The URL can be used to link to this page

Home My WebLink About09-30-09 (2) J 150567120 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 60X.280601 ~ 21 0 9 ~ ~C~ ~ Harrisburg. PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 179 12 3916 O1 05 2009 Decedeni's Last Name KING (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name KING Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ,~ 1. Original Return 4. Limited Estate ~_._ Date of Birth 12 30 1918 Suffix Decedent's First Name MI JR JOHN R Suffix Spouse's First Name MI JACQUELINE THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return !~~ 4a. Future Interest Compromise (date of death after 12-12-82) U ~ Decedent Maintained a Living Trust (Attach Copy of Trust) ~~ 3, Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required B. Total Number of Safe Deposit Boxes 9. Liti ation Proceeds Received 1 p, Spousal Poverty Credit (date of death I 11. Election to tax under Sec. 9113(A) ____ g ^ between 1231-91 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 MARVIN J. RUDNITSKY 570 743 2333 r~ 6 Decedent Died Testate (Attach Copy of Will) Firm Name (If Applicable) RUDNITSKY & HACKMAN, L.L.P. First line of address 1372 NORTH SUSQUEHANNA TRAIL, SUITE 130 Second line of address City or Post Office SELINSGROVE State ZIP Code PA 17870 Correspondent'se-mail address: rudnitsky@rudnitskyhaCkman.COm REGISTER OF WILLS USE ONLY hJ C~ ~: ~ ~a7 - -~ 7 G7 ~ - ~ . _T.; C.3 4 T C~ - ,; -- t ' ~ DATE FILED , --{ - 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 ~1 . _ . e Q '__ _,. 1J,' ., Jacqueline Kina a ~ 9~ 1 ~nc, of 5214 Cobblestone iv chanicsburg, PA 17055 SIGNATURE OF PR AR HE HAN REPR ATIVE DATE A Marvin J. Rudnitsky Esq. 09/23/2009 ADDRESS ~`(j/ 1372 North Susqueh na Trail, Suite 130, Selinsgrove, PA, PA 17870 Side 1 150567120 1505607120 J 1505607220 REV-1500 EX Decedent's Social Security Number oecedent~s Name: J o h n R K i n g J r 17 9 12 3 916 -------- ---- 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 8~ Notes Receivable (Schedule D) .......................................................... 4 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... . 5. 6. Jointly Owned Property (Schedule F) L] Separate Billing Requested ............ . 6. rans ers Miscellaneous Non- Probate Property ( ) Separate Billing Requested ............ Schedule G . 7, 3 2 7 , 9 41.0 9 8. Total Gross Assets (total Lines 1-7) ...................................................................... . g. 3 2 7 , 9 41.0 9 9. Funeral Expenses & Administrative Costs (Schedule H) ........................................ . 9. 9 , 7 4 2 . 0 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................... . 10. 11. Total Deductions (total Lines 9 & 10) ..................................................................... . 11. 9 , 7 4 2 0 0 12. Net Value of Estate (Line 8 minus Line 11) ........................................................... .. 12. 3 1 8 , 19 9 . 0 9 13. Charitable and Governmental BequestslSec 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. 3 1 8 , 19 9 . 0 9 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 .o0 318 , 19 9. 0 9 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate X .045 0. 0 0 16• 0. 0 0 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17• 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18• 0. 0 0 19. Tax Due .................................................................................................................... . 19. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505607220 1505607220 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-09- DECEDENT'S NAME John R King Jr STREET ADDRESS 5214 Cobblestone Drive cITY Mechanicsburg STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InteresUPenalty if applicable p. Interest E. Penalty 0.00 Total Credits (A + B + C) 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. A. Enter the interest on the tax due. (1> 0.00 (2) 0.00 (3) (4) (5) 0.00 (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) ~ , ~ Q 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 and: Yes No a. retain the use or income of the property transferred :.................................................................................. x I 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? .............................................................. . x 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?......... x U ^ 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. v ..~.,.__ ~.. -_ . __ __ ---- 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. Rev-7610 EX+ (6.98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER King, John R Jr 21-09- This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTI~ F P P RTY INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 AIG single premium deferred non-qualified 133,364.00 50.000% 66,682.00 annuity -policy #6X205190 (owned by John R. and Jacqueline King Living Trust, dated July 15, 1999) 2 Jewelry - (owned by John R. and Jacqueline 15,000.00 50.000% 7,500.00 King Living Trust, dated July 15, 1999) 3 M8r.T Bank -checking acct.#51342928 (owned by 55,851.23 50.000% 27,925.62 John R. and Jacqueline King Living Trust, dated July 15, 1999) 4 Miscellaneous Personal Property - (owned by 10,000.00 50.000% 5,000.00 John R. and Jacqueline King Living Trust, dated July 15, 1999) 5 Nationwide Life Ins. Co. non-qualified annuity - 321,674.16 50.000% 160,837.08 contract #01-5786240 (owned by John R. and Jacqueline King Living Trust, dated July 15, 1999) 6 Symetra Life Ins. Co. non-qualified annuity - 119,992.77 50.000% 59,996.39 contract #V000041621 (owner: Decedent and spouse) TOTAL (Also enter on Line 7, Recapitulation) I 327,941.09 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+ (12.99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF I FILE NUMBER King, John R Jr 21-09- Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: Funeral Expenses 2,642.