Loading...
HomeMy WebLinkAbout07-18-08r ~ COMMONWEALTH OF REV -15 ~ ~ PENNSYLVANIA . DEPARTMENT OF REVENUE DEPT 280601 INHERITANCE TAX RETURN _._. .._.._ .. _....___. _. ____. _ _ .._, _. FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1 - 0 7 0 7 ~~ COUNTY CODE YEAR -NUMBER DECEDENT'S NAME {LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z SMITH RICHARD W. 180 - 26 - 6088 W O DATE OF DEATH (MM-DD-YEAR) 05/11/2007 DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE V 06-25-1937 REGISTER OF WILLS W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER F ©1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (gate or dean prior to ~ai3-az) Q y w a ~ ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date or death anar ~z-i2-az> ^ 5. Federal Estate Tax Return Required ~ a m ^ 6. Decedent Died Testate (Attacn Dopy or wisp ^ 7. Decedent Maintained a Living Trust innacn Dopy or trust) 8. Total Number of Safe Deposit Boxes a ^ 9. Litigation Proceeds Received ^ 10. SpOUSaI POVerty Credit (date of death between 12-31-91 and 1-1-95) - ^ 11. Election to tax under Sec. 9113(A) (a¢acn sch o) Z Trlts el~cnor+t<+~~ ~ ~--. ~u. cot~~PO>MC~c~ aryp c . ' Yax ~ Tto~ s~Auk.o B~ CT1yu rQ; w °z NAME Allen D. Smith, Es . COMPLETE MAILING ADDRESS y FIRM NAME ptApp~icabie) 51 S . Front Street ~ P.O. Box 7592 U TELEPHONE NUMBER Steelton, PA 1713 r.,s (717) 939-1891 c 1. Real Estate ScheduleA ( ) (1) 73, 322.00 ~~~ OF IAL lifiE-ONLY ~ I 2. Stocks and Bonds (Schedule B) (2) _- -, ~ , 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) • `7C jj tb --; i . ~ f , 4. Mortgages & Notes Receivable (Schedule D) (4) ``-3 ~ 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 7 , 094.00 ~ ' Z (Schedule E) ~ t° Q 6. Jointly Owned Property (Schedule F) (6) ^ Separate Billing Requested J ~ 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (7) ~ ~ Q U W t~~„~~~,~ ~ ~~ ~~ 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10 , 7 7 7.00 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 7 8 , 842.00 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 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) (11) 89, 619.00 (12) Insolvent (13) (14) Insolvent SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z INSOLVENT ESTATE NO TAX DUE O 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 (15) ~ 16 A . mount of Line 14 taxable at lineal rate x .0 ._ (16) f2 17. Amount of Line 14 taxable at sibling rate x .12 (17) V 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) F- 8~ 3 TO ANSWER ALL QUESTIONS ON REVERSE SIDE ANR RECHECK NIA'iH ~ C _. . (B) 80, 416.00 Decedent's Complete Address: STREET ADDRESS 319 N 7th Street CITY New Cumberland STATE vA ZIP 17070 Tax Payments and Credits: INSOLVENT ESTATE - NO TAX DUE 1. Tax Due (Page 1 Line 19) (1) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 3. InterestlPenalty if applicable D. Interest E. Penalty Total InterestlPenalty (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. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE, (56) Make Check Payable fo: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS ~~O t,p\ ~~ ~ ~~~ 1. Did decedent make a transfer and: Yes No 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. (f 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? ........................................................................................................................ ^ ~ 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 return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. J Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE i.:~ ~ J~ y ~_ _ ~ 7/mss'/ate ADDRESS 5~~u c;namDers Hilt xoa Harrisburg, PA 17111 SIGNATURE OF PREPA THER Tk~Dd't~G ESE ~ ~~~"~ ADDRESS 51 S. Front St., P.O. Box 7592 ~ Steelton, PA 17113 ,. -. 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. §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 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 or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(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)]. Asibling 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+ (12-85) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RICHARD W. SMITH SCHEDULE A REAL ESTATE N 21-07-0703 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which 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. ITEM _ NUMBER DESCRIPTION VALUE AT DATE OF DEATH i• Real estate situate at 319 7th Street, New Cumberland, PA $73,322.00 SEE SETTLEMENT SHEET ATTACHED TOTAL (Also enter on line 1, Recapitulation) I $ 73 322 DO (If more space is needed, insert additional sheets of same size.) ~ REV-1508 EX. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF RICHARD W. SMITH SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-07-0703 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointty-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE 1. OF DEATH 2006 Ford Focus 2• Household Goods 3• Commerce Bank Checking Account ;r~537456949 $6500.00 500.00 94.00 TOTAL (Also enter on line 5 Recapitulation) I $ 7 094 00 (If more space Is needed, Insert addltlonal sheets of the same size) REV-1511 EX+ (12-99) x °~ ~ ~.SYJW COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT t,IA~E pF RICHARD W. SMITH SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: t• Zimmerman-Auer Funeral Home B• ADMINISTRATIVE COSTS: t • 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 - Allen D, Smith, Esq. 3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City _ State Zip _ Relationship of Claimant to Decedent 4. Probate Fees - Register of Wills 5• Accountant's Fees s• Tax Return Preparer's Fees ~• Dirty Dog Hauling 8• Recorder of Deeds -Recording fees and realty transfer tax 9. Settlement Charges - for sale of 319 7th St., New Cumberland 7-070 A- MOUNT $1,736.00 $ 400.00 $ 78.00 $2,550.00 725.00 $5,288.00 TOTAL (Also enter on line 9 Recapitulation) I $ 10, 777 00 (If more space is needed insert additional sheets of the same size) REV-1512 EX+ (12-03) SCHEDULE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT , INHERITANCE TAX RETURN MORTGAGE LIABILITIES, sc LIENS RESIDENT DECEDENT ESTATE OF RICHARD W. SMITH FILE NUMBER Report debts incurred by the decedent prior to death which remained unpaid as of the date of death i l di 21-07-0703 ITEM , nc u n g unreimbursed medical expenses NUMBER DESCRIPTION . VALUE AT DATE ~, Foreman & Foreman OF DEATH 2. Roto-Rooter 169.00 3. PPL ELECTRIC 214.00 4. American Home Medical Equipment 396.00 5. West Shore Emergency Medicine 38.00 6. Milton S. Hershey Medical Center 1,299.00 7. Ford Motor Credit Company 25.00 8. MCI 10,881.00 9. MSHMC Physicians Group 50.00 10. MERS-Residential Mortgage 410.00 11. Robin Gasperetti, Tax Collector 63,713.60 12. New Cumberland Borough Authority 1,369.00 278.00 TOTAL (Also enter on line 10 Recapitulation) $ I 78, 842 00 (If more space is needed, insert additional sheets of the same size)