HomeMy WebLinkAbout01-07-09 (2) 1505607121
REV-1500 EX
06
05
(
-
)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN County Code Year File Number
Hamsburg, PA 17128-0601 RESIDENT DECEDENT 2 1 0 8 0 5 3 0
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 8 3 1 2 4 4 5 1 0 4 1 7 2 0 0 8 0 1 2 5 1 9 2 0
Decedent's Last Name Suffix Decedent's First Name MI
E N C K A N N A B E L E
(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
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
4. Limited Estate
~
4a. Future Interest Compromise (date of
~ prior to 12-13-82)
5. Federal Estate Tax Return Required
^X
D
6
d death after 12-12-82)
.
ece
ent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 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 12-31-91 and 1-1-95) (Attach Sch. O)
CORR ESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
7 1 7 6 9 7 4 6 5 0
Firm Name (If Applicable)
M U R R E L R W A L T E R S I I I
First line of address
Second line of address
5 4 E A S T M A I N S T R E E T
City or Post Office State
M E C H A N I C S B U R G P A
Correspondent's a-mail address
ZIP Code
tiv
REGISTERILLS US ILY
~' ~" `_-~
~~~ ~ t_ .
-; -
.~ ~
.V,~ ~ __,
v r
~~ -
L`'"'
ATE FILED CJi
.
1 7 0 5 5
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 personal represen 'based on all information of hic preparer has any knowledge.
~GNATURE OF PERSON RESP NSIBLE FOR FILING RETURN DATE
ADDRESS + ~~ ~~ ~~/
BARBARA J• KERSTE,~ER AND JOHN I• E CK, JR-
SIGNATURE F P EP E OTHE HAN REPRESENTATIVE DATE
ADDRESS
MURK - WALTER III, 54 E MAIN ST MECHANICSBURG PA 17055
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121
1505607121
1,505607227,
REV-1500 EX
Decedent's Social Security Number
decedent's Name: A N N A B E L E• E N C K 1 8 3 L 2 4 4 5 1
RECAPITULATION
1. Real estate (Schedule A)
..................................... 1.
... 1 2 9 8 9 0, 0 0
2. Stocks and Bonds (Schedule B)
............................... 2.
... 2 7 8 8 3, 2 7
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. ], 1, 0 4 4 7 ~ , 8 7
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ..... .. 7.
8. Total Gross Assets (total Lines 1-7) ......................... .. 8. 1 2 6 2 2 4 4. 1, 4
9. Funeral Expenses & Administrative Costs (Schedule H) .......... ...... 9. 3 B 8 4 2 . B 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ...... ...... 10. 9 4 5 7 , 1 3
11. Total Deductions (total Lines 9 & 10) ..................... ...... 11. 4 3 2 9 9 , 1 3
12. Net Value of Estate (Line 8 minus Line 11) ................... ...... 12. 1, 2 J, 8 9 4 5 , ^ 1,
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. 1 2 ], 8 9 4 5 , ~ 1,
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 _ 0 0 0 15.
16. Amount of Line 14 taxable
at lineal rate X .0 _ 0 0 0 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 ], 2 1 8 9 4 5 0 1, 1a
19. Tax Due .... ............................ .. ..... ..19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
o. o a
0. 0 0
a. 0 0
1, 8 2 8 4 1. 7 5
1, 8 2 8 4 ], . 7 5
Side 2
1,50560722], ],505607221
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
21 08 0530
DECEDENT'S NAME
ANNABEL E. ENCK
STREETADDRESS
954 W. TRINDLE ROAD
SILVER SPRING TOWNSHIP
CITY STATE zlp
MECHANICSBURG PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments __ _ 140,000.00
C. Discount 7,000.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
(3)
(1) 182 841.75
Total Credits (A + B + C) (2) 147,000.00
Total Interest/Penalty (D + E )
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.
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.
.00
(4) 0.00
(5) 35,841.75
(5A)
(5B) 35,841.75
Make Check Payable fo: 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 : ....................................................... ^ Q
.........
b. retain the right to designate who shall use the property transferred or its income; ......................... ......
