HomeMy WebLinkAbout06-16-0915056051058
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601 21 08 1015
Hamsbum. PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
__ __
_ _ _ ___ Date of Birth
' 09/23/2008 ' 02/06/1954
Decedent's Last Name Suffix
__ Decedent's First Name MI
SHARP 'MICHAEL C
_. _ _
(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
1. Original Return CtR3 2. Supplemental Retum „~ 3. Remainder Retum (date of death
prior to 12-13-62)
4. Limited Estate 4a. Future interest Compromise (date of c°~"°? 5. Federal Estate Tax Retum Required
death after 12-12-82)
:~ 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust __ _._ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
C 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 TO:
Name
_ ____ Daytime Telephone Number
Taylor P Andrews, Esq _ (717) 243-0123 _
...........
Firm Name (If Applicable)
__ __
_ _ . ._~ r__..._._
REGISTER OF WILLS USE O 1~1 Y
'Andrews and Johnson ~ °
~. O ; ~`
First line of address ... ~
~ ~ ~
._ _
~. .«.i
~ ' i ~
I ~
78 W. Pomfret St ~ ;`
r'
_ _ _ _ ~ ~ ~ rn t
-:
Second line of address _ ___ __ _ _ _ __ _ ~~~ ~~ ' .'~
~
c `~~ O -n
_ r ~ =
DATE~ED ;D . __. r''7
E'- ~~r-
City or Post Office _ _:
State ZIP Code _ ~ =
Carlisle ~
PA 17013 tv ,`
Correspondent's a-mail address:
Under penames of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and bel ief,
it is true, correct and complete. Declaration of preparer other than the p ersonal representative is based on all information of which preparer has any knowledge.
SI~ATUR F PERSON RESPONSIBLE FOR FILING RETURN D TE
ADDRESS
2300 Douglas Dr C~fisle, PA 17013
7~(IV Pomfret St, Carlisle, PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
15056052059
REV 1500 EX Decedent's Social Security Number
_ _ _ _ __
MICHAEL C SHARP ! ',
decedent's Name:
~__.~.
RECAPITULATION
1 0.00 '
1. Real estate (Schedule A) ............................................. .
2 0.00
2. ............................
Stocks and Bonds (Schedule B) ........... .
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00
4. Mortgages 8~ Notes Receivable (Schedule D) ............................ .
4
0.00
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5.
49,261.93
6. Jointly Owned Property (Schedule F) s~ Separate Billing Requested ....... 6. 0.00
7. Inter-wos Transfers & Miscellaneous Non-Probate Property 00
0
(Schedule G) Separate Billing Requested........ 7. .
8. Total Gross Assets (total Lines 1-7) .................................... 8. ', 49,261.93
9. Funeral Expenses 8 Administrative Costs (Schedule H) ..... .............. 9. 1,870.00
10.
9 9 ( ) ................
Debts of Decedent, Mort a e Liabilities, & Liens Schedule I 10. 0.00
11. Total Deductions (total Lines 9 & 10) ................................... 11. 1,870.00
12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 47 391.93
13. Charitable and Governmental BequestslSec 9113 Trusts for which 00
0
an election to tax has not been made (Schedule J) ........................ 13. .
14. Net Value SubJect to Tax (Line 12 minus Line 13) ........................
~~~~~ 14. ' 47,391.93 '
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 lineal rate X .0 45 47, 391.93 '
16. 2,132.64
17. Amount of Line 14 taxable
17
at sibling rate X .12 .
18. Amount of Line 14 taxable
18
at collateral rate X .15
- _ .
2,132.64
...
19. TAX DUE ...................................................... 1s. __ __
2 . FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
15056052059
REV-1500 EX Page 3 Flle_Number, , , ,,,
1 .., : __ _ ~_ _w_ ._.
Decedent's Complete Address: ~ 21 ~ os 1015
DECEDENTS NAME DECEDENT'S SOCIAL SECURITY NUMBER
MICHAEL C SHARP 209-46-0080
STREET ADDRESS
313 ARCH STREET
cITY
CARLISLE
STATE
PA
ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. CreditslPayments 0.00
A. Spousal Poverty Credit 3023
B. Prior Payments
C. Discount 0.00
(1)
Total Credits (A + g + C) (2)
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total InteresUPenalty (D + E) {3)
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. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56)
Make Check Payable to: REGISTER OF WILLS, AGENT
2,132.64
30.23
0.00
0.00
2,102.41
0.00
2,102.41
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)].
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)J.
