HomeMy WebLinkAbout07-01-09J 15056041125
REV-1500 Ex (os-05) OFFICULL USE ONLY
PA DepersneM of Reremre
Sureeu of IrldWWuel Texea Count Code Year F8e Number
Po 6ox26gfiot INHERITANCE TAX RETURN 2 1 0 8 0 0 9 9 6
Harthbum. PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Socal Searity Number Date of Death Dete of Birth
1 6 5 2 4 4 1 0 6 0 8 0 6 2 0 0 8 0 4 2 2 1 9 2 9
Decedent's Last Name Suffur Deoedenra First Name MI
TAY L O R D O R O T H Y G
(N Applicable) Entsr SurvWirrg Spouse's Irrfonnallon Below
Spouse's Last Name Suffer Spouse's First Neme 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 Retum ~ 2. Suppbmental Retum ^ 3. Remainder Retum (date of death
pnorto 12-13.82)
^ 4. Limited Estate ^ 4a. Futuro Interost Compromise (date of ^ 5. Federel Fatale Tax Retum Required
death after 12-12-82)
® 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust 8. Total Number of Safe DeposB Boxes
(Attach Copy of Will) (Atach Copy of Trust)
^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty CredB (date oT death ^ 11. Ebctbn to tax under Sec. 917 3(A)
betvroen 12-31-91 end 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTKIN MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFlDENTIAL TAX NIFOWAATION SHOULD BE DIRECTED T0:
Name Daytime Tebphone Number
H A R O L D S I R W I N I I I E 7 1 7 2 4 3 6 0 9 0
Firth Neme (If Applicabb)
I R W I N L A W O F F I C E
First line of address
6 9 S O U T H P I T T S T R E E T
Secand line of address
City or Poat Office
C A R L I S L E
Stets ZIP Code
n o
REGISTER q Y USE OI
;,
`.~z~ _ la
F
,~C7.
'
~`_~ ' ~
_a -
-p --~
D ..
r
DATE FILED ~
P A 1 7 0 1 3
correspondents e-mail address: Irwlel.vvorBeeQom.N.oom
~~~. ,rreL 7~ L~n~r.v'>u6 P~ r 7 0~
SIG OF PREPARER OTHER N REPRESENTATNE
ADD
PLEASE 113E ORIGINAL FORM ONLY
Side 7
15056041125
DATE
15056041125
"i
~.~
J 4vh
15056042126
REV-1500 EX DaoadaM's Social Searity Number
Decedents Name: DOROTHY G. TAYLOR 1 8 5 2 4 4 1 0 8
RECAPIruunoN
1. Real estate (sahedub A) 1. 0 0 0
........................................
2. Stacks and Bonds (Schedub e) 2. 0 0 0
..................................
3. Cloaery Held Corporetion, Partnership or Sob~roprietorship (Schedule C) ..... 3. 0 0 0
4. Mortgages S Notes Receivabb (Schedub D) ..................... ... 4. 0 0 0
- 1 5 0 0 0 0
5. Cash, Bank Deposits a Mbcellaneous Personal Property (Schedub E) .... ... 5.
6. Jointly Owned Property (Sctredub F) ^ Separete Billing Requested .... ... 6. 4 5 5 0 0 0 0
7. Inter-Yrvoa Transfers a Miacelleneous N-Probeta Property
~ 0 0 0
(Schedub G)
Separete Billing Requested .... ... 7.
8. Total Gress Asses (total Linea 1-7)
......................
... e. 9 7 0 0 0 0 0
9. Funeral Expenses a Administrative Costa (Schedub H) ............. ... 9. 1 2 0 6 9 3 8
10. Debts of Decedent, Mortgage Liebllnies, 8 Liens (Schedub q ......... ... t0. 1 3 5 0 3 2 7
11. Total Deduetlom (total Linea 9 8 10) ........................... 11. 2 5 5 7 2 6 5
.i2. Net Vales o(Esfab (Line 8 minus Line 11) ................ .. ..... .. 12. 2 1 4 2 7 3 5
13. Chadtabb and Governmental BequesWSec 9113 Treats forwhich 0 0 0
an ebction to tax has not been made (Schedule J) ......... .. ..... .. 13.
