HomeMy WebLinkAbout01-21-09 (2) 15056041147
RE
V
1500 EX
O6
P
a
e
(
-OS) OFFICIAL USE ONLY
Bureau of Individual Taxes
PO 80X.280601 County Coda year Fla Number
INHERITANCE TAX RETURN
Harrisburg, PA 17726-0601 RESIDENT DECEDENT 2 1 0 8 0 4 9 7
ENTER DECEDENT INFORMATION BELOW
04 25 2 008 10 18 1923
Decedent's Last Name Suffix Decedent's First Name
MI
WATTS DELORIS V
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
X^ 1. Original Return ~ 2. Supplemental Retum
3. Remainder Return (date o/death
^
6. Limited Estate
^ prior to 12-13-a2)
43 Future Interest Compromise
F
^ 5
.
(date of death after 12-12-e2)
ederal Estate Tax Return Required
6. Decedent Died Testate
(Attach Copy of Will)
^ T Decedent Maintained a Living Trust 0
(Attach Capy of Trust) e. Total Number of Sale Deposit Boxes
^ 9. Litigation Proceeds Received ~ tp. Spousal Poverty Credit ((date of tleath
between 12-31-91 antl i-1-95) ~ 11,Election to tax under Sea 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED 70:
Name
WAYNE M PECHT Daytime Telephone Number
717 6Q-~ 9809
Firm Name pf Applicable) --p ,`s,~
PECHT & ASSOCIATES, PC
First line of address
1205 MANOR DRIVE, SUITE 200
Second line of address
City or Post Office
State ZIP Code
MECHANICSBURG PA 17055
Correspondent'se-mail address: Wpecht@pechtlaW.com
REGISTER OFT4)1(ttLS U~ONLY ,~.• -j
r'' ~'
-;
-S7 ,_{
2s
IV
DATE FILED
--- ~ ------••^••-- •~~~~ ~_~~~~~ ,,,mucm9 accompanying schedules and statements, end to the best of my knowledge and belle(,
a, turret an complete. Declaration of preparer other than ttie personal representative Is based on all information of which preparer has env knowledea
SIGNATURE OF PERSON RFSPnNSiRi c cne of ~.~.~.,~• •~..
L Watts
5480
GATE
Wayne M Pecht
A 17055
Side 1
' 15D56041147 15056041147 J
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J 15056042148
REV-1500 EX
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... .... i. 1 9 9, 14 0. 6 0
2. Stocks and Bonds (Schedule B) ............................................................................ ..... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .......... .... 3.
4. Mortgages 8 Notes Receivable (Schedule D) ......................................................... ... 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ................ .... 5. 1 0 , 8 9 7 . 0 0
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ............ .. 6.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested ............ .. 7_
B. Total Gross Assets (total Lines 1-7).... g. 2 1 0, 0 3 7. 6 0
9. Funeral Expenses 8 Administrative Costs (Schedule H) ......................................... ... 9. 1 9, 4 8 1. 0 0
10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) ................................ ... 10.
i 1. Total Deductions (total Lines 9 8 10) ..................................................................... .. i 1, 1 9, 4 8 1. 0 0
12. Net Value of Estate (Line 8 minus Line 11) ............................................................ .. 12. 1 9 O , 5 5 6 . 6 0
73. Charitable and Governmental Bequesis/Sec 9113 Trusts for which
an election to taz has not been made (Schedule J) ................................................... . 13.
14. Net Value SubjeM to Tax (Line 12 minus Line 13)........
.........................................
.. 14. 1 9 0 , 5 5 6 . 6 0
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X .00 0 . 0 0 15.
0.00
16. Amount of Line 14 taxable
at linealrateX .045 190, 556.60 16. 8, 575.05
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. 0. 0 0
18. Amounl of Line 14 taxable
at collateral rate X .15 0. 0 0 18. 0. 0 0
19. Tax Due ..................................................................................................................... 19. 8, 5 7 5. 0 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^
I_ Side 2
15056042148
15056042148 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-08-0497
DECEDENT'S NAME
Deloris V Watts
STREET ADDRESS
5480 Smith Drive
CITY
Mechanicsburg STATE Zlp
PA 17055-1839
Tax Payments and Credits:
i. Tax Due (Page 1 Line 19)
2. Credits/Payments (1) 8,575.05
A. Spousal Poverty Credit
B. Prior Payments
C. Discount _ 0.00
3. InteresVPenalty if applicable Total Credits (A + 6 + C) (2) 0.00
D. Interest
E. Penalty
Total InteresVPenalty (D + E) (3)
4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check boz on Page 2 Line 20 to request a refund (4)
6. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(s) 8,575.05
q. Enter the interest on the tax due. -
(SA)
B. Enter the total of Line 5 + sA. This is the BALANCE DUE.
(se) 8,575.05
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 :..................................................................................... ~ x
b. retain the right to designate who shall use the property transferred or its income :.........................................
c. retain a reversionary interest or ..................................................................................................................... ~ x
d. receive the promise for life of either payments, benefits or care? .............................
2. If death occurred after December 12, 7982, did decedent transfer property within one year of death without
receiving adequate consideretion7 ....................... ^ ^
....................................................
...............................................
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 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 i 1994 and before January 1 199s, the tax rate imposed on the net value of transfers to or for the use ofJthe
surviving spouse is three (3) percent [72 P.S. §9116 (a) (i.t) (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 tansfer 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 aver July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age ar younger at death to or far the use of a
natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9716 (a) (1.2)].
