HomeMy WebLinkAbout09-17-09J 15056041046
REV-1500 EX (05-04) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes ~ INHERITANCE TAX RETURN
Dept. 280601
Harrisburg, PA 17128-0601 RESIDENT DECEDENT v2 ~ d S ~~ r ~>~ 6
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
33 / .3~ X933 / l/.~~aoS /!~6'/~':~,~'
Decedent's Last Name Suffix Decedents First Name MI
,/ ~ ~
Y c~ YJ ~ 4 ~4 ~ r ,• C h 9 m~ k~l r ~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 O 2. Supplemental Return O 3. Remainder Return (date of death
O 4. Limited Estate
O 6. Decedent Died Testate
(Attach Copy of Will)
O 9. Litigation Proceeds Received
O 4a. Future Interest Compromise (date of
death after 12-12-82)
O 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
O 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
prior to 12-13-82)
O 5. Federal Estate Tax Return Required
Q 8. Total Number of Safe Deposit Boxes
O 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
J a V i n 1~C ~ ;~ ~ d~; 7 ~ 7 8 O S C;,l ,~ 7
Firm Narhe (If Applicable)
First line of address
X817 ch;~~>~nh~m R~
Second line of address
City or Post Office
/1~1 c: c~ u n i c y 6' -u r
Correspondent's a-mail address
State ZIP Code
~_
REGIST y ~ WILLS U ONLY__
n fTl ~,
~r-
.I-rz _..._ -
~,~ {_ --,
,:; C =-~ -
J 7 .,... -
_~
_..~ ..
'~~DATE FILED N
f' ~ l 7 ~ 50
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.
SIGNAT~~,~~OF PERSON' L OR FILING ETUR
1 ~- O
ADDRESS ~~ ~ ~/
SIGNAT PREPA R O R THAN~ESENTATIVE DATE ?
ADDRE l ` / ^ ~ 7
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056041046 15056041046
15056D42047
REV-1500 EX
\ ~ 1 ~/ I // Decedent's Social S~[ecurity Number
Decedent's Name: V L Yt ~ a ~/ -R Of (` ~y , ~ /7 4 m 4 /C ~i _ ~"r 3 ~ / ~ /- ~ ~ ~ -~
RECAPITULATION
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. •
hedule E)
l P
rt
S
P
Mi
ll 5 p
2 O ~~~ ~ ~ b
5. ......
rope
y (
c
ersona
sce
aneous
Cash, Bank Deposits & ..
. v
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. •
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested......
.. 7.
8.
Total Gross Assets (total Lines 1-7) ..................................
.. 8. ` -7
6
p2 8 V a O, /
9.
Funeral Expenses & Administrative Costs (Schedule H) ..................
... 9. /
r
7 ~ f ~ . ~j ..7
10.
Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............
... 10. q
~l ~ ,~ 9 . ~ (/
11. Total Deductions (total Lines 9 & 10) ................................ ... 11. f S ~ T
/ •~ s
12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12 Q
l p2 >~ d7 ~ . ~ 1
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. Q Q
/ O2 ~j S v .~ ` '
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 .0 . 1 5.
16. Amount of Line 14 t_~xable
16
~ ~ 9 •~
at lineal rate X .0 ~ •
17. Amount of Line 14 taxable
at sibling rate X .12 • 17. _
18. Amount cf Line 14 taxable
•
18
•
at collateral rate X .15 .
19 `~ ? / •~ ,~
19. TAX DUE ...................................................... .
...
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~
~ (( /,
\ ~ Y ~v~
~~-~~~~o
~ ~ ~ ~`
~ .~,
~`~ 15056042047
Side 2
15056042047 J
REV!1500 EX Page 3
Decedent's Complete Address:
File Number
DECEDENT'S NAME , /
C~I4m~t/l~r~{ V ~n~gfr~~l`r`
STREET ADDRESS ~~
CITY
cnc~n~~s!~ur
STATE f ZIP
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments // ~ ~v ,, U v
C. Discount
Total Credits (A + B + C) (2)
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total InterestlPenalty (D + E )
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.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
l 3 ~~ ~
- c7 .-
(4) ~Q. U.~
(5) n
(5A)
(5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer arid: Yes No
a. retain the use or income of the property transferred :................................................................................... ....... ^
b. retain the right to designate mrho 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? .......................................................................................................
