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Home My WebLink About12-15-08 C 15(15Es051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year Fiie Number Bureau of Individual Taxes INHERITANCE TAX RETURN PD Box 280601 ;2,~ 07 00527 Harrisburg, PA 17128-101 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 021-26-6053 05/16/2008 07130/1932 Decedent's Last Name Suffix Phelps (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Decedent's First Name MI Laura A Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS PILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of !i. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate 7. Decedent Maintained a Living Trust n18 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 1231-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number David Phelps Firm Name (If Applicable) Executor First line of address 5102 Staplehurst Lane Second line of address City or Post Office Woodstock Correspondent's a-mail address: dphelpS770i~yahOO.COm (67'8) 358-8260 REGtSTE~F iAlIt.LS USNLY - ~ ~ ~~ - -7 ~:_r r- ~ - r-Z .` ~J , I ~ .: I -- , ~ ~ ~ :.i.7 ~_) _ _ ' ~-7 -°I ~.. -. ` ~ i State ZIP Code ATE 1=t`EEr ~ ` ~ . N ~ GA 30189 Under allies 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 tnJ~orrect and complete. Declaration of preparer other than the personal representative is based on all informatlon of which preparer has any knowledge. SIGN E FOR FILING RETURN DATE rzlfz/~ 5102 Staplehurst Lane, Woodstock, GA 30189 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS DATE PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 c n r 15056052059 REV-1500 EX r'.iP.CP-.,iri~i'G Snrial San irity Nnmhar Decedent's Name: Laura A Phelps I~21-26-6053 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 $ Notes Receivable (Schedule D) .......................... ... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested .... ... 6. 7. Inter-Vvos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 9. Funeral Expenses $Administrative Costs (Schedule H) .................. ... 9. -20,056.40 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) ............. ... 10. 11. Total Deductions (total Lines 9 8~ 10) ................................ ... 11. -20,05$.40 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. -20,056.40 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. -20,056.40 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 .0__ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 -20,056.40 16, -902.53 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ...................................................... ...19. -902.53 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ 15056052059 Side 2 15056052059 f~EV-1500 EX Page 3 Dpcpdent's Cemnlete Address: File Number 07 00527 DECEDENT'S NAME DECEDENTS SOCIAL SECURITY NUMEIER 1_aura A ~#+etps 1321-28-6053 STREET ADDRESS 1512 Chatham Road CITY STATE ZIP ~ Camp Hifl 17011 PA 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. Penally (1) Total Credits (A + B + C:) (2) ""- - Total InterestlPenalty (D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. t=ill in oval on Page 2, Line 20 to request a refund. 5. tf 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) (4) (5) (5A) (5B) Make Check Payable to: REGISTER OP WILLS, AGENT -902.53 -902.53 -902.53 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 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 fora or payable upon death bank account or security at his or her dearth? .............. ^ ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which centains a beneficary 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. For dates of death on or after July 1, 1994 and be#ore 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 they use of the surviving spouse is zero (0) percent p2 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)J. 