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HomeMy WebLinkAbout06-16-09COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE • -t nnn rC /'1~'t'I 'ice. BUREAU OF INDIVIDUAL TAXES ~ " '~ ~ '~~~~~k'Cf '~~OF INHERITANCE TAX INHERITANCE TAX DIVISION ~ ~tul~'~'~7d~~},'9E~1 ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS 2Dt39 JUN 16 AM I i ~ 20 MARGARET KIEFF 995 GRANDON WAY CLERK OF ORPHAN'S COllRT CUh4DERLF~VC7 CO., PA, MECHAN I CSB~~~~~~~17g55 ~~ ,/pp ~~ ~~~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC REV-1548 IX AFP (01-09) 03-30-2009 DEFRANK FRANCES J 03-01-2008 21 08-0332 CUMBERLAND ACN 08117999 APPEAL DATE: 05-29-2009 (See reverse side under Objecrions) f' Amount Remitted y~q~/I~. MAKE CHECK PAYABLE AND REMIT PAYMENT 70: / /„ REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS ~"~ REV-1548 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMEN7. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS D TE 03-30-2009 ESTATE OF DEFRANK FRANCES J DATE OF DEATH 03-01-2008 COUNTY CUMBERLAND FILE N0. 21 08-0332 S.S/D.C. N0. ACN 08117999 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 9386-59 TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING C )TRUST 4()TIME CERTIFICATE DATE ESTABLISHED 12-21-2006 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 21,135.04 X 0.166 3,522.58 - .oD 3,522.58 X .45 158.52 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID I-) AMOUNT PAID INTEREST IS CHARGED THROUGH 0 - 4 07 2009 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 158.52 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 3.02 TOTAL DUE 161.54 M' + IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONA x ( IF TOTAL DUE IS LESS THAN •1, NO PAYMENT IS REpUIRED. IF TOTAL OUE IS REFLECTED AS A "CREDIT'' ( CRT, YOU MAV BE OUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 7 C .15056041114 REV-1 SUU EX (oe-o~ OFFICULL USE 0IAY PA DepeMx3fet a Revenue Coumy Coda Year Fib Number Bureau a NMWidual Taxea Po eox zeaeot INHERITANCE TAX RETURN Hartiaburg PA 1712&0607 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Sodal Security Number Date of Death Date of Birth 162-22-6946 03012008 08231927 DecedenCs Last Nama Sugbr Decedent's First Name MI DEFRANK FRANCES J (IT Applipble) Ertter Surviving Spouse's IMormatlon Below Spouse'a Last Name ~ SuRbc Spouse's Fast Name MI Spouse's Sodal Sewriry Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1.Odglnal Reaarl 0 2 Suppbmenty Return ~ 3. Rerre841def Reban (date adath 4, lLrdbd Eetab 0 pdorb 72.13-a7) 4a Future tmereet CompraNa (dab a 0 S. Federel Fsbb Tax Itetum Required dam atbrtats-ez) p 8. Deceddet Dk0 Tesbts Ntmch ~ awl 0 7. Decedent M.Imalnea a LN41a Trust 0 9. real Numberasats Deposit Brien (attain copy aTneep p 9. t.pipatlon Proteeda ReteNed 0 10. spousal Pwedy cremt (aab edam p ,,. Electlon b tax anaer sae. 9713(A) . belweerl 1231-61 and 7-t•96) (A6~ Sdti O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Tebphone Number MARGARET A. KIEFF 717-238-6557 Flrm Name (It Applipble) First Iine a address 995 GRANDON WAY Second Brro or address Cey or Post Gflke MECHANICSBURG Correspondent's e-mail address: State ZIP Code PA 17050 SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ~ ~~~~ w ewe DATE ADDRESS -- SIGNATURE OF PREPARER OTHER THAN REPRESENTATNE DATE ADDRESS B & L TAX AND. ACCT. SERVICES 1071 COUNTRY HILL DR. HBG PA 17111 PLEASE USE ORIGINAL FORM ONLY t Side 1 1. 15056041114 15056041114 J 15056D42115 REV-1500 EX Decedents Social Searity Number tkxdenfs Nams: FRANCES J DEFRANK - 162-22-6446 RECAPITULATION 1. Real estate (Schedule A) .......................................... . 