....... ^ ~r
,~I
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? ................................................................................................................. ....... ~ , ,
~y
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)). 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.
REV-1508 EX+ (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Venkatadri, Chamakura 2005-01046
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.
tlr more space is neetletl, insert additional sheets of the same size)
REV-1511 EX+ (12-99)
SCNEDt~LE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Venkatadri, Chamakura 2005-01046
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~' Patriot News 161.16
2. Ravindra Raj -Funeral Expense 6,334.70
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
~. Post Office
a. Bank Fees
Zip
Zip
10.00
250.00
105.00
127.94
23.85
TOTAL (Also enter on line 9, Recapitulation) I $ 7,012.65
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-08)
Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Venkatadri, Chamakura 2005-01046
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
It more space is needed, insert additional sheets of the same size.
y
REV-1510 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Venkatadri, Chamakura 2005-01046
This schedule must be completed and fled if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRAN;iFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATEOFTRANSFER.ATTACHACCPYOFTHEDEEDFDRREALESTATE.
DATE OF DEATH
VALUE OF ASSET
% OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE
1 ~ Merrill Lynch 872-49228:
Sumathi Ravindar 77,966.81 40 77,966.81 0.00
Indira Kumar 58,475.10 30 58,475.10 0.00
Samyuktha Leisenring 38,983.40 20 38,983.40 0.00
Suryakala Venkatadri 19,491.70 10 19,491.70 0.00
Total 194,917.01 100 194,917.01 0.00
2 Merrill Lynch 872-79167:
Sumathi Ravindar 11,074.88 40 11,074.88 0.00
Indira Kumar 8,306.16 30 8,306.16 0.00
Samyuktha Leisenring 5,537.44 20 5,537.44 0.00
Suryakala Venkatadri 2,769.03 10 2,769.03 0.00
Total 27,687.51 100 27,687.51 0.00
TOTAL (Also enter on line 7 Recapitulation) $ I 0.00
(If more space is needed, insert additional sheets of the same size)
Alan J Ceperich CPA EA
3429 Derry Street
Harrisburg, PA 17111
Tel : (717) 238-5919 Fax: (717) 901-4717
ceperich@ceperichcpa.com
Re: Estate of Chamakura Venkatadri
File Number 2005-01046
Schedule G Attachment
To whom it may concern:
Merrill Lynch required the funds to be distributed directly to the beneficiaries.
The beneficiaries were advised to pay the required Inheritance Tax on the money that
they received.
Sincerely,
:~i
Alan perich
`~
G'"~ ~.J
/~ r~,~
~. !~, c ~
,t ,,,.r . _ ,~ . ( r
.. Q~ ti: Z~ ~, ~
~~~ ~-~ ~
`~°°`~ `~
~~~R~°~~~~~ ` - ~ ~.
~a~'~~~,~ ~ ~
~~
r~
v
III
,.,. - ~ ~-' ~ o
i; ~ 1 0
~~~ ~ ~ ~ o
,.~.t
,.: ~ ~ ~ _
~~~ ~ ~ o
;~
'~' ~~ `~
~ ~~ `~
`~ ~f ~,
~.
-. ~ ~ o
~ r ~ ~~
~~~ / ~ l ~~
~_ r `~ ~~
r ~ ~ 4~ ~"y`y-y W
i / .~~ n 9 G
1 C, fn r`.b~
~,~} " ~ ~1t y~ ~D Z
o
.~..a1~"'r`
.~.~t r~~........ef r. .. .,.~.._