HomeMy WebLinkAbout09-30-08J 15056041125
06
05
REV-1500 Ex
(
-
)
PA De
artment of Revenue OFFICIAL USE ONLY
p
Bureau of Individual Taxes
INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601
Hartisbuma, PA 17128-0601
RESIDENT DECEDENT p~
~ j O D a~ 55
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 2 0 1 2 0 0 7 0 5 1 7 1 9 1 8
Decedent's Last Name Suffix Decedent's First Name MI
S p e r o W i l l i a m C
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
1. Original Retum
4. Limited Estate
® 6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return
4a. Future Interest Compromise (date of
death after 12-12-82) 0
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTWL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
H A n t h o n y A d a m s r,,
Firm Name (If Applicable)
First line of address
4 9 W e s t O r a n g e
Second line of address
S u i t e 3
City or Post Office
S h i p p e n s b u r g
S t r e e t
State ZIP Code
P A 1 7 2 5 7
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DATE FILED ~
Correspondents e-mail address: htadarnslawCcD_ernbargmail.corn
Under penalBes 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 representatrve is based on all information of which preparer has any knowledge.
SIG RE OF P ER T ENTATIVLr ~ ~ ~ ~ ~ /'DATE/^,~
nuu~k /
u.~ - (`Nr~r~c ~ ~~- V~~- S i U Q~''NS l 1.R~ 1 7 ~5 `_
PLEASE USE O IGINAL FORM O Y
Side 1
15056041125 15056041125 J
15056042126
REV-1500 EX
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1. •
2. Stocks and Bonds (Schedule B) .................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages 8 Notes Receivable (Schedule D) ........................ 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 1 7 1 8 5 , 8 7
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 1 0 2 0 6 ~ 7 4
7. Inter-Vivos Transfers 8~ Miscellaneous N~-Probate Property
(Schedule G) S
eparate Billing Requested ....... 7. .
B.TotalGrossAssets(totalLinesl-7) ,,,,,,,,,,,,,,,,,,,,,,,,,,, 8. 2 7 3 9 2. 6 1
9. Funeral Expenses & Administrative Costs (Schedule H) . ........ .. ..... 9. 1 3 9 5. 9 9
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ..... .. ..... 10.
11. Total Deductions (total Lines 9 & 10) ............ ........ .. ..... 11. 1 3 9 5 . 9 9
12. Net Value of Estate (Line 8 minus Line 11) .......... ........ ... .... 12. 2 5 9 9 6 . 6 2
13. Charitable and Governmental Bequests/Sec 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, 2 5 9 9 6. 6 2
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 _ 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate x .045 2 5 9 9 6. 6 2 16 1 1 6 9. 8 5
17. Amount of Line 14 taxable
0
0
0
0
0
0
at sibling rate X .12 . 17. .
18. Amount of Line 14 taxable
ll
t
t
l
t
X
15
0 0
0
0
0
0
a
co
a
era
ra
e
. 18 .
19. Tax Due ................................. ......... .. .... 19. 1 1 6 9. 8 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^
Side 2
L 15056042126 15056042126 J
REV-1500 EX Page 3
Decedgnt's Complete Address:
File Number
0 0
DECEDENTS NAME
William C. S ero
STREET ADDRESS
20 East Burd Street
CITY
Shippensbur STATE
PA ZIP
17257
Tax Payments and Credits:
1. Tax Due (Page 2 line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
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.
(1) 1,169.85
Total Credits (A + B + C) (2)
0.00
Total InteresUPenalty (D + E) (3) 0.00
(4) 0.00
5. If Une 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) 1,169.85
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 1,169.85
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 : ...................................................................... ^
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 ocrxrrred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ^ ^X
3. Did decedent own an "intrust for' or payable upon death bank account or security at his or her death? ......... ^
4. Did decedent own an Individual Retirement Acxount, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. ^ ^X
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. §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 zero (0) percent
[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-0ne 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 (O) percent p2 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. §9116(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)]. 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-1508 EX + (&99)
' SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
IN RES DENT DECEDENTRN PERSONAL PROPERTY
ESTATE OF FILE NUMBER
William C. Spero 0 0
Include the proceeds of litigation and the date the proceeds were received by the estate.
All properly jointly~owned with right of survivorship must be discbsed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Certificate of Deposit 10,813.33
M&T Bank #031003914559380
2. Savings Accoount 6,151.14
M&T Bank # 7911-0000-0448-9137
3. Refund of Blue Cross Premuim 221.40
TOTAL (Also enter on line 5, Recapitulation) ~ ;
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX + (8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
EST
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE
William C. Spero 0 0
ff an asset was made joint within one year of the decedents date of death, it must be reported on Schedule G.
SURVNING JOINT TENANT(S) NAME
A. J. Christine Armstrong
B
C
JOINTLY-OWNED PROPERTY:
ADDRESS
15 Strohm Road
Shippensburg
RELATIONSHIP TO DECEDENT
daughter
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTERESI
1. A. 7-1-93 M&T Checking Account 20,413.47 50. 10,206.74
TOTAL (Also enter on line 6, Recapitulation) I S 10 206 74
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES ~
IN R SI DENT DECEDENTRN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
William C. Spero 0 0
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Fogelsanger-Bricker Funeral Home 332.87
B. ADMINISTRATIVE COSTS:
1, Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(suEIN Number of Personal Representative(s)
Street Address
Cd)' State Zip
Year(s) Commission Paid:
2, Attorney Fees
750.00
3. Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
Cdy State Zip
Relationship of Claimant to Decedent
4• Probate Fees 93.00
5 Aocountanl's Fees
6. Tax Return Preparer's Fees
7. Continuing Care RX 118.12
8. Beidel Printing (Funeral ) 84.00
9. Forest Park (cemetary) 18.00
TOTAL (Also enter on line 9, Recapitulation) ~ ;
(If more space is needed, insert additional sheets of the same size)
395.99
REY-1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
William C. Spero
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
i>o Not List Trustee(s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright sppoousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. William C. Spero Lineal
10767 Jamacha Blvd.
Spring Valley, CA 92077
2. J. Christine Armstrong Lineal
15 Strohm Road
Shippensburg, PA 17257
3. Mary Ann Hershey Lineal
374 High Mountain Road
Shippensburg, PA 17257
4. Ralph E. Spero Lineal
592 Walnut Bottom Road
Shippensburg, PA 17257
5. Phyllis M. Nye Lineal
120 Milky Way
Shippensburg, PA 17257
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
L
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 9
t.. ~~~~~C ~N~ ~, neeaea, insen aaamonal sneers of the same size)