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HomeMy WebLinkAbout01-07-09• ~ 1505607121 06 05 REV-1500 EX ( - ) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Cade Year File Number Poaox26oso1 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 0 8 0 9 6 0 ENTER DECEDENT INFORMATION BELOW 0 9 1 4 2 0 0 8 0 3 2 4 1 9 2 3 Decedent's Last Name Suffix Decedent's First Name MI K R A N Z M A R G A R E T S (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 prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) ^X 6. Decedent Died Testate ~ 7. Decedent Maintained a living Trust 0 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) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number M U R R E L R W A L T E R S I I I 7 1 7 ~9 7 4~ 5 0 Firm Name (If Applicable) \p -T^~ -- .,-; ~ REGIST LS US NLY (,+r`; s~'~~ ~ ~ '-~, ` %' First line of address C,rj~ .~ s ~ `~ -~ :? Cam! ~ - {:.7 ..i..r ?..;.i ., 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 ZIP Code DATE FILED M E C H A N I C S B U R G P A 1 7 0 5 5 Correspondent's a-mail address: 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 o er than the personal representative is based on all information of which preparer has any knowledge. SI U E OF P SON SPO BLE FOR FIL G RETURN DATE -dZ-- U ~, DRESS ,/ - OHN F W OD R 38 ~:'~'KELLER ST• MECHANICSBURG PA 17055 SIGNATUR OF REP ER TH THAN-R RESENTATIVE DATE % !'/~. ADDRESS MURREL R A TER III, 54 E• MAIN ST MECHANICSBURG PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 1505607121 1505607121 J J 1505607221, REV-1500 EX RECAPITULATION 1. Real estate (Schedule A) ..................................... 1 ... 9 4 2 7 6. 5 7 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. 3 0 6 7 2 • 5 0 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 4 9 4 9. 0 7 9. Funeral Expenses & Administrative Costs (Schedule H) ............. ... 9. 1 2 6 5 5 . 0 0 10. Debts of Decedent, Mortgage Liabilities, ~ Liens (Schedule I) ......... ... 10. 1 0 2 7 4 . 8 4 11. Total Deductions (total Lines 9 & 10) ........................ ... 11. 2 2 9 2 9 • 8 4 12. Net Value of Estate (Line 8 minus Line 11) ....................... .. 12. Ir 0 2 0 L 9 • 2 3 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. Jr 0 2 0 1, 9 . 2 ~ 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 .045 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 1 0 2 0 1, 9 2 3 1 g 19. Tax Due ............. ............................ ..... ..19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1,505607221 o. 0 0 0. 0 0 0. 0 0 1 5 3 0 2. 8 8 1 5 3 0 2. 8 8 ],505607221, J REV-150Q EX Page 3 Decedent's Complete Address: File Number 21 08 0960 e~ECEDENT'S NAME MARGARET S.KRANZ STREET ADDRESS 837 N. WALNUT STREET CITY STATE ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1 Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 16.500.00 C. Discount 825.00 3. Interest/Penalty if applicable D. Interest E. Penalty (1) 15 302.88 Total Credits (A + B +C) (2) 17,325.00 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. (3) 0.00 (4) 2,022.12 (5) (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 Make Check Payable to: REG/STER 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 : ................................... ^ 0 ............................. 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? .................................................. ...... ..... ^ ^X 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................. ..... ^ 0 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? ............................................................................................. ..... ^ 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) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MARGARET S. KRANZ 21 08 0960 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 NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. 