1. 17 2 0 0 0.0 0 2. Stacks and Bonds (Schedule B) ..................................... . 2. 0 . 0 0 3. Cbsely Heb Corporation, PaMership or Solo-Propdetorship (Schedule C) .... . 3. Q , 0 Q 4. Mortgages 8 Notes Receivable (Schedub D) ........................... . 4. 0. 0 0 5. Cash, Bank Deposes & Miscelleneoua Personal Property (Schedub E) ...... , , 5, 9 8 5 0. 0 0 8. Jointy owned PropeAy (Sehedub F) OSeparate.BA6W Requested ....... . 8. 0 0 0 - 7. Inter-vhros Transfers a 68acananeous~Non-Probate property . (schedule c) OSeparats Bnsng Requested , , , , , , , , 7. 2 41311.0 0 8.. Total Gross Assets (total ones 1-7) ................................. . 8.~ 9 2 3161.0 0 9. Funersl Expenses a Administrstlve Cosq (Schedule F8 . , ..... ; .... , , , , , , , , g, 3 0 03 9. 0 0. 10: Debts of Dexdent, Mortgage LlabWtles, & Llens (Schedub q' .......... . ... . 10. 0 . 0 0 f1. rotalDeduenons(totalunes9&1o> .......:........................ . t1. 30939.00 ~t2. . NetValwofEstats(UneBmipuaunell) ...:........:.........,...... .12. 393122 00 13. Charitable and Governmental Bequests/See 9113 Trusts for whkh ~ . an electlon to lax has not been made (Schedule J) ...................... . 13, Q . 0 Q 14. Nat Value Sublsetto Tax (Line 12 minus IJne 13) 14 393122 00 TAX COMPUTATION SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxabb at the spousal tax rote, or transfers under Sea 9118 (ax1.2)X.0 0 15. 0 00 18. Amount of Lkre 74 taxable . atnnealrstex.o 45 393122.00 18. 17690 00 17. Amount of Line 14 . taxable at sronng rate X .12 18. Amount of Line 14 taxebb t7, 0.0 0 atconaterslrsteX ,15 t8. 0.00 19. TAX DUE ....................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056U42b15 15D56042115 17690.00 0 Ravtsoo IX Page a 162-22-8446 Decedent's Complete Address: File Numt!er 2f_nR_naa~ DECEDENTS NAME DECEDENT'S SOCIAL SECURITY NUMBER FRANCES J DEFRANK 162-22446 STREET ADDRESS 1728 CORNELL ROAD CITY STATE ZIP AMP HILL PA 17011 Tax Payments and Credits: 1. Tax Due (Page 2 Una 19) (1) 17890 00 2. CreditslPayments A. Spousal Poverty CredB B. Pdor Payments 15000,00 C. Diswunt 75D.DD Total Credits (A + B + C) (2) 3. InteresVPenalty N applk:able 15750.00 D. Interest E.PenaOy Total InteresUPanaBy (D + E) (3) 4. It Line 2 b groater than Line 1 + Line 3, enter the d8ference Thfa U the OVERPAYMENT 0.00 . . FlII In oval on Page 2, Llns 20 to request a refund. (4) 0.00 5. It Llne i + Line 3 is greater than Line 2, enter the difference. This iS the TAX DUE. (5) 1940.00 A. Eller Ne interost on the tax due. (~) B. Eller the total of Line 5 + 5A. This is the BALANCE DUE (5B) 1940 ~ Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLO CKS 1. Did decedent make a transfer and: Yes No a. retaln the use or income of the Property transferred :....................................... ^ ^ b. retain tfro right to designate who shall use the properly Uansferred or 8s Income : ................ ^ - ^ c. retain a reverebnary interest; or ......................... . ........... ................. ^ d. receive Me promise for INe of ei0rer paymeMa, benefits or care? :............................. .^ ^ 2. If death occurted after December 12, 1982, dkt decedent transfer property within one year of death withoutroceMing adequate corgiderotlon7 ....................:............ .......... .... X 3. Dfd decedent own an'in Wst foP or payable upon death bank exeunt or security at hb or her deaN? .. ^ ^X 4. Dfd decedent own an Indivklual Retlroment Aaount, annuity, or oNernon-probate property which contains a beneftciary designatlon? ....................... .......... ^ ^ 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 Juty 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. §9118 (a) (1.1) ()]. For dates of death an 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. §9118 (a) (1.1) (h)]. The statute does not exemot a transferto a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the sunving spouse is the only benefldary. For dates of death on or after Juty 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. §9118(x)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedenCs lineal beneflaaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9118(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed an the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [/2 P.S. §9116(x)(1.3)]. A sibling Is defined, under Section 9102, as an indfvldual who has atleast one parent in common with the decedan4 whether by bbod or adoptbn. 2v REV-tsto Ex+te-sal coNAaNwEALTH of rENNSrwANw NJHERRANCE TAX RETURN SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY Frances J DeFrank 21-08-0332 This adtedub must be c°mpbted and Bbd Nthe enaxer m arty of questlons i through 1 on d7e reverse side of lha REV-1500 COVER SHEET b vea. DESCRIPTION OF PROPERTY ITEM NUMBER s+~a~N~r~°F'>ETMw~r~E•natRgATaNeH®TOOECaoENr~ron+a ure of ~'""~"~A^"CXACOP'~OFTEp®~N"~~AR DATE OF DFATH %OF DECD'S EXCLUSION TAXABLE VALUE OF ASSET INTEREST ""'"`""9 VALUE 1. Members First Savings Axt. #9388-00 3,888 100.00% 3,886 Jointly owned w/Margaret Kieff 0 2. Members First Savings Acd. #9386-04 .4,000 100.00°k 4,000 Jointly owned w/ Margaret Kieff 0 3. Members First Checking Acd. #9386-11 15,104 100.00% 3,000 12,104 Jointly owned w/Margaret Kieft 4. Members First IRA#9388-10 14,258 100.00% 0 14 258 5. Members First IRA #9386-18 8,117 100.00% , 8 117 6. Members First CD #9386-44 join0y rnmed by Harry DeFrank Jr. 10,981 100.00% , 10 981 7. Members First CD 11938652 jointly owned by Harty DeFrank Jr. 10,302 .100.00% 3,000 , 7 302 8. Members First CD #9388-53 jointly owned by Harry DeFrank Jr. 11,476 100.00°h , 11 g7g 9. Members First CD 119366-54 jointly owned by Harry Defrank Jr. 10,242 100.00% , 10 242 10. Members First CD #9388-55 Jointly owned by Harty DeFrank Jr. 114,988 100.00% , 114 988 11. Members First CD #9388-5g jointly owned by Harty DeFrank Jr. 22,328 100.00% , 22 328 12. Members First CD #9386-57 jointly ovmed by Harry DeFrank Jr. 2,195 100.00% , 2 195 13. Members First CD #9388-58 Jointly owned by Harty DeFrank Jr. 1,011 100.00% , 1 011 14. Members First CD #9386-59 Jointly owned by Harry DeFrank Jr. 21,135 100.00°k , 21,135 0 See Attached Statement from Members First 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL Also enter on line 7 Rece Uulatfon 244 023 (If more space is needed, insert additional sheets of the same size) St MEMBERSitt Al~HRALCRBDrP UNION REGULAR SAVINGS ACCOUNT• Account NumberlSuftix 9386-00 Date Account Established 04/19M 967 Pdndpal Balance at Date of Death $3,885.98 Aeaued Interest to Date of Death S,oo Total Pdndpal and Accrued IMerestto Date of Death '$3,885.98 Name of Joint Owner Margaret Kletf Date Joint Ownership EstabBshed Og~y2007 LIFE SAVINGS ACCOUNT: AccountNumbedSufftx 9388.04 Date AocouM EatabBshed 02/01/2001 Principal Balance et Date of Death $4000.00 Aeonled Interest to Date of Death 5,00 Total. Prindpal and Accrued Interest to Date of Death $4,000,00 Name of Joint Owner Margaret lOeB Date Jofnt Ownership Established 08/22/2007 C CKING ACCOUNT: Account NumbedSulPoc 9386.11 Date Aeoount Established 09/18/1984 Prindpai Balance at Data of Death $12,388.40 Accued Interest to Date of Death 5.00 Total Prindpai and Accrued Interest to Date of Death 512,398.40 Name oT Joint Owner Margaret KIeB Date Joint Ownership Established Og~n007 .