HomeMy WebLinkAbout12-29-08 (2)1505607121
_~ REV-1500 EX (06-05)
OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
POeox28osOt INHERITANCE TAX RETURN 2 1 0 7 1 0 4 4
_ Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1. 6 2 2 2 0 4 0 0 0 9 2 5 2 0 0 7 0 7 0 3 1 9 2 7
Decedent's Last Name Suffix Decedent's First Name MI
M C C A R T H Y J R C A L V I N D
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
M C C A R T H Y M A R L E N E
Spouse's Social Security Number
2 0 2 2 0 3 8 6 8 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
2. Supplemental Return
4a. Future Interest Compromise (date of
death after 12-12-82)
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 CONFIDENTIAL TAX INFORMATION SHOULD BE~,I~}tECTED T0:
Name Daytime Telephone Number ``~='
J A N L B R O W N 7 1 7 5 ~1 5,`?~ 5 0 ~~
..~
Firrn Name (If Applicable) , ---- - - -
REGISTER OF WILLS USE LY
J A N L B R O W N & A S S O C -
-~-
First line of address - - __
8 4 5 S I R T H O M A S C T S T E 1 2 -~ _y ~~
- c:~
Second line of address O
City or Post Office State ZIP Code ~__ ____ DATE FILED
H A R R I S B U R G P A 1 7 1 0 9
Correspondent's a-mail address: bfendajlb@VerIZOn.net
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 flue, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGt• TURE OF PE O SPbNSIBLE FOR FI G RETURN DATE
-~ ~~ ~ 12/23/2008
ADDR SS
73 NAILOR ROAD DILLSBURG PA 17019
SIGNATUR REP E OTHER THAN REPRESENTATIVE DATE
12/23/2008
ADDRES ~ "
84.5 THOMAS CT STE 12 HARRISBURG PA 17109
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505607121 J
1505607221
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: CALVIN D. MCCARTHY ~ JR 1 6 2 2 2 0 4 0 0
RECAPITULATION
.....................................
1. Real estate (Schedule A) 1
...
2. Stocks and Bonds (Schedule B) ............................... ... 2•
4
1
0
9
5.
1
6
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3.
4. Mort a es & Notes Receivable Schedule D
9 9 ( ) ..................... 4.
... 2 5 5 3 4 7 1
:i. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .... ... 5. 5 4 9 6 0 4 5
E3. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6. 0 0 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested .... ... 7.
ti. Total Gross Assets (total Lines 1-7) ........................ ... 8. 1 2 1 5 9 0 3 2
9. Funeral Expenses & Administrative Costs (Schedule H) ............. ... 9• 1 2 2 0 6 1 7
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ......... ... 10. 2 5 5 3 4 7 1
1 1. Total Deductions (total Lines 9& 10) ........................ ... 11. 3 7 7 4 0, 8 8
12. Net Value of Estate (Line 8 minus Line 11) ...................... ... 12. 8 3 8 4 9 , 4 4
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. 8 3 8 4 9 • 4 4
T,AX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
1!5. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
1~6. Amount of Line 14 taxable
8 3 8 4 9
4
4
at lineal rate X .045 . 16.
1;~. Amount of Line 14 taxable 0 0 0
at sibling rate X .12 1~•
1t3. Amount of Line 14 taxable
0 0
0
at collateral rate X .15 18
19. Tax Due .............. ........................... ..... ..19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
1505607221
Side 2
0. 0 0
3 7 7 3. 2 2
0. 0 0
0. 0 0
3 7 7 3. 2 2
a
1505607221 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
21 07 1044
DECEDENT'S NAME
CALVIN D. MCCARTHY, JR
__ _
STREET ADDRESS
60 Glendale Drive
Silver Spring Township
CITY
Mechanicsburg
STATE 'ZIP
PA '17050
Tax Paylments and Credits:
~. Tax Due (Page 2 Line 19) (1) 3,773.22
2. CreditslF'ayments
A. Spousal Poverty Credit
B. Prior F'aymenis 4,000.00
C. Discount 188.66
Total Credits (A + B + C) (2) 4,188.66
3. Interest/F'enalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3) 0.00
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. (4) 415.44
5. If Line 1 -~ Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00
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 : .................................................................
i
i ..... ^^
X
0
ncome; ..........................
ts
b. retain the right to designate who shall use the property transferred or .....
c. retain a reversionary interest; or ........................................................................................... .....
d. receive the promise for life of either payments, benefits or care? .................................................. .....