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 Uansfers 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. PA Inheritance Tax Return SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Estate of Laura A. Phelps Ffie 2007-00527 Item Number Description Value at Date of Death MICS. EXPENSES Real estate Dosing fees -see Dosing statement (real estate broker commission) $9,995.00 Real estate Dosing fees -see Dosing statement (broker transaction fee) $195.00 Real estate Dosing fees -see Dosing statement (document prep) $125.00 Real estate closing fees -see closing statement (real estate tax collection fee) $10.00 Real estate dosing fees -see Dosing statement (document overnight fee) $40.00 Real estate Dosing fees -see Dosing statement (wire fee) $30.00 Real estate Dosing fees -see Dosing statement (real estate transfer fee) $1,999.00 Real estate closing fees -see Dosing statement (pest inspection fee) $400.00 Real estate closing fees -see closing statement (home warranty bought for seller) $435.00 Real estate Dosing fees -see Dosing statement (seller assist monies paid at Gosinig) $5,997.00 Accountant fees (fed and state estate income tax return prep for 07 8 08) $765.00 Clerk of Court fees -supplemental return $15.00 US Post Office -express mail expense $50.40 TOTAL 320,056.40 OMB N0.2502-0265 -fir a . ~ B. TYPE OF LOAN: I 1.QFHA 2.QFmHA 3.QX GONV. UNINS. 4.QVA 5.QCONV. INS. - U.S. DEPARTMENT OF HOUSING 8~ URBAN DEVELOPMENT ENT STATEMENT { 7. LOAN NUMBER: 6. FILE NUMBER: ea23 oos2o4sss3 SETTLEM ~ 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual setNemenf costs. Amounts paid to and by the settlement agent are shown. Items marked (POCj" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. ~.o wee toeaz~os~4e> D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LEJdDER: Michael P. Engels Estate of Richard L. Phelps & and Welis Fargo Bank, N.A. 134 Brer Fox Trail Laura A. Phelps PO Eiox 5708 Troutman, NC 28166 Springfield, OH 45501 G. PROPERTY LOCATION: 1512 Chatham Road PA 17011 Hill Cam H. SETTLEMENT AGENT: 25-1878915 Keystone Land Transfer, Ltd. 1. SETTLEMENT DATE: September 30, 2008 , p Cumberland County, Pennsylvania PLACE OF SETTLEMENT 3421 Market Street Camp HNI, PA 17011 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price 199 900.00 401. Contract Sales Price 199,900.00 102. Personal P 402. Personal P 103. Settlement Cha es to Borrower Line 1400 5,768.52 403. 104. 404. 105. 405. AdLstments For Items Paid 8 Seller in advence Ad ustments For Items Paid;B Seller in advance 106. C' !Town Taxes to 406. C' /Town Taxes to 107. Cou Taxes 09/30/08 to 01/01!09 158.10 407. Coun Taxes 09/30/08 to 01/01/09 156.10 108. School Tax 09/30/08 to 07/01/09 973.85 408. School Tax 09/30!08 to 07/01/09 973.85 109. Sewer 9/2 to 9/30 27.84 409. Sewer 9/2 to 9/30 27.84 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORRO WER 206,826.31 420. GROSS AMOUNT DUE TO SELLER 201,057.79 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. it or earnest more 501. Excess De sit See Instructions 202. Princi al Amount of New Loans 179 910.00 502. Settlement Cha es to Seller Line 1400 13,229.00 203. Existin loans taken su 'ect to 503. Existtn loans taken sub'ect to 204. 504. Payoff of first Mortgage to Commerce BankMarrisbu 15,527.86 205. 505. Pa off of second Mort a e 206. `~. 207. 507. 208. 508. 209. Seler Assist 5,997.00 509. Seler Assist 5,997.00 Ad'ustments For Items Un aid B Seller Ad'ustments Far Items Un aid B Seller 210. C' !town Taxes to 510. C' (Town Taxes to 211. Coun Taxes to 511. Coun Taxes to 212. Schoof Tax to 512. School Tax to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. Escrow-Inheritance Taxes to Ke stone Land Transfer 5,000.00 218. 