837 N. WALNUT STREET 94,276.57 MECHANICSBURG, PA 17055 net sale price after payment of Fulton home equity mortgage of $21,126.91 TOTAL (Also enter on line 1 Recapitulation) ~ $ 94 276 57 (If more space is needed, insert additional sheets of the same size) A. Settlement Statement U.S. Department of Housing OMB Approval No. 2502-0265 and Urban Development B. Type of Loan 7. [ ]FHA 2. [ ] FmHA 3. ( ]Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: 4. [ ] VA 5. [ ]Conv. Ins. 400801529-CB 1 C~ NOTE: This form is furnishe " ' d fo give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown Items . marked (p.o.c.) were paid outside of the closing: they are shown here for informational purposes and are not included in the totals D. Name and Address of Borrower NADA M NAVRATIL . E. Name and Address of Seller I F. Name and Address of Lender . (JOHN F. WOODWARD, EXECUTOR OF l 2211 ASPEN DRIVE fl ESTATE OF MARGARET KRANZ A/K/A PEGGY S. KRANZ A/K/A MARGARET S. MECHANICSBURG, PA 17055 KRANZ 837 NORTH WALNUT STREET MECHANICSBURG, PA 17055 G. Property Location H. Settlement Agent 837 NORTH WALNUT STREET, MECHANICSBURG, PA 17055 SECURED LAND TRANSFERS -MECHANICSBURG COUNTY: CUMBERLAND Place of Settlement I. Settlement Date 12112/2008 PARCEL ID: 18-22-0519-331 ADD'L PARCEL ID: 18-22-0519-217 (PARENT) 101 OLD SCHOOLHOUSE LANE Disbursement Date 12/12/2008 MECHANICSBURG, PA TOWNSHIP: MECHANICSBURG BOROUGH J. SUMMARY OF BORROWER'S TRANSACTIONS K. SUMMARY OF SELLER'S TRANSACTIONS 100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller 101. Contract Sales Price $125,000.00 401. Contract Sales Price $125 000 00 102. Personal Property 402. Personal Property , . 103. Settlement Charges to Bonower $2,352.88 403. Adjustments For Items Pald By Seller In Advance Adj ustmenfs For Items Paid By Seller in Advance 113. CitylTown Taxes 413. CitylTown Taxes 114. County Taxes 514.0300/yr for 12/12!08 ihnr 01/01/09 $28.09 414. County Taxes 514.03D0/yr for 12!12/08 thru 01!01/09 $2g pg 115. School Taxes 1163.5500/yr for 12/12/08 thru 07/01/09 $640.75 415. School Taxes 1163.5500lyr for 12/12/08 thru 07/07/09 _ $640 75 118. Assessments 418. Assessments . 119. HOA 120.00/qtr 12!12/2008 l0 1!1!2009 $26.09 419. HOA 120.00/qtr 1 2/1 212 0 0 8 l0 1/1!2009 $26 09 121. Sewer 65.00/qtr for 12/12!2008 to 1!1!2009 $14.13 421. Sewer 65.00/qtr for 12/12/2008 l0 1/1/2009 . $14 13 122. Refuse 43.32/gtr for 12/12/2008 io 1/1/2009 $9.42 422. Refuse 43.321gtr for 12!1212008 to 1/112009 . $g.q2 120. Gross Amount Due From Borrower I $128,071.361420. Gross Amount Due To Seller I $125 718 48 200 Amounts Pafd By Or In Behalf Of Borrower snn. txen~„-n...,~ r., n.......... n..., r_ 201. Deposit or Earnest Money $1,500.00 501. Excess Deposits 202. Principal 502. Settlement Charges [o Seller $10 2fi5.00 203. Existing Loan(s) Taken Subject to 503. Existing Loan(s) Taken Subject to , 204" 504. Payoff First Mortgage to Fulton Financial Corporation $21 128.07 A d)ustments For Items Unpaid By Seller , Adjustments For Items Unpaid By Seller 210. 510. 211. 511. 212. 512. 213.City7TOwn Taxes 513.City7Town Taxes 214. County Taxes 514. County Taxes 216. Assessments 518. Assessments 219. 519. 221. Disposal Repair $50.00 521. Disposal Repair $50.00 220. Buyer's Total Credits $1,550.00 520. Sellers Total Charges $31,441.97 300. Cash At Settlement From7To Borrower 600. Cash At Settlement To/From Seller 301. Gross Amount Due From Borrower (line 120) $128,071.36 607. Gross Amount Due To Seller (line 420) $725,778.48 302. Less Amounts Paid By/For Borrower (line 220) $1,550.00 602. Less Deductions In Amt. Due To Seller (line 520) $37,441.91 303. Cash [ X ]From [ ] To Borrower I $126 521.36603 Cash [ X ] To [ ]From Seller I $94,276.57 400801529 - CB L. Settlement Statement ` 700. Total Sale Commission 125000.00 @ 6.5 % = 8125.00 Division of Commission (line 700) As Follows: 701. $4087.50 to ReMaz Realty Associates 702. $4037.50 to ERA-NRT, Inc. 703. Commission paid at settlement 708. Transaction Fee to ReMaz Realty Associates 709. Broker Administrative Fee to ERA-NRT, inc. 800. Items Payable In Connection With Loan Page 2 Paid From Borrower's Paid From Seller's Funds At Settlement funds AI Settlement $8,125.00 $350.00 $165.00 n ~nymavon ree -- 802 Loan Discount 803. Appraisal Fee 804. Credit Report 805. Lender inspection Fee ann ire.,. ee .,,,, -- -. 