversionary interest; or ............................ ...... .......................... .......... ........ .................. 0 IRI d. receive the promise for life of either payments, benefits or care? ....................................................... 0 IRI 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... 0 IRI 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... D IRI 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................... ....... D lXl 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)]. 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)]. 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. 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. NEV-1502 ~ + (6-98) * SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Laura E. Ulmer 21 07 0636 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 Drooertv which is iointlv-owned with riaht of survlvorshlD must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Residence situate at 627 Glendale Street, Carlisle Borough, Cumberland County, PA, known as Tax Parcel 04-22-0481-031, being describe in Deed dated July 15, 1964, and recorded in Cumberland County Deed Book "G", Vol. 21, Pg. 986, and being conveyed to Clifford W. Ulmer and Laura E. Ulmer. Clifford W. Ulmer died April 19, 1990, leaving title solely vested in Laura E. Ulmer. See appraisal attached VALUE AT DATE OF DEATH 248,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 248000.00 REV-1503 'EX + (6-98) * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Laura E. Ulmer FILE NUMBER 21 07 0636 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 2724 shares AT&T Inc. Com, CUSIP 00206R102 VALUE AT DATE OF DEATH 111,098.34 2. 3030 shares Blackrock Muniyield PA INSD FD,Com CUSIP 62630V109 42,874.50 2a. Accrued dividend on Item 2 169.68 3. 1755 shares Pepco Holdings Inc., Com CUSIP 713291102 49,912.20 3a. Accrued dividend on Item 3 456.30 4. 3 shares PA INSD Muns INCM TR CUSIP 70884B588 532.86 4a. Accrued interest on Item 4 10.74 5. 1600 shares Vectren Corp, Com CUSIP 92240G1 01 43,496.00 6. 238 shares, Allegheny Energy, Inc. CUSIP 017411109 12,509.28 7. 5433.332 shares WR Advisors Global Bond FD A 20,157.66 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 281,217.56 REV-1508'EX + (6-98) * SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Laura E. Ulmer FILE NUMBER 21 07 0636 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. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 81.76 Com cast, refund 2. Embarq, refund 4.92 3. Members 1st saving account 199590-00 25.00 4. Sovereign Bank CD 1695509502, interest paid 6/11/07 72.80 5. Conseco, refund of long term care insurance premium 531.91 6. Highmark, refund of insurance premium 413.96 7. Household goods and personal property 2,500.00 8. PA Life Insurance Company, refund of premium due to death ofC. Wayne Ulmer 1,271.67 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 4.902.02 'REV-150fJ EX + (6-98) * SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Laura E. Ulmer FILE NUMBER 21 07 0636 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 RELATIONSHIP TO DECEDENT A. Jerry W. Ulmer 825 Gobin Drive Carlisle, PA 17013 Son B c JOINTL y-oWNED PROPERTY: LEITER DATE DESCRIPTION OF PROPERlY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY.HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENrSINTEREST 1. A. 09/1967 M&T Bank checking 442690 51,234.04 50. 25,617.02 2. A 12/1982 M&T Bank savings 015004200599601 51,591.90 50. 25,795.95 3. A 12/2000 Members !st CD 199590-42 33,818.34 50. 16,909.17 4. A 07/2002 Members 1 st CD 199590-45 55,218.47 50. 27,609.24 5. A. 05/1990 Sovereign Bank CD 2895169759 9,368.23 50. 4,684.12 6. A. 01/2002 Sovereign Bank CD 2895335871 8,471.50 50. 4,235.75 7. A. 08/2004 Sovereign Bank CD 1695509503 70,173.49 50. 35,086.75 8. A. 08/2004 Sovereign Bank checking 1691032352 106.58 50. 53.29 TOTAL (Also enter on line 6, Recapitulation) $ 139 991.29 (If more space is needed, insert additional sheets of the same size) 'REV-1511 EX + (12-99) * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Laura E. Ulmer SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 07 0636 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman-Roth Funeral Home & Cermatory, Inc., Carlisle, PA 9,674.09 2. Brachendorf Memorials Inc., grave marker inscription 195.00 3. Osiris Holding of PA Inc., grave opening 1,210.50 4. Jerry W. Ulmer, reimbursement for funeral luncheon at Sunnyside Restaurant 816.85 B. ADMIN1STRA TIVE 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 Martson Law Offices (estimated) 23,900.00 3. Family Exemption: (If decedent's address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 364.00 5. Accountanfs Fees 6. Tax Return Prepare~s Fees 7. John B O'Neill, 2007/2008 School Real Estate Taxes 2,272.07 8. Leffler Energy, Fuel oil service & repairs pending disposition of real estate 1,880.00 9. PPL Electric Ulitlites, electric service pending disposition of real estate (estimated) 475.00 10. Carlisle Borough, sewer/water pending disposition of real estate (estimated) 150.88 11. Postage 77.31 12. Register of Wills, filing fee, Inheritance Tax Return 15.00 13. Dan Bisker, lawn care & snow removal pending disposition of real estate 540.00 14. North Mountain Paving, home repairs pending disposition of real estate 130.00 15. The Sentinel, advertising Letters Testamentary 158.62 16. Cumberland Law J oumal, advertising Letters Testamentary 75.00 17. EVP, online stock valuation reports 9.30 18. Register of Wills, Short Certificates 20.00 TOTAL (Also enter on line 9, Recapitulation) $ 41 963.62 (If more space is needed, 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 Laura E. Ulmer FILE NUMBER 21 07 0636 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Carlisle Borough, account payable 18.86 2. Comcast, account payable 53.91 3. Dan Bisker, account payable, lawn care 80.00 4. Embarq, account payable 31.38 5. Quality Care Pharmacy, account payable 216.61 6. Leffler Energy, account payable 450.00 7. PPL Electric Utilities, account payable 70.95 8. United Chruch of Christ Homes, account payable 869.00 9. AT&T, account payable 2.47 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1 793.18 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 Outri~ht spousal distributions, and transfers under Sec. 9116 (a (1.2)] 1. Jerry W. Ulmer Lineal 630,354.07 825 Gobin Drive Carlisle, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-l500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE 1. B. CHAR IT ABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ REV-1513 ",. I'. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Laura E. Ulmer SCHEDULE J BENEFICIARIES FILE NUMBER 21 07 0636 (If more space is needed, insert additional sheets of the same size)