If death occurred after December 12, 1982, did decedent transfer property within one year of death
2
.
without receiving adequate consideration? ..................................................................................
h?
"
" ..... ^
^ 0
0
....
or payable upon death bank account or security at his or her deat
in trust for
3. Did decedent own an .....
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............................................................................................. ..... ^ X^
IF THE AN;iWER 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-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)].
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, <3s an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY, JR 21 07 1044
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. United States Savings Bonds, Series E/EE, Quantity 74 8,555.65
2 Idearc Inc (IAR); 34 shs @ $31.12/sh 1,058.08
3 Verizon Communications Inc (VZ); 714.350479 shs @ $44.07/sh 31,481.43
TOTAL (Also enter on line 2, Recapitulation) I $ 41,095.1
(If more space is needed, insert additional sheets of the same size)
REV-1507 EX + (fi-98)
COMMON~NEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
FILE NUMBER
CALVIN D. PVICCARTHY JR 21 07 1044
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Loan 019790 between Kenneth L McCarthy and Belco Community Credit Union 25,534.71
and secured by decedent's Belco Community Credit Union Account 019770.
TOTAL (Also enter on line 4, Recapitulation) $ 25,534.71
(If more spaE;e is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, 8c MISC.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY JR 21 07 1044
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Belco Community Credit Union; Account 019770 27,860.45
2 1963 Chevrolet Coupe Corvair; condition good; VIN 30967W216314 500.00
3 1964 Chevrolet Coupe Corvair; condition fair; VIN 40627W226392 500.00
4 1964 Volkswagon Sedan; condition poor; VIN 6026729 1,000.00
5 1970 Jaguar Coupe; condition good; VIN IR27378 10,000.00
6 1974 Yamaha Motorcycle; condition good; VIN 352210881 500.00
7 1978 International Station Wagon with plow; condition poor; VIN H0062HGD20045 800.00
8 1981 car trailer; condition fair; VIN T0262PA 800.00
9 ~ 1982 Chevrolet Truck LUV; condition good; VIN J8ZCL14S8C8201763
10 11982 Chevrolet Truck C30
11 1984 Honda Motorcycle; condition fair; VIN JH2TB0902ES001194
12 1984 Chevrolet Sedan Chevette; condition good; VIN 1G1AB68D2EY251970
13 1985 Mercedes Benz Coupe; condition good; VIN WD88A45CXFAD19057
14 ~ 1988 Chevrolet Truck S10; condition good; VIN 1 GCCS14Z3J2243183
1,650.00
2,000.00
350.00
1,000.00
7,000.00
1,000.00
TOTAL (Also enter on line 5, Recapitulation) I $ 54.960.45
nr m~~P snare is needed. insert additional sheets of the same size)
REV-1511 EX + (10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY JR 21 07 1044
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) Diane L Cline 5,966.00
Street Address 73 Nailor Road
City Dillsburg State PA Zip 17019
Year(s) Commission Paid: 2008
2 Attorney Fees Jan L Brown & Associates 4,966.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
4.
5.
6.
7
Street Address
City State _
Relationship of Claimant to Decedent
Probate Fees Register of Wills, Cumberland County
Accountants Fees Parks & Company; 1040 & 1041 preparation
Tax Return Preparers Fees
USPS; registered mail
Zip
445.00
800.00
29.17
TOTAL (Also enter on line 9, Recapitulation) I $ 12,206.17
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONVVEALTH OF PENNSYLVANIA
INHEI~ITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
CALVIN D. Pv1CCARTHY JR 21 07 1044
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Belco Community Credit Union Secured Loan 019790; paid in full on 5/15/08 ~ 25,534.71
TOTAL (Also enter on line 10, Recapitulation) I $ 25, 534.71
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY. JR ~~ m ~nnn
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, and transfers under
Sec. 9116 (a) (1.2)]
1. Kenneth L McCarthy, son Lineal
11;142 Holtz Rd, Enola, PA 17025 25% residue
2 Carolyn L Bishop, daughter Lineal
6:19 Sawmill Rd, Mechanicsburg, PA 17055 25% residue
3 Diiane L Cline, daughter Lineal
7;3 Nailor Rd, Dillsburg, PA 17019 25% residue
4 Marilyn LMcCarthy-Wadlinger, daughter Lineal
6i' Millers Gap Rd, Enola, PA 17025 25% residue
Note: Surviving spouse, M. Arlene McCarthy, died on
5/9/2008. On 5/23/08, the Administrator of M Arlene
McCarthy's Estate disclaimed and renounced her interest
in property passing by intestacy in the Estate of
Calvin D McCarthy Jr. The Disclaimer as filed is
attached to this return.