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.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 260601
HARRISBURG PA 17128-0601 REV-1547 EX AFP CO1-09)
DATE 06-02-2009
ESTATE OF SHARP MICHAEL C
DATE OF DEATH 09-23-2008
FILE NUMBER 21 08-1015
COUNTY CUMBERLAND
TAYLOR P ANDREWS ACN 101
78 W PEMFRET ST APPEAL DATE: 08-01-2009
CARLISLE PA 17013 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~-'1 RETAIN LOWER PORTION FOR YOUR RECORDS ~-
-------------------------------------------------------------------------------------------
REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SHARP MICHAEL C FILE N0. 21 08-1015 ACN 101 DATE 06-02-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) 285,094.51 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) • of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 15,525.41
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .0 0
e. Total Assets fig) 300,619.92
APPROVED DEDUCTIONS AND EXEMPTIONS:
16,617.58
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
L0. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,614.2 3
11. Total Deductions C11)
18.431.81
12. Net Value of Tax Return C12) 282, 188.11
13. Charitable/Governmental Bequests; Nan-elected 9113 Tru sts (Schedule J) C13) .0 0
14. Net Value of Estate Sub3ect to Tax (14) 282, 188.11
NOTE: If an assessment was issued previously, lines 14, 15 andlor 16, 17, 18 and i9 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of line 14 at Spousal rate C15) •00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 282, 188.11 X 045 = 12, 698 .46
17. Amount of Line 14 at Sibling rate X17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 _ .0 0
19. Principal Tax Due C19)= 12, 698.46
TAY f DCTTTC.
PA NT
DATE RECEI T
NUMBER DISCOUN C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
12-18-2008 CD010657 634.92 12,093.77
TOTAL TAX CREDIT 12,728.69
BALANCE OF TAX DUE 30.23CR
INTEREST AND PEN. .00
TOTAL DUE 30.23CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN #1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANIOUS PERSONAL PROPERTY
ESTATE OF
t' ILL N U N1151;IC
Sh Michael C. 21-08-1015
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 DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
Deferred compensation plan -Great-West Retirement Services - pd to estate I $48,685.93
See attached disbursement report
Income tax refund from 1040 for decedent for 2008 I $576.00
TOTAL (also online 5, Recapitulation) $49,261.93
Great-West Retirement Services
PO Box 173764
Denver. CO 80217-3764
April 27, 2009
The Estate of Michael Sharp
Ryan Shumberger as Executor
2300 Douglas Drive
Carisle PA 17013
RE: Disbursement Confirmation
CommonWralth of
Pennrylwnia Deferred
~''`
,_;,
`~ ~` Compensation
~~ Program
Employee Name: Michael C Sharp
Plan Number: 98978-U1
Plan Name: Commonwealth of
Pennsylvania Deferred
Compensation Program
The details for your current distribution are summarized below. Please note that only the investment
option(s) from which funds were drawn are displayed, including the endin8 value.
A tax form will be mailed to you by January 31S` of next year, and must be used in completing your tax
return.
SUMMARY OF TOTALS
Total Withdrawal Amount $48,685.93
Total Available to All Receivers $48,685.93
Receiver's Share of Proceeds $48,685.93
Internal Revenue Service Withholding $-4,868.59
Check Amount $43,817.34
BEF 1 - 98978-O1 Employee Before Tax
Investment
Option Beginniug
Value Distribution
Amount Unit/Share
Value Units/Shares
Dish•ibuted Ending Value
Stock Index Fund $48,685.93 $48,685.93 12.860000 3,785.842146 $0.00
TOTAL $48,685.93 $48.685.93 $0,00
Beginning
Value Distribution
Amount Ending Value .
GRAND TOTAL $48,685.93 $48,685.93 $0.00
If you have any questions, please contact our Client Service Department at 1-866-737-7457
(1-866-sers457).
AU1:0127U9
Great-West Retirement Service ®refers to the products and services of Great-West Life & Atuiuity
litsurance Company and FASCore, LLC.
DOC_TYPE: DISB_STD DEATH FILE
PNP TWHI
DOC ID: 1R991733g EV ID: 326501783
IND ID: 333079y ADDR-Y Page 1
SCHEDULE H
FUNERAL EXPENSES, ADMINISTRATIVE
COSTS AND MISCELLANEOUS EXPENSES
ESTATE OF FILE NUMBER
Sharp, Michael C. 21-08-1015
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
DESCRIPTION
AMOUNT
A.
1
2
B.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
meral Expenses:
estminster Cemetary for marker $1,785.00
Administrative Costs:
Personal Representive Commissions no fee claimed
Name of Personal Representative(s)
Social Security Number of Personal Representative:
Street Address:
City: State: Zip:
Year(s) commissions paid:
Attorney fees to Andrews & Johnson
Family Exemption none
Claimant
Street:
City: State & Zip
Relationship of Claimant to Decedent:
Wagner Tax service for 2008 1040 for decedent $85.00
~ TOTAL (also online 9, Recapitulation) ~ $1,870.00
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
Sh Michael C. 21-08-1015
ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE
NUMBER Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9! 16(e)(L2))
1 (Ryan Shumberger
49 Summerfield Dr., Carlisle, PA 17015
son I entire estate
2
3
4
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
Charitable and Governmental Bequests:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on line 13, Recapitulation) $0
eta ~ ~,~-e. 3~0 ~~'
(~c~ ~~~