The URL can be used to link to this page

Home My WebLink About10-16-0815056041147 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO 60X.280601 2 1 0 8 0 0 0 9 5 Harrisburg, PA 17128-DSQ1 - RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 174207772 01132008 Decedent's Last Name KANE (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Spouse's Social Security Number Date of Birth 07241927 Suffix Decedent's First Name MI RAYMOND E Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa. Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12-12-f32) ® g Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust (Attach Copy of Trust) O e. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 1 p, Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 11. Election to tax under Sec. 9113(A) (Attach SCh. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CRAIG A. DIEHL, ESQUIRE, CPA 7177637613 r.. _? -'~ s Ftrm Name (If Appltcable) LAW OFFICES OF CRAIG A. DIEHL First line of address 3464 TRINDLE ROAD Second line of address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent's a-mail address: C d i e h l@ C a d i e h 11 a W. C O m I--~-_ -_ REGISTER OFVIFt~LS US~VLY . ~, -_. _ _ ~. -. -- - , _.. - ~-, DATE FILED ~'=' ~~ ,a Under Wallies 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 t e correct an complet .Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. SI AT ONSI E FOR FILING RETURN DA Patrick M. Kane ~~ ~ (1~ 3033 Chestnut Street, Camp Hill, PA 17011 IGNAT~I RE OF PREP~REf~QTH~FR THAN~EPRESENTATIVE ~ ~ J'r / // Craig A. Diehl, Esquire, CPA DATE ADDRESS /~ - 3464 Trindle Road, Camp Hill, PA 17011 15056041147 Side 1 15056041147 J I REV-1500 EX oeceeent s Name: K A N E, RAYMOND E Decedent's Social Security Number 174207772 RECAPITULATION 24,000.00 1. Real Estate (Schedule A) ........................................................................................ .. 1. 2. Stocks and Bonds (Schedule B) .............................................................................. . 2. 69,345.20 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. 179,455.69 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............ . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property $ 9 7 9 6 2 3 (Schedule G) ^ Separate Billing Requested ............ . 7. , 8. Total Gross Assets (total Lines 1-7) ...................................................................... . g, 3 6 2, 5 9 7 1 2 9. Funeral Expenses & Administrative Costs (Schedule H) ................................ ......... 9. 26,425.22 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ....................... ......... 10. 6,325.65 11. Total Deductions (total Lines 9& 10) ............................................................ .......... 11. 3 2, 7 5 0 8 7 12• Net Value of Estate (Line 8 minus Line 11) ................................................... .......... 12. 3 2 9 , 8 4 6 . 2 5 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. 3 2 9 , 8 4 6 . 2 5 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable at lineal rate X .045 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable 3 2 9, 8 4 6 2 5 at collateral rate X .15 18, 19. Tax Due .................................................................................................................... . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15056D42148 15056042148 Side 2 49,476.94 49,476.94 15056042148 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 08 - 00095 DECEDENT'S NAME Kane, Raymond E STREET ADDRESS 106 S. 36th Street CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable p. Interest E. Penalty 60,000.00 2,473.85 Total Credits (A + B + C) (1) 49,476.94 (2) 62,473.85 Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A, Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 0.00 (a) 12,996.91 (5) (5A) (5B) 0 . Q 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 :.................................................................................. ^ O b. retain the right to designate who shall use the property transferred or its income :.................................... ^ ^x 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?......... ^ ^x 4. Did decedent own an Individual Retirement Account, 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 far 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-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. §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)j. 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)]. 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 SCHEDULE A REAL ESTATE COtvNAONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kane, Raymond E FILE NUMBER 21 - 08 - 00095 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 wilting 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 VALUE AT DATE OF NUMBER DEATH 1 106 South 36th Street, Camp Hill, PA , 17011 (Decedent owned 20.0°/D interest) 24,000.00 Property sold for $120,000 TaTAL (Also enter on Line 1, riecapituiationj i 24,000.00 SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Kane, Raymond E 21 - 08 - 00095 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 Savings Bonds 61,396.16 EE & I Bonds 2 I i i Prudential Stock - 100 Shares I i I 7,949.04 T/VT 111 /AI-- ~ 1 vlr,~ ~MIJV CIIICi ~u uue c, R~GdNIluldiiOFi~ ~ b~,.i45.1U SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Kane, Raymond E 21 - 08 - 00095 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 M & T Bank -Checking Account