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Home My WebLink About03-31-09J 15056051047 REV-1500 EX (06-05) OFFiCtAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes Po Box 2aasal INHERITANCE TAX RETURN ~ ~ ' ~ 1 (~ Z ~' ;'j Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death __ . Date of Birth _ _ _ _ _ __ _ Decedent's Last N me a Suffix D s First Name ec edent M I (n ~ ~ f ~ f~ (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 C- 1. Original Return ~ 2. Supplemental Return {~ 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate p 4a. Future Interest Compromise (date of p 5. Federal Estate Tax Return Required death after 12-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death Q 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 Daykime Telephone Number Firm Name (If Applicable) ~~REGISTER OF V1rILL5 U5E ONt.Y-~ I rv ,~_, First line of address ~?~ ~ ~, -:'. r `, ~~ ~3 ~ ~ ~ ,Q ~ ~ ~ ~ ~~" ~ ~ ' T c 1 ~-= Second line of address --, - ~ ~- _"" - City or Post Office State ZIP Code ----.- --___._ pATETtL.E~ _ a.: _~. ~ , ~ ~ ' U ~t ~ ~ '~ ~-. is ~' ~ ~ ~ ;, ~ ~ O 7 ~ ~, _ _.l Correspondent's a-mail address: r__ .. -^~ ~ _. !- . f~.l _. e~ 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 corcect and complete. Declaration of preparer other than the personal represe five is based on all information of which preparer has any knowledge. SI TURE OF//JJPE~RSQN }RESPONSIBLE FOR FILING RETURN r - DATE~j -GAG-/tom-'yi/~P / L ~ ~3L.d'c: r , 4 (.'~t. '::'~.c " ~( a2 ~ G ~`. G~ L' ADDRESS t'7 sc Il , ~5 ~~N5lil1~ 1D~ ~ - Gra,y~ Neu- pA J23i C.-A~,iy1c~ R1' ~'~~~IS+.-~. P~ ~~y1~5~ SIGNATU~I"_'~ PREPARER OTF}ER.TH/j~kR~RESENTATIVE DATE ADDRESS - ` - 3~ ~ ~ ~ ~~6~ S~ N~t,~ ii,~~t~ ~,.R..~-~~'tf ~ ~ 1~~ ) 7u7 a PLEASE USE ORIGINAL FORM ONLY Side 1 15056051047 15056051D47 J REV-1500 EX Page 3 Decedent's Complete Address: ;~z ~~ File Number ~'" ~ J ~ -? Tax Payments and Credits: 1. Tax Due (Page 2 Line 19} 2. CreditslPayments A. Spousal Poverty Credit _... B. Prior Payments C. Discount 3. InteresUPenalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) --------- 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) (4) (5) (5A) ~~~-`t~~ B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) ~~ r( ~' . Il4ake Check Payable to: REGISTER OF I~'~lLLS, 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 :................................................................................... ...... ^ ^ b. retain the right to designate who shall use the property transferred or its income : ..................................... ...... ^ ^ c. retain a reversionary interest; or ................................................................................................................... ...... ^ ^ d. receive the promise for life of either payments, benefits or care? ............................................................... ...... ^ ^ 2. 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 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)J. 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)J. 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-1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH n ~~ _ _ I _ ~/pry ///l_~~"" ),,. /! `~ 6 '~ ! • TOTAL (Also enter on line 2, Recapitulation) I $ ~ ,' ~~7 •~~+~ {If more space is needed, insert additional sheets of the same size) 15056052048 REV-1500 EX D~recedent's Social Security Number Decedent's Name: 4'~ 1!r ~ ~- ~ ~ ~~ 7 Z RECAPITULATION 1. Real estate (Schedule A) . ............................................ 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. t 5 ~ ~ ~ . -~ 9 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. , 4. Mortgages & Notes Receivable (Schedule 0) ............................. 4. 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ........ 5. 6. Jointly Owned Property (Schedule F) C7 Separate 8il!ing Requested .. , .. .. 6. . 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. - 14. Net Vatue Subject to Tax (Line 12 minus Line 13) ...................... .. 14. , S ~ ~ ? . ~ J 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_ 15. 16. Amount of Line 14 t xa le „ at lineal rate X .0 ~ ~ ~ ~~ `-~ ~ 16. ~ I ~ . 17. Amount of Line 14 taxable at sibling rate X .12 . ' 17. 18. Amount of Line 14 taxable at collateral rate X .15 • ' 18. 19. TAX DUE ....................................................... ..19. ~ ~ Q_. ~ ~ . 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 15056052048 15056052D48 J LAW OFFICES ARTHUR M. FELD ~ 3O9 BRIDGE STREET IVEW CUMBERLAND, PENNSYLVANIA 17070-1172 (717) 770-0292 March ~ 2009 Register of Wills CiJ~,,~~cA+~,2~~~-County Courthouse Front & Market Streets Harrisburg, PA 17101 Re: Estate of Virginia R. Powers Dear Sir or Madam: FAx (717) 770-0389 Enclosed herewith is an amended Inheritance Tax Return Form. Very truly yours, Vvy~ Arthur M. Feld AMF/ccc r.~ ('7 ~ . c= ~ ~ _ __.~ ,~ z,Y. W 7 n ~'~ ~-~ ._ L.'J ... i ~ wO rno ~Noo m > O o w :l W M Q ~ Q U a ~ ~ n. N ~~ ~ ~ Q ~.x . ~ a~: t ?~~: ~ ~r:; ~, ; P~ ~2: o i ~ ~~ ~~ ~ LL O ~ a~° ~ _ L iC~;~- w . ~ w 0 x h x 0 Uw ~~~~ a N D o ~~a~ U W OAAa W ~ x W waNa Fxx~n (l~W~H W ~ O P;U~U J W w U LL O g ~ 2 H Q N O O H ~ w w z ~ } W O Z M Z W a o °z g m U 3 w Z ~., ~.. i' !„ i\1 •~ ~, ~~; tit 1.1;~ f..