2 1 4 2 7 3 5
14. Net Vales Subject to Tax (Line 12 minus Line 13)
......... .. ..... 14.
..
TAX COMPUTATION • SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 texabb
et the spousal tax rate, or
trensbrs under Sec. 9116
(a)(1.2)x.o_ 0 0 0 15. 0 0 0
16. Amount of Line 14 taxable
0
0
0
0
0
0
et lineal reb X .0 _ 16
17. Amount of Line 14 taxable
0
0
0
0
0
0
et sibling rate X .12 17.
16. Amount of Line 14 taxabb 2 1 4 2 7 3 5 3 2 1 4 1 0
at colbtersl rate X .15 18.
19. Tax Dw ................................................ 19. 3 2 1 4 1 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT -
Side 2
L 15056042126 15056042126
REV-1500 FJ( Pepe 3
DeaedenYs Complete Address:
File Number
00»66
DECEDENTS NAME
DOROTHY O. TAYLOR
STREET ADDRESS
823 HUMMEL BTRElT
CITY
L[MOYNE STATE
PA ZIP
17043
Tax Payments and Credits:
1. Tax Due (Page 2 Une 19)
2. CredLglPayments
A. Spousal PaveAy Credit
B. Pda Payments
C. Discount
3. InlerestlPenalty iF applicable
D. Interest
E. Penalty
5,014.66
(1) 3,214.10
Total Credits (A+g+C) (2) 6,014.66
Total InteresflPenalty (D+E )
4. B Une 2 is Deafer than Une 1 +Une 3, enter the dl8afence. This is the OVERPAYMENT.
Fill In oval on Page 2, Line 20 to squad a refund.
5. 0 Une 1 +Une 3 is greater than Une 2, sofa the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Une 5 +SA. This is the BALANCE DUE.
(3)
0.00
(a) 1,BOO.s6
(5) 0.00
(5A)
(5B) 0.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRU\TE BLOCKS
1. Did decedent make a transfer and:
a. retain the use a Income of the property transferred : ..........................................................
b. retain the dght to designate who shall use the property transferred a its income : ...................
c. retain a revrxsbnary Interest; a ....................................................................................
d. receive the promise far Ilfe of either payments, benefits a care? ...........................................
2. H death occurred a%a December 12,1982, did decedent transfer property within one year or dedh
without receiving adequate considera8on7 ...........................................................................
3. Did decedent awn an'in trust for a payable upon death bank accountor security d his or her death?
4. Did decedent own an Individual ReBrenlenl Account, annuity, a othanon-probde property which
contains a beneficiary designafion7............
Yes No
...... ^
...... ^
...... ^
...... ^
.......... ^ ^X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN.
Fa dates of death on a after July 1,1994 ~d before January 1,1995, the tax rate Imposed on the net value of transfers to a fa the use of the surviving spouse
is three (3) percent (72 P.S. §9116 (a) (1.1) (i)].
For dates of death on a after January 1,1995, the tax rate imposed on the net value of transfers to afor the use of the surviving spouse is zero (0) percent
[l2 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tau, and the statutory requlrenrents for disdasure of assets and
filing a tax velum are s811 applkable even'rf the surviving spouse is the only beneficiary.
Fa dates of death an a after Juty 1,2000:
The tax rate imposed on the net value of transfers from a deceased child Iwentyone years ~ age a younger at death th or fa the use of a nature) parent, an
adoptive parent, a a depparent 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 a far the use of the decedenPs lineal benefidades is icur and one-half (4.5) percerd, except es noted in
72 P.S. §9116(1.2) ]72 P.S. §911s(a)(1)].
The tax rate Imposed on the net value of transfers to a far the use of the decedent's siblirl~ is twelve (12) percent (/2 P.S. §9116(a)(1.3)]. Asibling Is defined, under
Secticn 9102, as an individual who has al least one patent in common with the decedent, whether by blood a adaptlon.
