HomeMy WebLinkAbout05-15-09J 15056051058
REV-1500 Ex coy-o5) OFFICW.. USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year Fte Number
PO BOx 280601 INHERITANCE TAX. RETURN
Harrisburg, PA 171280601 RESIDENT DECEDENT ,~'' 0 '~- ~ c:v '~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death p~ of gib
178-32-0652 1224/2006 02/10/1909
Decedents Last Name Suffix Decedent's First Name MI
Curran Rose Alice
(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 tN DUPLICATE YVfTH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Retum ~ 2. 5uppiemental Retum 3. RemairMer Retum (dabs of death
prior to 12-13-82)
4. Limited Estate 4a. Future interest Compromise (dam of 5. Federal Estate Tax Retum Regtired
death after 12-12-82)
6. Decedent Died Testate 7. Decedent Maintairwd a Living Trust 8. Trial Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation P-ooeeds Received 1Q. Spousal Poverty Credk {dabs of death 11. Election to tax raider Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sdt. O)
CORRESPONDENT - TINS SECTION tt1UST BE COMPLETED. ALL CORRESPONDENCE AND CONFDENTIAL TAX NiFORW1T10N 8NOULD BE DIRECifD TO;
Name
Daytlme Telephone Number
Hugh C. Weaver
Firm Name (tfApplicable)
First tine of address
33 Bourbon Red Drive
Second tir-e of address
City Or Post Office
Mechanicsburg
Corrasponderrt's a-rrtaN address:
{717) 691-16~~ ~'
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REGISTER ~ t&'I.LS USE t 1~V - _ >
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State ZIP Code DATE FILED r`~
PA 17050
~naer pena~es a perjury, r uatsare Ilret I nave examined tlis return, i-~rg P~nB sct~ules and stalsrnerks, and to the best of my krgwledge and beiaf.
k is true. correrd and complete. Declaration of preparer other than the personal represerrlaUve is based on a0 inlorrnation of whidi preparer hes any lurowledge.
SIGNATURE OF PERSON RE E FOR FILING RETURN .,.~~
.~ ~ ~ v
orb P ~ ~e~ . ~ ~ ~~y~
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS ---- -- ------ ---
PLEASE USE ORIQ~INAL FOIW ONLY
Side 1
15056051058 15056051058
15056052059
REV-1500 EX
DeoedenYs Social Security Number
Decedents Name: Rose Aloe Curran 178-32-0652
RECAPITULATION
1. Reel estate (Sdiedule A) ............................................ . 1.
2. Stocks and Bonds (Schedule B) ...................................... . 2.
3. Closely Held Corporation. Partrrership or Sole-Proprietorship (Schedule C) .... . 3.
4. ~Aortgages & Notes Receivable (Schedcde D) ............................ . 4.
5. Cash. Bark Deposits & ~ personal property (Schedule E) ....... . 5. 495.00
6. JoirMty Owned property (Schedule F} Separate BiFing Requested ....... 6.
7. MUer Vlws Transfers & Miscellaneous Non-probate property
(Schedule G) Separate Baling Requested....... . 7.
8. Total Gross Asstats (total Lames 1-7) .................................... 8. 495.00
9. Funeral Expenses 8 Adrative Costs (Schedule H) ..................... 9.
10. Debts of Decedent, Mortgage L~birrties, ~ Liens (Sdredule I} ................ 10.
11. Total Deductions (tots! Lines 9 8 10) ................................... 11. 0.00
12. Net Value of Estate (Line 8 mirxrs Lace 11) .............................. 12. 495.00
13. Cheritade and Goverrvrrerrfel Baquests/Sec 9113 Trusts for vdreh
an election to tax has not been made (Sc~radule J) ........................ 13.
14. Net Value SubJect to Tax (Line 12 minus Line 13) ........................ 14. 495.00
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Line 14 taxable
at Kneel rate X .0 - 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17
18. Amount of Line 14 taxable
at cogateral rate X .15 495.00 18. 74.25
19. TAX DUE ......................................................... 19. 74.25
20. FILL IN THE OYAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
15056052059
RE1~1508 EX+ (698)
COMMONWEALTH OF PENNSYLVANW
iNF~RtTAtrCE TAX RETURN
RESIDENT DECEDENT
SCNEEwLE E
GASH, BAIVIC DfPOSRS, 8~ MISC.
PERSONAL PROPERTY
-_
ESTATE OF FlLE NUMBER
Rose Alice Curran 21070078
Iredtade the pra~eds of litigation and the date the proceeds: were received by the estate.
Ail properly jointly~oussad with rigl~ d survivorship must bs disdossd on Sdradds F.
pi more space is seceded, irwert additional sheets o(the same side)
,,~ Integrity
B A N K
3345 Market Street, Camp Hill, Psi /701!
~~/>> 9za49oo
*************AUTO**5-DIGIT 17050
627 0.4550 AV 0.324 31 153
I~~~iil~~~lll~~~~l~l~ll~t~l~~~ll~l~~~l~i~~~ltl~~ll~~~ll~l~~l~l
Fsra-rE of RosE a~ICE CURRAN
33 BOURBON RED DR
MECHANICSBURG PA 17050-7952
Statement Date: 12/31/2008
Account Number: 2206000347
CYCLE-031
Checking
BUSINESS INT CHECK
ACCOUNT NUMBER 2206000397
PREVIOUS STATEMEN'.' SAI.7INCE 715 OF 11/30/08 ...... .......... 8,831.90
PLUS 2 DEPOSITS AND OTHER CREDITS ...... 998.84
LESS 0 CHECKS AND OTHER DEBITS .. .. ...... .00
CURRENT STATEMENT BALANCE AS OF 12/31/08 .. .. ......... 9,330.24
NUMBER OF DAYS IN THZS STATEMENT PERIOD 31•
• Atxount Transactions
2 31 INTEREST PAYMENT 3.
--- ! Ba1aAC~$Y_Qat~_ _ _. __ _- __
11/30 8,831.40 12/17 9,326.40 12/31 9,330.24
PAYER FEDERAL ID NUMBER ................. 52-2389022
INTEREST PAID YEAR TO DATE .............. 45.09
t~~ ~~ . ~
(APP 3~ ~ co
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