518. 1219. 519. 220. TOTAL PAID BY/FOR BORROWER 185,907.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 39,753.86 300. CASH AT SETTLEMENT FROMlTO BORROWER: 600. CASH AT SETTLEMENT TOIFROM SELLER: 301. Gross Amount Due From Borrower Line 120 206 826.31 601. Gross Amount Due To Seller Line 420 201,057.79 302. Less Amount Paid By/For Borrower (Line 220) ( 185,907.00) fi02. Less Reductions Due Seller Line 520j ( 39,753.8 303. CASH (X FROM) ( TO) BORROWER 20,919.31 603. CASH (X TO) ( FROM) SELLER 161,303.93 The undersigned hereby acknowledge receipt of a completed copy of pages 182 of this statement & any attachments referred to herein. ...,.. L. SETTLEMENT CHARGES )0 TOTAL COMMISSION Based on Price $ 199 900.00 C~ 5.0000 % 9,995.00 PAID FROM PAID FROM Division Of Comm%SSIOn (line 7OO) 8S FOIIOWS: BORROWER'S SELLER'S )1. $ 9,995,00 to Rts/Max Realty Associates, InC_ FUNDS AT FUNDS AT )2. $ t0 _ SETTLEMENT SETTLn me nn D4. 0V. 1 I tIN, YATACI.C 1!Y V VryrycV 1 ivn m r n a.vn~• 01 'Loan Origination Fee 00000 96 to 02. Loan Discount % to 00 335 03. Appraisal Fee to RES Direct . 14 84 04. Credit Report to RELS Direct . 395 00 05. Application Fee to WFBNA . OB. Flood LHe of loan Fee to WF Insurance 19.00 395 00 07. Processing Fee to WFBNA . 100 00 O8. Tax Service Fee to WF Real Estate . 09. 10. 1 1 ___ 00. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE X01. Interest From 09/30/08 to 10/01/08 ~ $ 30.1 X02 Mortgage insurance Premiumfor months to i03 Hazard Insurance Premium for 1.0 years to State Farm. _ 104. 105. 000. RESERVES DEPOSITED WITH LENDER 001 Hazard Insurance 2.000 months @ 002. Mortgage Insurance months ~ '003 Citylfown Taxes 004 County Taxes 8.000 months ~ months 1005. School Tax 4.000 months 1006 1007 months @ months 1008. Aggregate Adlustment months ~ 1100. TITLE CHARGES 1101. Settlement or Closing Fee to 1102. Abstract or Title Search to 1103. Tdle Examination to 1104. Title Insurance Binder to 1105. Document Preparation -Deed to Keystone Lal 1106. Notary Fees to CASH t 107. Attorney's Fees to (%ncludes abo~ item numbers: 1108 Title Insurance to Keystone Lai !includes eborne item numbers: 1 27.75 108.11 Transfer, 1 30.1 333.00 25.00 20.00 1200. GOVERNMENT RECORDING AND TRANSF 1201. Recording Fees: Deed $ 48.50; Moi 1202. Ciiy/Couniy Tax/Stamps: S 1203. State Tax/Stamps: Revenue Stamps 1204. Record POA to 1205. . enn wnnrrrnuwr ~~rn e:utwrr ruwnr_cc CHARGES le $ 78.50; Releases $ 127. 999 27 1301 Survey to ~ 1302. Pest inspection to B&T Inspections Inv. #33997 4Ed"00 1303. SewerJTrash (Oct/Nov/Dec) to Lower Allen Township Municipal Authority 1512 Chatham Road 87.50 1304. Home Warranty to American Home Shield #19488334 435.00 1305. 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) 5,768.52 13,229.00 By atgning page 1 of tMs statement, the elgneloriee acknowledge receipt of a wmplatad copy or page 2 of Ws two page sli lament pavesai s/y6u py.`80017~0 .'aan~ag /e~sod S ~ ®d£W3 •a/esa~ ~o/ /ou s~ 6m6e>loed s/yl • Me//eJapa{/o uoge/oin a aq~few asns/W s;uawdrys ~reyy ssa~dx3 6u~puas u/ asruo/ ~fja/os pap/no~d s/ pue ®ao~n/ag /easod ~g ~ ay/ {o dzradad ayj s/ 6ur6e~/aed sryl ~' c Q o ~i rn N C U o ~ N -p ~ ~ ~ ~ 1 ~ O N ~ C U ~ ~ ~ ~ ~ cat d _i N I'. ~ i . ~ J •Z ' ^ Y /N ~M E WP ~ W¢ ^~o 3 O ~o ~, ,~ ~.~, .; , ~~i~ . ~a ~~~~~~ ~~"_~ 1 11~ ~ • lit CL: ~~ ~1r ~~{ E.,,~ I ~, ,~~ ~ .r~ i i .ds^~"" ~. H a C ~ p Q. ~ 0 .~, o o O t U ~ N ;o V N~ ~ c~ ~'a~~ /~ ~ ~ m Qr~ ~ ~ Oq c~ ~. S my ~ ~$• ~' ^ ~L C O 'G F~ ~ ~ g $ ~ ~ ~~ ~ it ~ ~ V ~ ~ _ ~ , m ~ a~=~ w •~ C ~ '~ V1 ~. 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