REV-1502 EX+(6-99)
COMMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
ESTATE OF
DOROTHY O. TAYLOR
SCHEDULE A
REAL ESTATE
FILE NUMBER
All rpl properly owned wNryr or a ~ tsnaM In common meat be aportad d hM market vaka. Fu market relue M decked ae tla price etvmklh gopeAy wouk be
exdenged 6eNreen a wMrp lsryerand a wRrp aeker, neNher beirg compelled to buy or sari, both havkq maeonebb krw~wledpe of the mleverd khA9.
Red whkh b wMh M o(wMroahi must M dhcbsed on &heduN F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. NONE 0.00
(If mae spore b needed, klserledd5bnel eheete of the sane sim)
REV-1503 EX+(9-a8)
' I SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERRANCE TAX RETURN
DOROTXY O. TAILOR OOYYB
All proglryjolntlyornled rMh dpht of sunrlvonhip mwt M dhadossd on ShcsduN F.
ITEM
DESCRIPTION
AT DATE
1.
0.00
TOTAL (Also enter on Iine 2,
(If more space b needed. heart additlollal sheet of the same sire)
REV-1504 EX+~19-98)
COMMONWEALTH OF PENNSYLVANIA
INNERRANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE C
CLOSELY•HELD CORPORATION,
PARTNERSHIP OR
SOLE-PROPRIETORSHIP
DOROTHY O. TAYLOR 00996
Sdndule C-1 or G2 (ndudinp e6 suppoA9lp mfametlon) mint 6e e9adled toreach dos9y-heW oolporetlolJpeNlNahip inlereet oFtlle deceden4 otlror tllen e
~4. Sea kletructlolu for tlIe aupportlrq Infarme9on b be aubnYl6ed Tor sob~plopdelashipa.
ITEM
DESCRIPTION
VALUE AT DATE
0.00
(H mae apace b needed, Ilnnt addHbnal wheals of the aerlle Sze)
REV-1507 EIC+ (698)
COMMONWEALTH OF PENNSYLVANN
INHERRANCETAX RETURN
ESTATE OF
DOROTHY O. TAYLOR
SCHEDULE D
MORTGAGES & NOTES
RECENABLE
All property joiMly~ovmed vAtll the dpM of sundvorehip moat M dbebaed on SeheduN F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
0.00
(If more apace b needed. irged aeenwnel wheels of the aame ske)
REV `1508 EX ~ (<8-88)
SCHEDULE E
CoatAONwEALTH OF PENNSYLVANIA CASFIf BANK DEPOSITS, $ MISC.
INNERRANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
F.
NUMBER I DESCRIPTION
MISC PERSONAL AND HOUSEHOLD 60005
VALUE AT DATE
1,000.00
2. ~ 1882 FORD [SCORT I 500.00
TOTAL (Also enter on line 5, Recapitulation) ~ ;
(H mare apace is needed, Inaerl additional dleeN oilhe aeaie ahe)
REV•i5D9 FX+(&BB)
SCHEDULE F
COAedONWEALTH OF PENNSYLVANIA JOINTLY•OWNED PROPERTY
INHERRANCETAX RETURN
DOROTHY 6. TAYLOR 00996
H sn sssM wu mods joMt whhM olro year of tlro dtadeM's dab oTdeslh, h must M reporbd on SchsduN G.
ADDRESS
SURVMNG JOINT TENANT(S) NAME
A. RO9lMAliY 1. 9NYDlR 823 HUMMlL 9TRCC'
LCMOYNE, PA 17043
JOIt1TLYAWNED PROPERTY:
TO DECEDENT
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT OESCPoPfION OF PROPERTY
INCLUDE NMIE OF FINANCIALINSOMION AND BANK ACCOUNT NUMBER OR SIIAIAR
IDENTIFYING NUMBER ATTACH GEED FORJOINRKHELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET %OF
DECDS
INTEREST DATE OF DEATH
VALUE OF
OECEOENi'S INTEREST
1. A. &9M 971 823 HUMMEL STREET 91,000.00 60. 45,500.00
LlMOYNC PA 17043
Vdw bawd on appralwl NtMeMd Ms Enhibk "!"