901 . Interest 902 . Mortgage Insurance Premium 903 . Hazard Ins. Premium 1000. Reserves Deposited With Lender nazara ins. reeserve -- 1002. Mortgage Iris. Reserve 1003. City Property Taxes 1004. County Property Taxes 1010. Aggregate Accounting Adjustment ~tnn rae rr._...__ -. oewemenvvwsmg ree 1102. Abstract or Title Search 1103. Title examination 1104. Title insurance Binder 1105. Document preparation 1106. Notary fee to Colleen Blume, Notary Public 1107. Attorney Fee POC $2.00 $5.00 1108. Title Ins. Total to Secured Land Transfers -Mechanicsburg $885.38 1109. Lenders Coverage $ ($) 1110. Owners Coverage $125000.00 ($885.38)(RI) 1138. Processing7Tax Cert. to Secured Land Transfers -Mechanicsburg 1140. Overnight Mail to Secured Land Transfers -Mechanicsburg $15.00 $35.00 1201. Recording Fees for Deed 50.50; Recording Fees for Mortgage $50.50 1202. City/County Taz/Stamps 1250.00 $1,250.00 1203. Stale Deed Tax 1250.00 $1,250.00 1300. Additional Settlement Charges 1303. Home Wa«anty to American Home Shield $485.00 1400. Total Settlement Charges $2 352 88 $10 265 00 I have carefully reviewed the HUD 1 Settlement Statement and to the best of my knowledge and belief rt is true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that {have received a copy of the HUD-1 Settlement Statement. BUYERRS ~/ /~~,~ ~,(//' SELLERS Y/~ ~/~ ~" `~ Estate of Margar t Kranz a/1Ja ? ggy S. Kranz~k/a Margaret S. Kranz Nada M. Navratil ~, ~,~~~ John F. W odward, Executor The HUD-1 Settlement Statement which I have prepared is a True and accurate ac t of this trans ction. I have caused or will cause the funds to be disbursed in accordance with this statement. Settlement Agent Date ~~h ~' ~' ~ ~~~"'~~= 1v1272ooa SECURED LAND TRANSFERS - MECHANICSBURG REV-1508 EX + (6-98) . SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER MARGARET S. KRANZ 21 08 0960 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. SOVEREIGN BANK 1,539.14 IRA 2. FULTON BANK 1,401.19 CHRISTMAS CLUB 3. FULTON BANK 2,167.03 CHECKING 4. FULTON BANK 1,283.58 SAVINGS 5. FULTON BANK 4,790.03 CERTIFICTAE OF DEPOSIT 6. FULTON BANK 3,169.79 IRA 7. MERRILL LYNCH 16,161.74 MUTUAL FUND -BENEFICIARY JOHN F. WOODWARD 8. ERIE INSURANCE 160.00 HOMEOWNER'S INSURANCE REFUND TOTAL (Also enter on line 5, Recapitulation) ~ $ 30 672 50 (If more space 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 MARGARET S. KRANZ 21 08 0960 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MYERS FUNERAL HOME PREPAID 2. FUNERAL MEAL 250.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) JOHN F. WOODWARD 6 100.00 Street Address 38 E. KELLER STREET City MECHANICSBURG State PA Zip 17055 Year(s) Commission Paid: 2009 2. Attorney Fees MURREL R. WALTERS, III 5,980.00 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 325.00 5 Accountant's Fees 6. Tax Return Preparers Fees 7. TOTAL (Also enter on line 9, Recapitulation) I $ 12 655 00 (If more space is needed, insert additional sheets of the same size) REV-1542 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER MARGARET S. KRANZ 21 08 0960 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 1. FULTON BANK 675.60 HOME EQUITY LOAN - 3 MONTHLY PAYMENTS 2. PP&L 167.31 ELECTRIC 3. BOROUGH OF MECHANICSBURG 108.32 SEWER/REFUSE 4. UNITED WATER 17.53 5. HOMEOWNERS ASSOCIATION 195.00 DUES 6. DIRECT TV 53.92 CABLE 7. QUANTUM IMAGING 198.00 MEDICAL 8. EAST PENNSBORO AMBULANCE 58.00 MEDICAL 9. MANOR CARE 8,801.16 NURSING HOME TOTAL (Also enter on line 10, Recapitulation) I $ 1 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER MARGARET S. KRANZ 21 08 0960 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 spousalthstributions, and transfers under Sec. 9116 (a) (1.2)] 1. JOHN F. WOODWARD Collateral 70,216.72 38 E. KELLER STREET MECHANICSBURG, PA 17055 2. ANN MUMMA Collateral 31,802.51 837 N. WALNUT STREET MECHANICSBURG, PA 17055 (per family settlement agreement) Collateral I 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 1 TOTAL OF PART Il -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)