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
tlr more space Is needed, insert additional sheets of the same size)
~ i~ ~ ~~ ~
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i
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF CALVIN D. MCCARTHY, JR, DECEASED
FILE NO. 2007-01044
DISCLAIMER AND RENUNCIATION
I, DIANE L. CLINE, am the Administrator of the ESTATE OF M. ARLENE
MCCARTHY. M. Arlene McCarthy died on May 9, 2008, and was the surviving spouse of
Calvin D. McCarthy, Jr.
I, DIANE L. CLINE, hereby exercise the rights granted to me in Chapter 62 of the
Probate, Estates and Fiduciaries Code, 20 Pa. C.S. 6201-6207, and I hereby disclaim and
renounce M. Arlene McCarthy's interest in property passing by intestacy in the Estate of
Calvin D. McCarthy, Jr.
I, DIANE L. CLINE, state that as of this date M. Arlene McCarthy has not accepted any
interest in property passing by intestacy in the Estate of Calvin D. McCarthy, Jr.
IN WITNESS WHEREOF, and intending to be legally bound hereby, and intending that
this Disclaimer and Renunciation shall be filed of record in the Office of the Clerk of the
Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania as
provided in 20 Pa. C.S. 6204(a), I have hereunto set my hand and seal this 21S` day of May, 2008.
WITNESS:
~~ y
ESTATE OF M. ARLENE MCCARTHY
B ~ ' ~ ~~ ; 2-C 77'1
y ~
Diane L. Cline, Administ~tor `
--,-, =.~
--i ~.~
c.~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
SS:
On this the 215` day of May, 2008 before me, a Notary Public, the undersigned officer,
personally appeared DIANE L. CLINE, known to me or satisfactorily proven to be the person
whose name is subscribed to the within instrument, and acknowledged that she executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
` l
N t Public
NOTARU1l SEAL
JACCUEIINE A KEIIY
Notary Public
CITY OF HARRISBURG, DAUPHIN COUNTY
My Commlalon Expires: Dsc 17, 2011
JAN L. BROWN c~ ASSOCIATES
ATTORNEYS AND COUNSELORS AT LAW
JAN L. BROWN, ESOUtRE~
~JACOUELINE A. KELLY, ESQUIRE
"ADMITTED IN PA AND DISTRICT OF COLUMBIA
OLDE ENGLISH GAP
845 SIR THOMAS COURT
SUITE 12
HARRISBURG, PA 17109
EMAIL: jlbassoc@verizon.net
www.janbrownlaw.com
TELEPHONE (717) 541-5550
FACSIMILE (717) 541-9223
December 23, 2008
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
BRENDA F. KEPHART, LEGAL ASSISTANT
PAULA K. WHITE, LEGAL ASSISTANT
JUDITH A. EBERSOLE, ADMINISTRATIVE ASSISTANT
"=t;
Re: Estate of Calvin D. McCarthy, Jr. -
File No. 2007-01044 °=< <-~
Gentlemen or Ladies:
Enclosed please find the following items for filing with the Register of V~~ls:'
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1. Inventory.
2. Inheritance Tax Return in duplicate.
3. A check payable to the Register of Wills in the amount of $30 to cover the filing fee for
the Inventory and Inheritance Tax Return.
4. A check payable to Register of Wills in the amount of $125 to cover the additional fee on
the Letters of Administration.
Please time stamp and return our file copies. A return envelope is provided.
If you have any questions, feel free to contact this office.
Sincerely,
~ ~~
~~~~~~.
Brenda F. Kephart
Legal Assistant
bfk
Enclosure