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees Rudnitsky & Hackman, L.L.P. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Jacqueline King Street Address 5214 Cobblestone Drive city Mechanicsburg state PA Z;p 17055 Relationship of Claimant to Decedent SpOUSe 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 3,500.00 3,500.00 100.00 TOTAL (Also enter on line 9, Recapitulation) I 9,742.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER King, John R Jr 21-09- NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) Do Not Llst Trustee s I TAXABLE DISTRIBUTIONS [include outright spousal ~ distributions, and transfers under Sec. 9116(a)(1.2)] 1 John R. and Jacqueline King Marital Trust Spouse 50% of residue (beneficiary is surviving spouse, Jacqueline King) 2 John R. and Jacqueline King Family Trust Spouse 50% of residue (beneficiary is surviving spouse, Jacqueline King, see attached Disclaimers signed by daughter and granddaughter) Total Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropri ate, on Rev 1500 cove r sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS 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 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) IN RE: ESTATE OF JOHN R. KING, JR., DATE OF DEATH: 01/05/2009 DECEASED FILE NO. DISCLAIMER 1. WHEREAS, John R. King, Jr. died on January 5, 2009, testate; 2. WHEREAS, John R. King, Jr. is survived by his wife, Jacqueline King, his adult daughter, Arlene Ann Gibble, and his adult granddaughter, Natalie J. Baublitz; 3. WHEREAS, during his lifetime, John R. King, Jr., created the JOHN R. AND JACQUELINE KING LIVING TRUST, dated July 15, 1999, wherein the decedent's spouse and descendants are entitled to discretionary distributions of income and principal from the Family Trust created in the aforesaid Living Trust; 4. WHEREAS, Section 6201 of 20 Pa. C.S.A. permits any person to whom an interest in property would have devolved by whatever means to disclaim such interest in whole or in part by written disclaimer; and, 5. WHEREAS, the undersigned desires to disclaim any and all interests as a discretionary beneficiary of income and principal from the Family Trust created in the John R. and Jacqueline King Living Trust, dated July 15, 1999, during the lifetime of Jacqueline King only. NOW, THEREFORE, intending to be legally bound hereby, the undersigned makes a knowing disclaimer of her interest as discretionary beneficiary of income and principal in the Family Trust created in the John R. and Jacqueline King Living Trust, dated July 15, 1999, during the lifetime of Jacqueline King only. Dated: ~1 ~.~ ~~ ~ ~, 2009 Witn s Arlene Ann Gibble u:U{ing. EP\Estate-John\Disclaimer.Arlene IN RE: ESTATE OF JOHN R. KING, JR., DATE OF DEATH: 01/05/2009 DECEASED FILE NO. DISCLAIMER 1. WHEREAS, John R. King, Jr. died on January 5, 2009, testate; 2. WHEREAS, John R. King, Jr. is survived by his wife, Jacqueline King, his adult daughter, Arlene Ann Gibble, and his adult granddaughter, Natalie J. Baublitz; 3. WHEREAS, during his lifetime, John R. King, Jr., created the JOHN R. AND JACQUELINE KING LIVING TRUST, dated July 15, 1999, wherein the decedent's spouse and descendants are entitled to discretionary distributions of income and principal from the Family Trust created in the aforesaid Living Trust; 4. WHEREAS, Section 6201 of 20 Pa. C.S.A. permits any person to whom an interest in property would have devolved by whatever means to disclaim such interest in whole or in part by written disclaimer; and, 5. WHEREAS, the undersigned desires to disclaim any and all interests as a discretionary beneficiary of income and principal from the Family Trust created in the John R. and Jacqueline King Living Trust, dated July 15, 1999, during tl:e lifetime of Jacqueline King only. NOW, THEREFORE, intending to be legally bound hereby, the undersigned makes a knowing disclaimer of her interest as discretionary beneficiary of income and principal in the Family Trust created in the John R. and Jacqueline King Living Trust, dated July 15, 1999, during the lifetime o Jacqueline King one. Dated: ~;~ J,1, %t ! 1^: ~> , 2009 Natalie J.~Baublita~ , - --- u:lKing.EP\Estate-John~Disclaimer.Nata1 ie Rudnitsky & Hackman.L_LP. Attorneys at Law Cumberland County Register of Wills 1 Courthouse Square, Room 102 Carlisle, PA 17013 Courtyard Offices 1372 N. Susquehanna Trail, Suite 130 Selinsgrove, Pennsylvania 17870 Telephone (570) 743-2333 Fax (570) 743-2347 www.rudnitskyhackman.com September 29, 2009 Re: Estate of John R. King, Jr. S.S.#179-12-3916 Date of Death: 01/05/2009 Dear Register of Wills: Enclosed you will find an Inheritance Tax Return Resident Decedent (REV-1500) to be filed in your office in reference to the above estate. We have also enclosed a Death Certificate. This estate does not need to be probated. Also enclosed a check in the amount of $15 to cover the filing fee. If you have any questions, please feel free to call our office. Thank you. Very truly yours, Enclosures U:\King. EP\Estate-John\(Cumberland.County.Register.929.2009 RUDNITSKY & HACKMAN, L.L.P. BY: AMY L. ST ~ B, Settlement Coordinator for MARVIN J. RUDNITSKY, ESQUIRE C7 rv Cy ~ o .,+o , .~ ~ _ _~ ~ r ? . ~ Z r ~ _. --rn - T `' C,J ; - - - „ C7 ~- `'_~ _ _ - ..1 i..._ ~. _. ~:~7 ~ _ - r ,^-i N -~" ._ ~ CrJ