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Home My WebLink About12-19-08 (2)REV-7500 EX + ry-g71 Z W W U W 0 REV-1500 COMMONV~EALTHOFPENNSYLVANIA INHERITANCE TAX RETURN DEPARTMENT OFREVENUE DEPT. 280601 RESIDENT DECEDENT HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) use a blank blockto separate words D i a n e S h e e t s Snnai cFr•i iaiTV r,~~ ~~,o~o OFFICIAL USE ONLY FILE NUMBER 2 1 0 8 0 9 9 2 COUNTY CODE YEAR NUMBER ------~~~°°~--•• u,vieurutAlH DATE OF BIRTH 2 0 1 -3 4 -8 8 8 7 0 9 ~2 4 ~2 0 0 8 0 4 ~1 6 ~1 9 4 0 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WRH THE - - REGISTER OF w ®1.Originat Return aN ~ a ~ ^ 4. Limited Estate ~ a m ^ 6. Decedent Died Testate (Attacn copy orwill) a ^ 9. Litigation Proceeds Received z THIS SECTION MUST'BE COMPLET ow NAME o William P. Dou las ~ FIRM NAME (If Applicable) ~ Dou las Law Office ~ TELEPHONE NUMBER ° 717-243-1790 Z _O (- Q J F- a Q U W WILLS ^ 2. Supplemental Return ^ 4a. FuturelnterestCompromise(dateordeatnaftertz-tz-e2) ^ 7. Decedent Maintained a Living Trust (AdacncopyorTn,st) ^ 10. SpoUSal Poverty Credit (date of death between 1231-91 and 1-1-95) ~ORRESPONDENCEAND CONFIDENTIAL TAX'1NFI COMPLETE MAILING ADDRESS 43 W. South St. P.O. Box 261 Carlisle. 1. Real Estate (Schedule P.) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total lines 9 & 10) ~ (2) ' 5 ,6 1 3 •2 , 9 _~ , (3) ~ _ I '~ ' C-` ~ (4) ~ , a ~~ t ~ , - ~ (5) ~ 2 3 , 2 Z 2 . 3 4 -~ ~ } (6) 2 , 3 8 5 . 2 1 _r> j (7) , 2 5 4 , 3 2 8 , 2 0 ~_ ($) ,4 5 5 ,5 4 9 ,0 4 (9) ~ 2 3 2 6 6 2 6 (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) 2 3 2 6 6 2 6 , (12) 4 3 2 2 8 2 7 8 ~ ~ , (13) , , (14) ,4 3 2 ,2 8 2 ,7 8 ~:,. nniuum ul une w Taxaole oz at the spousal tax rate , 4 3 2, 2 8 2. 7 8 X .045- ' (15) 1 9 4 5 3. 0 0 See instructions on rever.~e side for applicable percentage F" 16. Amount of line 14 taxable Q H at 6% rate , , X .06 (16) II- n=. 17. Amount of line 14 taxable ' ~ g at 15% rate , , X .15 (17) p , , U 18. Tax Due (18) , 1 9, 4 5 3. 0 0 19. • w ~ • • > > BE SURE TO ANSWERALL QUESTIONS ON REVERSE: SIDE AND'RECHECK MATH < < 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. Declaration of preparer other than the ersonal re resentative is based on all information of which re arer has an knowled e. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE SI NAT OF PR THER THA REPRESENTATIVE ADDRESS 43 W. SOUth St. DATE Carlisle PA 17013 12/13/2008 ^ 3. RemainderRetum (date ordeatnpriortot2-is-s2) ^ 5. Federal Estate Tax Return Required - 8. Total Number of Safe Deposit Boxes ^ 11. Election to tax under Sec. 9113(A) (Attach scn o) IATION SHOULD BE DIRECTED TO: PA 17013 ~SFICIAL USE ONLY e -t~ ~~ c.n w Decedent's Complete Address: STREET ADDRESS 44 Bellaire Ave. CITY STATE PA Carlisle Tax Payments and Credits: ~. Tax Due (Page 1 Line 18) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount $973 00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C ) ZI P 17013 (1) $19 453.00 (2) $973.00 Total Interest/Penalty (D + E ) 4. If line 2 is greatf=.r than line 1 + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 19 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. Make Check (3) (4) (5) $18,480.00 (5A) (5B) $18,480.00 to: REG/STER OFW/LLS, 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 : .............................................................. ^ Q b. retain the right to designate who shall use the property transferred or its income : ................. ^ X^ c. retain a reversionary interest; or .............................................................................................. ^ 0 d. receive the promise for life of either payments, benefits or care? ........................................ ^ 0 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? 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? .......... 4. Did decedent own an individual retirement account, annuity, or other non-probate property? ..... 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 72 P.S. §9116 (a) (1.1) (i) provided for the reduction of the tax rate imposed on the net value of transfers to or for the use of the surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995. 72 P.S. §9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving spouse from 3% to 0% for dates of death on or after January 1, 1995. 