TOTAL (Also enter on line 6, Recaq(ulation) I t u wm m
(IT fmre apace b
REV-1510 EX • (8•Be)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE G
INTER-VNOS TRANSFERS 8
MISC. NON-PROBATE PROPERTY
ESTATE DF FILE NUMBER
DOROTHY O. TAYLOR 00800
This schedule must be cempbted end filed H the answer b any of questlons 1 thrauph 4 on the rewsrae sly of the REV-7500 CCVER SHEET b yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
ncwoenE wwcancnee~noxwrrosccmertwo
'"Eare°Fmx°ra'"nw~"cawanr: offnrae~eer"tE.
DATE OF DEATH
VALUE OF ASSET
%OF DECD'S
INTEREST
EXCLUSION
rF"+nrcrae
TAXABLE
VALUE
1. NONC 0.00 0.00
TOTAL Alsa enter on line 7 ' ulatbn t 0.00
(M more space b needed, Mlsert addldorrel otthe same elm)
REV•1611 EX *~(12-ea)
COMMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES 8~
ADMINISTRATIVE COSTS
DOROTFIY O. TAYLOR OOSS6
Debt of dsadeM must be reported on SchsduM L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. NEYMYER FUNLRAL NOME, INC. - Funeral Excp~uws 1,870.37
B. ADMINISTRATIVE COSTS:
1, Pelonal Representative's Commissions
Name of Personal Repreeentstlve (s)
Soul Security Number(s~EIN Number of Personal Repreeentatlve(s)
Street Address
City - State
Year(s) Commildon Peld:
p, AdomeyFeea IRWIN LAW OFFICE
3. Famiy Exemption: (K deoadeMa address b not the same as daimaMa, esech explanatlon)
clelmem
Street Address
cny smoa
R~etiorrship of Claimant m Decedent
4. I Probate Fees REGISTER Oi WILI.6
5. I Aocountanl's Fees
6. I Tex Relum Preperefa Fees
7. REOISTlR OF WILLS - Fllins Inventory and Appraisusmant
8. IRWIN LAW OFFICE - Attomay Faas (or Rweraa Mortpasa
9. TIGER ABSTRACT - gorrlns Coats Yror Rw~raa MoRSapa
10. FAITH A. NICOLA, TAX COLLlCTOR - 60% Rsal Estab Taxss
11. TROY ECNOPPERT - Propar~r MaMtananu
Zlp
Zip
3,000.00
181.00
30.00
250.00
8,733.67
500.34
100.00
TOTAL (Also enter an lines, RecapiWlation) I S
(If more apeoe b rubded,
REV-1612 EJC+ (12-03)
COMMONWEALTH OF PENNSYLVANUI
INHERITANCE TAX RETURN
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
DOROTNY O. TAYLOR 00886
Report debts Incurted by the dsadard prbr to daeth whkh remained unpaW en of the date of death, including unrNmbureed medial expeneas.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
~. wesT swoRe elRa 291.64
Modieai sm.
2. PINNACE! NEALTN 49.27
MWlul Bill
3. KEY6TONE OIL 492.88
SO%Outstondirrq Fuol OII BIII
4. M t T BANK 266.00
Nogathro Bolanu in Choekin8 Aeeount
5. M b T BANK 12,504.17
Homo Cquiar Lino of Cndk Nold Jointly with Joint Ownor of Rai Estnb
Onoalak Bolanu on Dato o/ Dalh
TOTAL (Also enter on line 10, Recapitulation) I S 1
(M more apace is needed, Imert edditlonel sheets otthe same dm)
REVA5l3 EX•+(900)
COMMONWEALTH OF PENNSYLVANW
INHERRANCE TAX RETURN
RESIDENT DECEDENT
DOROTHY 6. TAriOR
SCHEDULE)
BENEFICIARIES
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Lbt Tnlatea(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (indude M epouael dbMbutlone, and sansNra under
Sec. 9116 (e (1. )2
1. ROflMARY [. fNYDCR Collabral
f29 NummM ftroot 100 % Ruidw
Lomoyno, f'A 77049
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. NONE 0.00
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. NONE 0.00
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S 0.00
(K mrne space is needed, insert add'Nonal sheets of the same size)