The tax rate imposed on the net value of tansfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.6) percent,
except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1 )].
sibleing Is definedounder~Sechont 9102, astan individual whothas at least o ne parent in colmmon with the(decedent,nwhether by blood oar)adoptlon.
Rev-160 E%+16.96)
SCHEDULE A
REAL ESTATE
LOMMOMNEgLTI OF PENVSYIVPNIA
INHERITANCE TA%gENRN
RE610ENi OECEDEM
ESTATE OF
Watts, Deloris V
LE NUMBER
21-08-0497
All real property awnetl solely or as a tenant In common must be reported at fair market value. Fair market value is definetl as the price at which property would be
exchanged between a willing buyer antl a willing seller, neither being compelled to buy or sell, both having reasonable knowletlge of the relevant facts.
Real property which Is jointlyrownetl with rl9ht o! survivorship must be tlisclosetl on schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1 House and land known and numbered as 5480 Smith Drive, Hampden Township, 199,140.80
Cumberland County, Pennsylvania -Valued at current county assed total value
$183,230 x CLR of 1.22
TOTAL (Also enter on Line 1, Recapitulation) I 199 140 60
(If more space is needed, additional pages o(the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98)
Rev-15118 EX+ (6-98J
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMOHWFgLiN OF pENNSVIVgNIF
IN4ERITANCE TAX RETURN
RESIpENi pECEpENT
ESTATE OF
Watts, Deloris V
LE NUMBER
21-08-0497
Include iha proceeds of IRigation and the data the proceeds were receivetl by iha estate.
All propenyjolntlyawned wIN the right of survivorship must be tllsclosed on schedule F.
NUMBER ( DESCRIPTION I VALUE AT DATE
OF DEATH
Citizens Bank Green Checking Account #810070-434-3 -Date of Death value per
valuation letterfrom Citizen's Bank
US Treasury Check -Economic stimulus per copy of check
10,597.00
300.00
TOTAL (Also enter on Line 5, Recapitulation) I 10 897 00
(If mare space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1600 Schedule E (Rev. 6-98)
REV-1151 ExF (1259)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TA% RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ESTATE OF
FILE NUMBER
Watts, Deloris V 21-08-0497
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
H. I rurvttxAL EXPENSES:
See continuation schedule(s) attached
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
z. Attorneys Fees Pecht & Associates, PC
3. Fatuity Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Nancy L. Watts
Street Address 5480 Smrth Drtve
city Mechanicsburg state PA Zip 17055-1639
Relationship of Claimant to Decedent Daughter
a. I Probate Fees Cumberland County Register of Wills
12,305.44
2,500.00
3,500.00
314.00
5. Accountant's Fees
6. Tax Return Preparer's Fees Pecht & Associates 500.00
7. Other Administrative Costs 381.58
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 19,481.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA•1500 Schedule H (Rev. 6-98)
Rev-1502 EX+I6-96)
COMMCNWEgLTH OF PENNSYLVANIA
INHERITPNCE TAX RETURN
RESIDENT DECEDEM
SCHEDULE H-A
FUNERAL EXPENSES
continued
Deloris V
FILE NUMBER
21-08-0497
ITEM
NUMBER DESCRIPTION AMOUNT
1 Gingrich Memorials -Headstone for gravesite
2,900.00
2 Myers Funeral Home, Inc. -Funeral and related expenses
7,823.00
3 Pealer's Flower Shop -Flowers for the funeral
222.44
4 Saint Pauls Luthern Cemetary -Grave opening, etc.
1,580.00
Subtotal I 12 305.44
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-7500 Schedule H-A (Rev. 6-g8)
Rev-7502 EXF (699)
COMMCIN/FALTI OF PENNSYLVANIA
IMIERITIWCE TAX RETURN
RESIOENL ~ECEOENT
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Watts, Deloris V 21-08-0497
ITEM
NUMBER
DESCRIPTION
AMOUNT
1 Cumberland County Law Journal -Estate Notice
75.00
2 Cumberland County Register of Wills -Filing fee for Family Settlement Agreement 20.00
3 Cumberland County Register of Wills - Pa Inheritance Tax Return filing fee 15.00
4 Cumberland County Register of Wills - Pa Inventory filing fee 15.00
5 Department of Vital Records -Death Certificates
27.00
8 Division of Vital Records -Death certificates
27.00
7 The Sentinel -Estate Notice
182.58
Subtotal ~ 381.58
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98)
REV-1513 E%+ (9-0e(
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TA% RETURN
RES BENEFICIARIES
IDENT DECEDENT
ESTATE OF
FILE NUMBER
Watts, Deloris V
21-08-0497
NUMBER NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO
DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
T
TAYa ClonieTOiei ,r,r..~~ .,__. .. ..
Do Nat List Trustees (Words) ($$$)
under Sec. 9116(a)(1.2)]
1 Nancy L Watts
5480 Smith Drive Daughter one hundred 190,556.80
Mechanicsburg, PA 17050 percent of
residual
Enter dollar amounts for distributions shown above on lines 15 t hrow h 18, as a ro riate, on Rea 1500 cover she et 190,556.60
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
t V 1qL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET 0 00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1600 Schedule J (Rev. 6-98)