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HomeMy WebLinkAbout09-04-08KCV-IJUV Cl. t ID-UUf' COMMONWEALTH OF REV-1500 OFFICIAL USE ONLY PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1- 0 7 1 0 4 1 _ COUNTY CODE YEAR NUMBER-~ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER F- Z KOSHEBA REGINA M. 1 7 1- 1 6- 1 1 5 0 t 0 DATE 01= DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE U 11/07'/2007 01/31/1920 REGISTER OF WILLS W 0 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER NIA _ _ a ~ 1.Original Retum ©2. Supplemental Retum ~ 3 Remainder Retum (date of death ri 12 t 13 82 H woo ~ 4. Limited Estate ~ 4a. Future Interest Compromise (dace ordeath aver 1z-12-s2) . p or o . ) - ~ 5. Federal Estate Tax Return Required c=i ~ m ~ 6. Decedent Died Testate (Attacn copy orwlll) ~ 7. Decedent Maintained a Living Trust (Attach copy orTrust) _ 8. Total Number of Safe Deposit Boxes a ~ 9. Litigation Proceeds Received ~ 10. $pOUS81 POVerty Cfedlt (date oldeath between 12-31-91 and 1-1.95) ~ 11. Election to tax under Sec. 9113(A) (Anacn sch o) r,,, THIS SECTION MUST BEi COMPLETED. ALL CORRESPONDENCE AN D CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ,Z NAME COMPLETE MAILING ADDRESS o J. RAYMOND AMBROSE JR. ESQ. w FIRM NAME (If Applicable} ~ AMBRUSE LAW CENTRE 801 FREEPORT RD. o TELEPHONE NUMBER 724-339-3111 NEW KENSINGTON PA 15068 1. Real Estate (Schedule A) (1) C-7 OF~IAL USE ONLY ,: 2. Stocks and Bonds (Schedule B) (2) 0 ~ t n ~ 3. Closely Held Corporation, Partnership orSole-Proprietorship (3) A ~ ~ t r 4. Mortgages & Notes Receivable (Schedule D) (4) ~ -~, G ,.a ~_ . ,~-~ ~_,~ 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 5,411.~i _ t..' (Schedule E) - ~ ` ,.. j ' Z D ~ . •', , _-,. om ~ 6. Jointly Owned Property (Schedule F) (6) ~ N Q ~ Separate Billing Requested ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 0.00 _ ~ r a U W Z O Q F- a O U X Q H (SChetlule (i or L) 8. Total Gross Assets (total 4ines 1-7) (8) 5,411.46 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 1,277.29 10. Debts cf Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 0.00 11. Total Deductions (total Lines 9 & 10) (11) 1,277.29 12. Net Value of Estate (line 8 minus Line 11) (12) 4,134.17 13. Charitable and Govemmentai BequestslSec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) _ 4,134.17 SE'E INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 0.00 X (15) 0 00 . 16. Amount of Line 14 taxable at lineal rate 4,134.17 X .045 (16) 186.04 17. Amount of Line 14 taxable at sibling rate 0.00 X .12 (17) 0.00 18. Amount of Line 14 taxable at collateral rate 0.00 X .15 (18) 0.00 19. Tax Due (19) 186.04 ~ ^ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE $UI~E TO ANSWER ALL QUESTIONS ON REVERSE 51DE AND REC4ECK MATH < < Decedent's Complete Address: sTREETAODRESS 325 WESLEY DRIVE srATE PA ~ ZIP 17055 CITY MECHANICSBURG Tax Payments and Credits: (1) 186.04 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A +B +C) (2) 0.00 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 0.00 Check box on Page 1 Line 20 to request a refund (5) 186.04 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5A) A. Enter the interest on the tax due. 186.04 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 Y No I . Did decedent make a transfer and: es ^ 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 ... ^ a without receiving adequate consideration? ....................................................................................... Did decedent own an "intrust for" or payable upon death bank account or security at his or her death? ........ 3 ..... ......... ^ . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which 0 ^ .................................... 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 We, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. DATE OF Edward•~.'Kosheba 1205 Bauman Cour OF PREPARES QTHER THAN -10 ~U PA 17055 DATE X3"'7' I~ ~ ADDRESS ~. ymond Ambfose, Jr quire PA 15068 01 Free ort Rd. New Kensin ton \ , 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 exem4k 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 cif 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-15J8 EX + (ti-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER KOS-LIEBA. (REGINA M 21 07 1041 Include the proceeds of litigation and the date the proceeds were received by the estate. All aroaerhr jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Citizens Bank Checking Account #6206792009 30.00 2. (Citizens Bank CD#6244-390852 TOTAL (Also enter on line 5, Recapitulation) ~ $ 5,381.46 5,411.46 (If more space is needed, insert additional sheets of the same size) ~,~ citizens Bank Account Number 6206792009 Account Title REGINA M KOSHEBA Date 0 ened 9/13/2004 Account Type Checking Principal Balance as of DOD $30.00 Interest from Last Postin to DOD $ .00 Account Balance as of DOD $30.00 YTD Interest to DOD $ .00 ~~ Citizens Bank Account Number 6244390852 Account Title REGINA M KOSHEBA Date O ened 9/13/2004 Account Type Time De osits Principal Balance as~of DOD $5360.94 Interest from Last Postin to DOD $20.52 Account Balance as of DOD $5381.46 YTD Interest to DOD $216.85 REV-15? 