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HomeMy WebLinkAbout08-10-09 (2)-~ REV-1500 1505607120 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO 60X.280601 21 0 8 0114 6 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 191464773 11112008 06101920 Decedent's Last Name Suffix Decedent's First Name MI HAMILTON O'DELL L (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 ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa, Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12-12-82) ® 6 Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust (Attach Copy of Trust) ~ 8. Total Number of Safe Deposit Boxes - ---- ^ 9. Litigation Proceeds Received ^ 1 p. Spousal Poverty Credit (date of death t 1 _ Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) ^ (Attach Sch. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number DEBRA K. WALLET 7177371300 Firm Name (If Applicable) LAW OFFICES OF DEBRA K. WALLET First line of address 24 NORTH 32ND STREET Second line of address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent'se-mail address: walletdeb@aOI.COm REGISTER OF WILLS USE ONLY r ~~~~1i - n =c~i~ O _ ~J ~ -v c: ~- C~ -n ~ ~.1 ~_ _ D- E~ILED -' ~~ . f r-n _rr ;,~ __-~ >;.~ 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, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE //Yl~..,.s.e ~ ,~"~.. ~ ~ __„ Maraie H. Murray /1 -~~ ~ _ 107 Chestnut Street, Mt. Holly Springs, PA 17065 auwrva i uKt Di- PREPARER OTHER THAN REPRESENTATIVE DATE ~Q~K, t.J~t,"r- Debra K. Wallet ADDRESS ~-tiit ~ ~~ 24 North 32nd Street, Camp Hill, PA 17011 Side 1 ~.~. 1505607120 1505607120 ,` P~o,~~ ~ ~,d~`'~i°~ ~©~~ ~~ ~~ -~, ~ _~~- oq ~ r 1505607220 REV-1500 EX Decedent's Social Security Number oecedenc's Name. H A M I L T O N O' D E L L L. 1914 6 4 7 7 3 RECAPITULATION 121,111.00 1. Real Estate (Schedule A) .......................................................................................... 1 2. Stocks and Bonds (Schedule B) ............................................................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3. 4. Mortgages & Notes Receivable (Schedule D) .......................................................... 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ................ 5. 1 2 9 , 8 7 7 . 6 1 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7, 8. Total Gross Assets (total Lines 1-7) ....................................................................... g. __ _ 2 5 O , 9 8 8.61 _ _ __ 9. Funera{ Expenses & Administrative Costs (Schedule H) ........ ..................... 9. 2 7 , 3 7 1 . 1 8 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................... . 10. 81 1 . 2 4 11. Total Deductions (total Lines 9 & 10) ..................................................................... . 11. 2 8 , 1 8 2 . 4 2 12. Net Value of Estate (Line 8 minus Line 11) ............................................................ . 12. 2 2 2 , 8 0 6 . 1 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13} ................................................ . 14. 2 2 2 , 8 0 6.19 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 .00 15. 16. Amount of Line 14 taxable at lineal rate x .045 2 2 2, 8 0 6.19 16. 10 , 0 2 6. 2 8 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 1 s. Tax Due .................................................................................................................... . 1 s. 10 , 0 2 6, 2 8 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 L 1505607220 1505607220 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 08 - 01146 Hamilton, O'Dell L. - - -_ - STREET ADDRESS 130 South 18th Street CITY Camp Hill STATE ZIP PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19} 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InterestlPenalty if applicable p. Interest E. Penalty 8,000.00 421.05 Total Credits (A + g + C} (1) 10,026.28 Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box 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. q, Enter the interest on the tax due. g. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (2) 8,421.05 (3) 0.00 (4) (5) 1,605.23 (5A) (5g> 1,605.23 Make Check Payable to: REGISTER OF W/LLS, 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 :.................................................................................. x b. retain the right to designate who shall use the property transferred or its income :.................................... xf c. retain a reversionary interest; or .................................................................................................................. ~ X' d. receive the promise for life of either payments, benefits or care? .............................................................. ' ! `x , 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ' x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which -.. contains a beneficiary designation? ...................................................................................................................... x 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)]. 