Account No. 50087916 29,245.03 2 Household Furnishings 680.00 3 Comcast -Refund 25.77 4 1989 Honda Accord 1,200.00 5 Highmark Blue Shield -Health Insurance Refund 1,397.41 6 Civil Service -Death Benefit 1,070.01 7 United States Treasury -Tax Rebate 600.00 8 Charles Schwab -Schwab One Account 145,237.47 Account No. 4912-8622 TOTAL (Alsa enter on Line 5, Recapitutation~ ~ 17g,455,Sg COMMONWEALTH OF PENNSYLVANIA SCHEDULE G INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS & RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY ESTATE OF Kane, Raymond E FILE NUMBER 21 - 08 - 00095 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM DESCRIPTION OF PROPERTY NUMBER Include the name of the transferee, their relationship to decedent and the date of transfer. Attach a copy of the deed for real estate. I DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION ~I (IF APPLICABLE) II TAXABLE VALUE I 1 The Hartford - Nonqualified Annuity 37,801.27 100% I, 37,801.27 Contract No. 710303088 2 Sovereign Bank IRA CD 15,421.54 100% ~ 15,421.54 Account No. 0358004711 3 Charles Schwab Contributory IRA 36,573.42 100% 36,573.42 I , Account No. 4912-8665 I I i i i I __ I i , I I '~ , I TOTAL (Also enter on line 7, Recapitulation) ~ 89,796.23 COMMONWEALTH OP PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL E)((PEENSES & ADMINISTRATNE COSTS JFILE NUMBER ESTATE OF Kane, Raymond E 21 - 08 - 00095 Debts of decedent must be reported on Schedule 1. ITEM NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT A. 1 ~ Musselman Funeral Home -Funeral Bill/Opening of Gravesite ~ 9,307.87- 2 I' Cantones Restaurant -Funeral Reception 1,350.00 3 Diocese of Harrisburg -Headstone j 1,450.00 B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 2. 3. City State Zip Year(s) Commission paid Attorney's Fees Law Offices of Craig A. Diehl Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant a. Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Register of Wills 5. Accountant's Fees 6. Tax Return Preparer's Fees 7, ~~ Other Administrative Costs 1 ;Cumberland Law Journal -Estate Advertisement 10,877.91 414.00 75.00 TOTAL (Also enter on fine 9, Recapitulation) 26,425.22 1 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schedule H Funeral Expenses & Administrative Costs ca>fiinued ESTATE OF Kane, Raymond E FILE NUMBER 21 - 08 - 00095 2 ;Law Offices of Craig A. Diehl -Reimbursement for certified mail for DPW letter ~ 5.21 3 ~ The Sentinel -Estate Advertisement 166.60 4 Hardy's Auction Service -Appraisal Fee 50.00 5 Camp Hill Borough -Sewer/Refuse ~ 52.50 6 I Erlich -Termite Treatment 1,524.28 7 Register of Wills, Cumberland County -Additional Short Certificates II 24.00 8 Janet L. Miller, Tax Collector -Local Tax 4.90 9 Janet L. Miller, Tax Collector - 2008 County Real Estate Taxes 675.95 10 Lewis Buchanan, Inc. -Plumbing Repairs 412.00 11 Register ofWills -Filing Fee for Pennsylvania Inheritance Tax Return 15.00 12 Register of Wills -Filing Fee for Family Settlement Agreement 20.00 Page 2 of Schedule H SCHEDULEI DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS INHERITANCE TAX RETURN ~ RESIDENT DECEDENT FILE NUMBER ESTATE OF Kane, Raymond E 21 - 08 - 00095 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 West Shore EMS -Ambulance Service 233.35 2 Verizon -Telephone Bill 21.42 3 Manor Care -Nursing Home Bill 1,627.00 4 Camp Hill Borough -Sewer/Refuse 52.50 5 Nephrology Associates of Pennsylvania -Physician Bill 30.34 6 Quantum Imaging - X-rays 38.32 7 U.S. Treasury - 2007 Federal Tax Liability 426.00 8 Nephrology Associates of Pennsylvania -Physician Bill 24.78 9 Quantum Imaging - X-rays 8.54 10 MCI -Telephone Bill 10.73 11 Kemper -Insurance Bill 128.74 12 Susquehanna Internal Medicine -Physician Bill 15.66 13 Highmark Blue Shield -Insurance 1,397.41 14 Verizon -Telephone Bills 289.68 15 UGI -Gas Bills 1,063.44 16 PP&L -Electric Bills 205.06 TvTAL iAlsc enter on Line i0, Recapituiationj j n,325.tiT~ SCHEDULEI . I DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS INHERITANCE TAX RETURN ~ RESIDENT DECEDENT continue d FILE NUMBER ESTATE OF Kane, Raymond E 21 - 08 - 00095 Include unreimbursed medical expenses. ITEM ! DESCRIPTION AMOUNT NUMBER '~ 17 ~ Pennsylvania Water Company -Water Bills 185.77 18 Penn Waste -Refuse Bill 97.50 19 FIA Card Services -Credit Card Bill 416.08 20 Comcast -Cable Bill 53.33 I I Page 2 of Schedule I Law Offices of Craig A. Diehl 3464 Trindle Road Camp Hill, Pennsylvania 1701 ] Telephone (717) 763-7613 Fax (717) 763-8293 www.cadiehllaw.com Craig A. Diehl, Esquire, CPA Nathanael J. Byerly, Esquire October 15, 2008 Cumberland County Register of Wills One Courthouse Square Carlisle, PA 17013 Re: Estate of Raymond E. Kane Estate No. 2008-0095 Dear Sir or Madam: In Spring Grove, Pennsylvania 119 West Hanover Street Spring Grove, PA 17362 Telephone: (717) 225-1929 Please find enclosed an original and one copy of each of the following documents for filing: 1. Family Settlement Agreement and Final Release; and 2. Inheritance Tax Return Resident Decedent. Also enclosed are two checks made payable to the Register of Wills in the amounts of $20.00 and $15.00, respectively, which represent the filing costs for the above documents. Please time-stamp the extra copy of each document and return it to my office in the envelope provided. Should you have any questions, please feel free to contact my office. ~-, ~_= c~ `~' Sincerely, ~~ '~ ~ _ _ ~ ti w ~ _ , -~ ~~ Craig A. Diehl, Esquire, CPA - _ .._ =~ .. c~ CAD/dz ~ Enclosures