~ Account NumbedSuffol Date Account Established Pdndpal Balance at Date of Death Accrued Interestto Date of Death Total Prindpal and Accrued Interest to Date of Death Name of Beneftdary 8388-10 03/04/1982 $14,258.13 $.00 $14,258.13 Harty DeFrenk Sr (deceased 6.28-07) Margaret Kieff Harry DeFrenk Jr. Jeffrey DeFrenk Matthew DeFrenk 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemlienlst,org 1RA CERTIFICATE OF DEPOSIT: Account Number/Suffbc 8386-16 Date Axount Established 08/14/2007 Prindpal Balance at Date of Death 58,117.35 Accrued Interest tc Date of Death 5.00 Total Pdndpal and Accrued Interest to Date of Death 58,117.35 Name of Beneflclary Harry DeFrenk Sr (deceased 8-28-07) Margaret Kleff Harry DeFrenk Jr. Jeffrey DeFrenk Matthew DeFrenk CERTIFICATES OF DEPOSIT: Account Numher/Suftb: 8386-44 8386.62 Date Account F~lablished 03/05/2007` 08!08/2007 Pdndpel Balance at Date of Death 510,981.02 510,298.02 Accrued Irdeiest to Date of Death 5,00 5.00 Total Ptindpal end Acaued Interest to Date of Death 510,981.02 510,298.02 Name of Joint Owner Harty DeFrenk Sr.Harry DeFrenk Jr. Harry DeFrenk Jr. Date JdM Ownership Established 03/05!2007 0!1/08/2007 'Rollover from certificate 9386-48, originally established 11/14/05. CERTIFICATES OF DEPOSIT: Account Number/Suftix 9386-53 938854 Date AceouM EstabBshed 08/11/2007• 09/142007'• Prindpal Balance at Date of Death 511,478.38 510,242.24 Axrued Interest to Date of Death 5.00 S,oo Total Prindpal and Accrued Interest to Date of Death 511,478.38 510,242.24 Name of JdM Owner Harry DeFrenk Jr.Hany DeFrenk Jr. Date Joint Ownership Established 08/112007 09/142007 •Rolkwer from certificate 938843, originally established 01/11/07. •"Purduued by transfer of funds from 938800. CERTIFICATES OF DEPOSIT: Axount Number/Suflbc 9388-55 938658 Date Account Established 09/152007• 08/'152007'• Prindpal Balance at Date of Death 5114,988.40 522,327.88 Accrued Interest to Date of Death 5,00 5.00 Total Pdndpal and Accrued Interest to Date of Death 5114,988.40 522,327,88 Name of Joint Owner Harry DeFrenk Jr.Harry DeFrenk Jr. Date Joint Ownerehlp Established 09/152007 09!152007 'Rollover from certificate 9388-40, originaly established 10/182006. "Rollover from cerfiflcate 9386-41, originally established 10/182008. CERTIFICATES OF DEPOSIT: Account Number/Sutfix 938657 9386-58 DateAxountEstablished 11/132007' 1y102007 Prindpal Balance at Date of Death 52,195.49 51,011.25 Accrued Interest to Date of Death 5.00 S•OG Total Prindpal and Accrued Interest to Date of Death 52,195.49 51,011.25 Name of Joinl Owner Margaret Kleff Hang DeFrank ;Ir. Date Joint Ownership Established 11/132007 1y102007 'Rollover from cerdficete 938851, odgina8y estab8shed 12/08/2005, CERTIFICATES OF DEPOSIT: Axount NumbeHSutS:r 9386.59 Date Account Established 01/192008' Prindpal Balance at Date of Death 521,135.04 Accrued Interest to Date of Death 5,00. Total Pdndpai and Accrued Interest to Date of Death 521,135.04 Name of Joint Owner Harry DeFrank Jr. Date Joint Ownership Established 01/192008 'Rollover from certifia~te 9386-42, odginalty established 12212008. VISA ACCOUNT: Account Number Date Account Established Balance on Date oT Death Joint Canltwkler 4121440010083888 08/152007 510.95 None BERS 1sT FEDE C UNION u~ ~,``,~.~.~• Dania le A. Kline Insurance Services Specialist April 21, 2008 Estate of: FRANCES JEANNE DEFRANK Date of Death: Mareh 1, 2008 Soeial Security Number. 162-22.6446