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)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Hamilton, O'Dell L. ~ 21 - 08 - 01146 __ All real property owned sole)y or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wilting seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. __ ITEM DESCRIPTION NUMBER 1 130 South 18th Street, Camp Hill, PA (based on 96,120 assessed value x 1.26 common level ratio) VALUE AT DATE OF DEATH 121,111.00 TOTAL (Also enter on Line 1, Recapitulation) I 121,111.00 SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERfTANCE TAX RETURN RESIDENT DECEDENT __. _.. FILE NUMBER ESTATE OF Hamilton, O~D211 L. 21 - 08 - 01146 __ Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 2 3 4 5 6 7 8 9 10 11 DESCRIPTION __ Fulton Bank CD #022-0233619 Household contents -desk, stands, 2 chairs, assorted kitchen items (taken by son) Cash in possession of Decedent Sovereign Bank Premier Checking acct. #1051068754 Sovereign Bank Premier Money Market acct. #1054168660 Sovereign Bank CD #1055518060 Sovereign Bank CD #1055341141 Sovereign Bank CD #1055544686 Erie Insurance refunds HB McClure Co, refund Sale of household contents - Haar's Auction (net proceeds) VALUE AT DATE OF DEATH 20,000.00 250.00 22.00 4,873.78 17, 854.96 43,000.00 26,575.03 15,000.00 91.00 986.34 1,224.50 TOTAL (Also enter on Line 5, Recapitulation) _ 1 129,877.61 CHEDIAE H FUNERAL DCPENSES ~ COMMONWEALTH OF PENNSYLVANIA ~~~ ~~ INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hamiltonr O'Dell L. Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION NUMBER FUNERAL EXPENSES: A. 1 Parthemore Funeral Home 1303 Bridge St., P.O. Box 431, New Cumberland, PA 17070 2 Carlisle Memorials B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Margie H. Murray Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 107 Chestnut Street City Mt. Holly Springs State PA Zip 17065 Year(s) Commission paid 2. Attorney's Fees Debra K. Wallet, Esq. 3. Family Exemption: (ff decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip _ Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7, Other Administrative Costs 1 Postage, photocopies, etc. TOTAL (Also enter on line 9, Recapitulation) 5,000.00 6,000.00 351, 00 50.00 27,681.60 FILE NUMBER 21 -08-01146 AMOUNT 11, 309.65 185.00 Schedule H COMMONWEALTH OF PENNSYLVANIA ~~,,~,y,,~ INHERITANCE TAX RETURN ~~ LI~J01.7 RESIDENT DECEDENT 1-_ _. FILE NUMBER ESTATE OF Hamilton, O'Dell L. 21 - 08 - 01146 __. -- - - 2 Executrix's phone and postage fees 3 Home Depot (new lock for house) 4 Boones Property Maintenance 5 Janet Miller, Tax Collector (2009 property taxes) 6 Janet Miller, Tax Collector (2009-10 school taxes) 7 PP8~L (electric) 8 Pennsylvania American Water 9 UGI 10 Borough of Camp Hill (sewer) 11 Penn Waste 12 HB McClure 13 Erie Insurance Group 14 Foremost Ins. Co. (homeowner's policy) 15 Mileage of Executrix (645 miles x .585) 16 The Patriot News (Estate advertising) 17 Cumberland Law Journal (Estate advertising) 73.23 16.92 291.50 608.51 1,394.13 166.89 188.93 114.68 187.50 48.75 49.95 84.00 688.69 377.33 109.52 75.00 Page 2 of Schedule H SCHEDULE R DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS I NHERITANCE TAX RETURN RESIDENT DECEDENT -. _.. _. FILE NUMBER ESTATE OF Hamilton, O'Dell L. 21 - 08 - 01146 Include unreimbursed medical expenses. ITEM __ DESCRIPTION AMOUNT NUMBER 1 East Pennsboro Ambulance Service 46.00 2 Internists of Central PA 30.40 3 HB McClure (service contract) 257.00 4 Pennsylvania American Water 56.76 5 PP&L (electric) 59.77 6 UGI 40.97 7 Verizon 14.21 8 Penn Waste 48.75 9 Golden Living Center -West Shore 38.00 10 Mileage of Margie Murray acting as POA helping Decedent move to Golden Living Center (375 219.38 miles x .585) TOTAL (Also enter on Line 10, Recapitulation) I 811.24 ' REV-1513 EX+ (9-00) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hamilton, O'Dell L. __ _ __ RELATIONSHIP TO NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT RECEIVING PROPERTY Do Not List Trustee(s) I~ TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Barry F. Hamilton ,Son 443 Hale Street Harrisburg, PA 17104 FILE NUMBER 21 -08-01146 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) 100% of residuary Estate Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet jT~ NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX )S NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 LAST WILL AND TESTAMENT OF O'DELL L. HAMILTON I, O'Dell L. Hamilton, a resident of New Cumberland, Cumberland