...... ^ X^
c. retain a reversionary interest; or ...............................................................................
. ^ ^Q
...
.......
d. receive the promise for life of either payments, benefits or care? ................................................. ......
...... ^ 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .................................................................................. ..... ^ Q
3. Did decedent own an "intrust 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? ............................................................................................. ..... ^ 0
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-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, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
is I a I t ur FILE NUMBER
ANNABEL E. ENCK 21 08 0530
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 roe which is 'ointl -owned with ri ht of survivorshi must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 954 W. TRINDLE ROAD 129,890.00
MECHANICSBURG, PA 17055
NET SALE PRICE
TOTAL (Also enter on line 1 Recapitulation) ~ $ 129 890
(If more space is needed, insert additional sheets of the same size)
REV-1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ANNABEL E. ENCK 21 08 0530
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. US SAVINGS BONDS 27,883 27
NET VALUE RECEIVED
TOTAL (Also enter on line 2 Recapitulation) I $ 27 g83 27
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF FILE NUMBER
ANNABEL E. ENCK 21 08 0530
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
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1. M&T BANK 2,080.67
CHECKING
2. M&T BANK
CERTIFICATE OF DEPOSIT 25,095.32
3. SENTINEL INVESTMENTS
4,189.035 SHARES @ $32.38 PER SHARE 135,640.95
4. T. ROWE PRICE
NEW INCOME FUND ACCOUNT -1,710.02 SHARES @ $9.05 PER SHARE 15,427.51
5. EDWARD JONES
INVESTMENT ACCOUNT 542,479.12
6. PNC INVESTMENTS
3,406.198 SHARES BLACKROCK TOTAL RETURN II INV A @ 9.37 PER SHARE 31,916.08
7. THE HARTFORD LIFE
ANNUITY -ALL TEN BENEFICIARIES EQUALLY 134,505.20
8. 1999 PONTIAC GRAND PRIX
NET SALE PRICE 4,100.00
9. HOUSEHOLD CONTENTS
NET AUCTION SALE PRICE 5,838.00
10. PNC BANK
CERTIFICATE OF DEPOSIT 36,881.79
11. PNC BANK
CHECKING 4,904.70
12. PATRIOT NEWS
NEWSPAPER SUBSCRIPTION REFUND 45.00
13. CITIZENS BANK
CERTIFICATE OF DEPOSIT 65,500.00
14. CASH
295.00
15. US TREASURY
STIMULUS CHECK
600.00
16. HIGHMARK
INSURANCE REFUND
43.08
TOTAL (Also enter on line 5, Recapitulation) ~ $
(If more space is needed, insert additional sheets of the same size)
1,104.470.87
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ANNABELE.ENCK 21 08 0530
Decedent's Name Page 3 File Number
Schedule E -Cash, Bank Deposits, & Misc. Personal Property
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
17. CITIZENS BANK 2,300.24
IRA
18. CITIZENS BANK 22,225.74
IRA
19. CITIZENS BANK 8,326.95
IRA
20. CITIZENS BANK 65,771.13
IRA
21. CITIZENS BANK 486.73
IRA
22. VERIZON 7.66
REFUND
SUBTOTAL SCHEDULE E 99,118.45
GRAND TOTAL SCHEDULE E $ 1,104,470.87
REV-1511 EX + (10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES sc
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ANNABEL E. ENCK 21 08 0530
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. MYERS FUNERAL HOME -PREPAID
2. DR. STEPHEN MELTON 100.00
3. FAMILY MEAL -SILVER SPRING PRESBYTERIAN CHURCH 60.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) BARBARA J. KERSTETTER 10,000.00
Street Address 22 HECKMAN ROAD
City NEWVILLE State PA Zip 17241