1 EX -~ (12-99) COMMOPJWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RGSIf1FAIT hFRFr1FNT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER KOSHEBA REGINA M 21 07 1041 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. 2. 3. 4. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Numbers}IEIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2 Attorney Fees J. Raymond Ambrose, Jr. 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 5. I Accountants Fees 6. I Tax Return Preparer's Fees 7 TOTAL (Also enter on line 9, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) 1,277.29 1.277 Global Private Client Group 6~ Merrilll~yneh December 12, 2007 J. Raymond Ambrose, Jr. 801 Freeport Road New Kensington, PA 15068 Dear Mr. Ambrose: 2400 Leechburg Road P O Sox 500 New Kensington, Pennsylvania 15068 724 339 5300 FAX 724 339 5342 Per your request, enclosed is the date of death valuation for the assets held in the account of Regina M. Kosheba, who passed away on November 7, 2007. NUMBER OF NET ASSET VALUE 1VIUTUAL FUNDS SHARES PER SHARE VALUE American Capital Income Builder 1,617 $66.47 $107,481.99 E~nerican Income Fund 3,720 $20.69 $76,966.80 NUMBER OF VALUE CASH & MONEY MARKETS SHARES PER SHARE VALUE ML Bank Deposit Program Sincerely, ~-~/~- ~r David J. Nader Senior Financial Advisor Vice President -Investments 1,611.55 $1.00 $1,611.55 We are providing the above information to you now as requested. 1'he information is provided as a service to you and is obtained from data we believe is accurate. However, Merrill Lynch considers your monthly statements to be the official documentation of all transactions. The information set forth herein was obtained fi-om sources which we believe reliable. but we do nu[ guarantee ifs accuracy. Neither tlir ininnne Uun. nor airy opinion expressed, ~ oustitutes a sohciteiio^ by us of the purchase or sale of znV securities or commodities- Prineed iu USA. ATTORNEY AT LAW AMBROSE LAW CENTRE 801 FREEPORT ROAD NEW KENSINGTON, PA 15068 724-339-3111 1-800-498-6793 FAX: 724-339-0809 Cell: 412-977-3111 E-MAIL: osoesq@comcast.net .August 18, 2008 1?A Department of Revenue Bureau of Individual Taxes Post Assessment Review Unit Dept. 280601 Harrisburg, PA 17128-0601 F,E: REV-1500 Supplemental Inheritance Tax Return Estate of Regina M. Kosheba, Deceased No. 21-07-1041 Dear Sir/Madam: Enclosed please find a copy of the Supplemental Return recently filed with the Register of Wills of Cumberland County regarding the above referenced estate. The original REV-1500 was filed April 10, 2008 and a notice of approval was received from the Commonwealth. We wish to report the following: SCHEDULE E (Cash, Bank Deposits, & Misc. Personal Property) It was initially understood that the Citizens' accounts in the name of Regina M. Kosheba had been closed before her death to help cover the various nursing home expenses, etc. However, it was later discovered that these accounts were still active at the time of her death and, therefore, we are reporting the date-of--death balance on this supplemental return. Verification from Citizens Bank has been received (copy attached) and our check for additional taxes due has been submitted. SCHEDULE H (Funeral Expenses & Administrative Ctibsts) Original calculation of attorney fee was partially based on the Merrill Lynch account being a Non-probate asset, however, the account was only in the decedent's name with no beneficiary. Inheritance Taxes were paid on 100% of the date of death balance, however, due to the fact that the Merrill Lynch account was actually a probate asset, the attorney fee was increased by $1,277.29 which brought it to $5,000.00 which was originally quoted to the Executor because of the long family relationship. PA Department of Revenue Bureau of Individual Taxes Post Assessment Review Unit Dept. 280501 August 18, 2008 Page 2 Your kind consideration is most appreciated. Yours truly, ,~ L ~__ J~. Raymond Ambrose, Jr. JRA:jp Enclosure ATTORNEY AT LAW AMBROSE LAW CENTRE 801 FREEPORT ROAD NEW KENSINGTON, PA 15068 724-339-3111 1-800-498-6793 FAX: 724-339-0809 Cell: 412-977-3111 E-MAIL: osoesq@comcast.net August 18, 2008 Register of Wills, Agent Cumberland County One Courthouse Square Carlisle PA 17013-3387 Re: Estate of Regina M. Kosheba No. 21-07-1041 Dear Sir/Madam: Enclosed please find original and two copies of a Supplemental REV-1500 return for filing regarding the above referenced decedent along with check in the amount of $186.04 for additional taxes due. Kindly time stamp one copy and return in the envelope provided along with receipt for same. Yours truly, ~.~7--~ J. Raymond Ambrose, Jr. JRA:jp Enclosures .~ O __ , ~ _, .,< -~ ~ -";;ten ~ ~ --~ , ._ `~ ~- `_~~--Xy n ~ :=r~ cam ~E = , ~ c!3 ~: -.~ c -~_ ~~ ~ ~i N