County, Pennsylvania being of sound mind and memory, do make,. publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM I. I direct that all of my just debts, my funeral expenses including a suitab le monument at my grave and the cost of administration of my estate be paid as soon as practicable after my death. I direct that my Executor pay out of my estate, as a general charge the reon,all inheritance, estate, succession and other taxes together with any interest or penalty thereon assessed by reason of my death with regard to all properties and assets subject to such taxes, whether or not such property and assets pass under this Will. ITEM II. I give, devise and bequeath all the rest, residue and remainder of my property, real, personal or mixed, tangible and intangible, of or over which I may have any power of disposition or appointment and whether acquired during or after my lifetime to Glenn F. Hamilton, my husband, now of 817 16th. Street, New Cumberland, Pennsylvania absolutely and in fee simple provided that he survives me by ninety (90) days; if Glenn F. Hamilton shall not survive me or should die with- in ninty (90) days of my death, then I give, devise and bequeath the said rest, res- idue and remainder of my property to Barry F. Hamilton, my son. ITEM iII. I 'Hereby nominate, constitute and appoint Glenn F. Ha~:~ilton as iry sole Executor of this my Last Will and Testament. In the event the said Glenn F. Hamilton refuses or is unable to act for any reason, I then hereby nominate, constitute and appoint Barry F. Hamilton as sole Executor of this my Last Will and Testament and I direct that no bond be required of my Executor. ~'~~P~X 7/c~ PAGE -2- ITEM IV. I authorize and empower my Executor to compromise, adjust, release and discharge in such manner as my Executor may deem proper, all debts and claims owed by or to me or my Estate; to sell lease or exchange at public or private sale or in such manner, at such prices, and upon such terms of credit or otherwise, as my Executor may deem proper, all or any part of my property, real oz personal; to execute, acknowledge and deliver instruments of conveyance, including deeds to fee simple; to borrow money for the purpose of paying estate, inheritance or other taxes which are required to be paid and to secure any such loan by pledge or mortgage of all or any part of my property and to ececute the necessary instruments to carry out such powers; to distribute mfr estate in kind or partly in money or partly in kind, and to determine the fair value in which any property so distributed in kind shall be received by the distributees; to conduct any business in which I have an interest at the time of my decease, for such period as he may deem proper, power to borrow money and pledge the assets of the business and the power to do all other acts that I, in my lifetime could have done, to delegate such power to any partner, manager or employee without liability for any loss occurring therein and to organize a corporation to carry on said business by itself or jointly with others to contribute all or part of the said business as capital to such corporation and accept stock in the corporation in lieu thereof and hold such stock for the uses of this my Will, and to vote said stock or to sell the same as to he may seem best; to retain all stocks, assets, bonds and investments owned by me without being confined to what is known as legal investments; to execute any options to purchase, to apply for stocks, bonds or other investments, to purchase or otherwise acquire real estate and to execute the same powers thereover as hereinbefore provided; to retain indefinitely any part of my assets, real or personal which is or may become unproductive or to make sale thereof; to pay carrying charges and expenses of the property out of other principal or income of my estate. The powers herein conferred shall be to my named Executor and all successors theretoo and shall be in addition and not in limitation of other powers conferred on said fudiciaries. C9 ~~~p3° ;l ~.,~ er,..~ ` tl PAGE -3- IN WITNESS WHEREOF, I, O'DELL L. HAMILTON have, to this my Last Will and Testament, typewritten on three (3) sheets of paper, numbered consecutively signed my name at the bottom of all pages hereto for the purpose of identification and at the end hereof, on page three (3) have set my hand and seal this ~ day of \ ~~- , 19 75 . ~~ ~~ ~ ~ (SEAL) Signed, sealed, published and declared by O'Dell L. Hamilton the above named Testatrix, on the p`ri1 day of _, 1975, as and for her Last Will and Testament in the presence of us, who, in hes presence and in the presence of each other have, at her request, subscribed our names as witnesses hereto. NAME ADDRESS <~~~,~~~ ~. ~o-~ ~ ~~ ~t NAME ADDRESS NAME ADDRESS