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 JANUARY 1, 1995 -Please answer the following question by placing an "x" in the appropriate space. Did the decedent create a trust or similar arrangement which is soley for the surviving spouse's benefit for his or her entire lifetime? Yes ^ No If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second spouse, at which time it will be fully taxable at the rate(s) applicable to the remainder beneficiary(ies). Enter the value of the trust on Schedule J, Part II, in order to remove it from the calculation of the tax due in this estate. You may wish to file Schedule O in order to make the election available under Section 9113. If the election is made, the trust or similar arrangement is taxed in the estate of the first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse is taxed at the zero tax rate, and the remainder is taxed at the rate(s) applicable to the remainder beneficiary(ies). If you choose to make the election, you must attach Schedule.0 to a timely-filed tax return, along with Schedule(s) Kand/or M in order to show the apportionment of the trust or similar arrangement between the surviving spouse and the remainder beneficiary(ies). REV-i 502Ex . ~ 1-9~ SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DE EDENT ESTATE OF FILE NUMBER Diane Sheets ~ 21 08 0992 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 willing 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 survivorshi must be disclosed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH ~. House and Lot, 44 Bellaire Ave., Carlisle, PA 17013 $170,000.00 See attached appraisal TOTAL (Also enter on line 1 Recapitulation) I ~ 170 000 (If more space Is needed, Insert addltlonal sheets of the same size) REV 1503 E%+ (1971 SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Diane Sheets 21 08 0992 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Janus 306747557 TOD Account -see documentation attached $5,613.29 TOTAL (Also enter on line 2, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) REV-1500 Ex + i 1-97 SCHEDULE E COMMONWEALTH OFPENNSYL.VANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURPJ PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Diane Sheets 21 08 0992 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 2. Met Life Total Control Account #4045071114 3. 2005 Toyota Camry, appraised value 4. Personal property TOTAL (Also enter on line 5, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) $8, 597.34 $13,625.00 $1,000.00 23.222.34 FEJ-'~50~ Ex-f1 ~~, SCHEDULE F COMMONWEALTH OFPENNSYLVANIA JOINTLY-OWNED PROPERTY . INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Diane Sheets 21 08 0992 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) IVAME ADDRESS RELATIONSHIP TO DECEDENT A. Julie Spanos 8 Grandview Ct.,Carlisle, PA 17013 daughter e c JOINTLY-OWNED PROPERTY: 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 DECEDENT'S INTERESI 1. A. M&T Bank, checking account #761427 $4,095.42 50. $2,047.71 2. A. Members 1st Credit Union # 68921 $674.99 50. $337.50 TOTAL (Also enter on line 6, Recapitulation) I $ 2 385 21 (If more space is needed, insert additional sheets of the same size) REV~1510 Ex.;1~97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Diane Sheets 21 08 0992 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCWOETHENAMEOFTHEfRANSFEREE,THEIRRELATIONSHIP70DECEDENTANDTHEDATEOFTRANSFER ATTACHACOPYOFTHEOEE~FORREALESTATE DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION QF APPLICABLE) TAXABLE VALUE 1. LPL Financial IRA Account -see attached statement $254,328.20 100. $254,328.20 TOTAL (Also enter on line 7, Recapitulation) I $ 254 328 20 (If more space is needed, insert additional sheets of the same size) REV-151 1 EX ~ (1 971 SCHEDULE H COMMONWEALTH Of PENNSYt.VANIA FUNERAL EXPENSES & INH ESIDENT DEC DENT N ADMINISTRATIVE. COSTS ESTATE OF FILE NUMBER Diane Sheets 21 08 0992 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman Froth $4,471.79 2. L&D Catering, wake $636.00 B. 1 2 3 4 5 6 7. 8 9 10. 11. 12. 13. 14. 15. 16. 17. 18. ADMINISTRA~fIVE COSTS: Personal Representative's Commissions Narne of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attorney Fees Douglas Law Office Family Exemption: (If decedents address is not the same as claimant's, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Retum Preparers Fees reserved Cumberland Law Journal advertising Sentinel advertising Barrett Real Estate, house appraisal Register of Wills, estimated filing fees Toyota Financial Svcs., pay off vehicle Culligan, water softener Embarq., last bill Donald Heishman, mowing lawn Culligan, water softener PP&L Bobby Rahal, auto repairs Comcast Zip $330.00 $300.00 $75.00 $174.58 $325.00 $200.00 $639.36 $17.97 $17.30 $90.00 $17.97 $76.25 $249.12 $212.91 TOTAL (Also enter on line 9, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) Zip $15, 000.00 .26 REV-1513 EX. (1-97) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Diane Sheets 21 08 0992 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. Julie Spanos dau. 1/3 of residue 8 Grandview Ct. Mechanicsburg, Pa 17055 2. Christine Lay dau. 1/3 of residue 29 Sheely Lane Boiling Springs, PA 17007 3. Michael Sheets, Jr. son 1/3 of residue 1 113 Redwood Dr. Carlisle, PA 17013 ~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17 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 ANC) GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET I $ (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Diane Sheets 21 08 0992 Page 1 Schedule H -Funeral Expenses 8~ Administrative Costs - B7 ITEM NUMBER DESCRIPTION AMOUNT 19. Donald Heishman, mowing lawn 20. Sewer bill 21. Erie Insurance, homeowners insurance 22. Aero Energy, heating oil $30.00 $75.71 $185.00 $142.30 SUBTOTAL SCHEDULE H-B7 I $433.01