Year(s) Commission Paid: 2009
2, AttomeyFees MURREL R. WALTERS, III 21,875.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS -CUMBERLAND COUNTY 1,007.00
5 Accountant's Fees GREENAWALT & COMPANY 800.00
6. Tax Return Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $
33 842.00
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ANNABEL E. ENCK 21 08 0530
Decedent's Name Page 4 File Number
Schedule H -Funeral Expenses 8~ Administrative Costs - B1 ~
ITEM
NUMBER DESCRIPTION AMOUNT
B. ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) JOHN I. ENCK, JR. (RENOUNCED)
Street Address 1759 INDIANTREE DRIVE
City WARRIOR'S MARK State PA Zip 16877
Year(s) Commission Paid:
SUBTOTAL SCHEDULE H-B1
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
ANNABEL E. ENCK 21 08 0530
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medi cal expenses.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1. SHIPLEY
44.44
FUEL OIL
2. NATIONWIDE
438.50
HOMEOWNER'S INSURANCE
3. PAUL DALBY
DPM
, 47.84
MEDICAL
4. WEST SHORE EMS
839.56
AMBULANCE
5. CARLISLE PHYSICIAN MANAGEMENT
42.70
MEDICAL
6. SPECIAL EVENT EMS
135.60
MEDICAL
7. WAYNE MARTENS
497.00
LAWN CARE
8. ADAM GUTSHALL
120.00
LAWN CARE
9. PPL
152.88
ELECTRIC
10. UNITED WATER
89 07
11. VERIZON
120.42
PHONE
12. ASSOCIATED PRODUCTS
SEPTIC SYSTEM SERVICE 424.73
13. 2008 FEDERAL INCOME TAX -ESTIMATED
4,000.00
14. 2008 PENNSYLVANIA INCOME TAX -ESTIMATED
800.00
15. ANDREW KAVULICH
AUTOMOBILE BATTERY 81.00
TOTAL (Also enter on line 10, Recapitulation) I $
945713
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ANNABEL E. ENCK
Decedent's Na 21
me Page 8 08 0530
File Number
Schedule I -Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16. SUNSHINE - NEWVILLE CHURCH OF BRETHREN
MEAL @ AUCTION 30.00
17. PENN WASTE
TRASH SERVICE
90.00
18. DEBRA BASEHORE WIEST
REAL ESTATE TAX 1,229.47
19. AT&T
TELEPHONE
23.92
20. SUBURBAN PROPANE
FUEL OIL 250.00
SUBTOTAL SCHEDULE I 1,623.39
GRAND TOTAL SCHEDULE I $ 9,457.13
REV-1513 EX + (g_00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ANNABEL E. ENCK FILE NUMBER
21 08 0530
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AMOUNT OR SHARE
OF
TAXABLE DISTRIBUTIONS [i
l
d
tri
h ESTATE
I
nc
u
e ou
g
t spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. BARBARA J. KERSTETTER Collateral
22 HECKMAN ROAD 121,894.51
NEWVILLE, PA 17241
2. JOHN I. ENCK, JR. Collateral
1759 INDIAN TREE DRIVE 121,894.50
WARRIOR'S MARK, PA 16877
3. TWILLA M. SCHAUB Collateral
716 WOODFIELD DRIVE 121,894.50
LITITZ, PA 17543
4. BARRY L. ENCK Collateral 121
894
50
5906 WEST 124TH STREET ,
.
OVERLAND PARK, KS 66209
5. TAMEA A. BOONE Collateral
11351 OCCOQUAN OAKS LANE 121,894.50
WOODBRIOGE, VA 22192
6. CONNIE B. KAVULICH Collateral
1702 DOUGLAS DRIVE 121,894.50
CARLISLE, PA 17013
7. JODY W. ENCK Collateral 121
89
12 KNOLL TREE ROAD ,
4.50
ITHACA, NY 14850
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 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.
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $
(It more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ANNABEL E. ENCK
21 08 0530
Decedent's Name Page 9 File Number
Schedule J -Beneficiaries - 1
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
8. CINDY J. CORBIN
38 MAYBERRY LANE
MECHANICSBURG, PA 17050
9. SANDRA L. ROTH
1201 DEERFIELD DRIVE
STATE COLLEGE, PA 16893
10. MARK A. NAUGLE
1464 HOLLY PIKE
CARLISLE, PA 17013
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Collateral
Collateral
Collateral
AMOUNT OR SHARE
OF ESTATE
121,894.50
121,894.50
121,894.50