HomeMy WebLinkAbout10-15-09 (2)r
a
15056051058
REV-1500 EX
06
05
PA Department of Revenue (
-
) OFFICIAL USE ONLY
Bureau of Individual Taxes
Po Box 2aosol County Code Year File Number
INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 ~ / ~~ VU~
RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
165-03-4315 01 /20/2009 08/13/1910
Decedent's Last Name Suffix Decedent's First Name MI
BAUERLE MARGARET E
(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 INAPPROPRIATE OVALS BELOW
• 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required
death after 12-12-82)
6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 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
J MARC BAUERLE (717j 433-5303
Firm Name (If Applicable)
,i.',~~ ' i si _..
First line of address
P O BOX 711 RECORDED OFFICE OF
Second line of address REGISTER OF WILLS
2009 OCTOBER 15
CLERK OF
City or Post Office State ZIP Code ORPFLANS' COURT
MECHANICSBURG PA 17055 CUMBERLAND CO., Pr~,~
Correspondent's a-mail address
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 ERSON RESPONSI E FOR FILI RETURN ATE
-h,~ , ~/i~oy
ADDRESS
P O BOX 1 MECHANICSBURG PA 17055
SIGNATURE OF PREPARER OTHER TH PRESENTATIVE DATE /
~~~( 0~
ADDRES~
430 N ENOLA DRIVE NOLA PA 17025
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
15056052059
REV-1500 EX
Decedents Social Security Number
Decedents Name: MARGARET E BAUERLE 165-03-4315
RECAPITULATION
1. Real estate (Schedule A) . ......................................... ... 1.
2. Stocks and Bonds (Schedule B) .................................... ... 2. 57,281.53
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) Separate Billing Requested .... ... 6.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested..... ... 7.
8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 57,281.53
9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 3,809.30
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10. 24,863.10
11. Total Deductions (total Lines 9 & 10) ................................ ... 11. 28,672.40
12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 28,609.13
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. 28,609.13
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_ 15.
16. Amount of Line 14 taxable
at lineal rate x .0 45 1,287.41 16. 1,287.41
17. Amount of Line 14 taxable
at sibling rate X .12 17
18. Amount of Line 14 taxable
at collateral rate X .15 18
19. TAX DUE ....................................................... .. 19. 1,287.41
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
15056Q52059
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
MARGARET
__
STREET ADDRESS
P O BOX 711
E BAUERLE
DECEDENTS SOCIAL SECURITY NUMBER
165-03-4315
CITY
MECHANICSBURG
STATE j ZIP
PA ! 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 1,287.41
2. Credits(Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2)
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total InteresUPenalty (D + E) (3)
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. (q)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,287.41
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 1,287.41
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 :................................................................................... ....... ^ 0
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? ............................................................... ....... ^
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
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................................. ...... ^
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 fpr 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.
- _ _ _,, r - - - -
REV-1503 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
MARGARET E BAUERLE 2009-00325
All property jointlyowned with right of survivorship must 6e disclosed on Srhaduln F
in m~~e space is neeaea, msert aafJmonal sheets of the same size)
REV-1517 EX+ (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
MARGARET E BAUERLE 2009-00325
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~ MYERS FUNERAL HOME
2,755.00
e. 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 Zip
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
~.
Zip
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
575.30
79.00
400.00
3,809.30
i<EV-I.SI.J EX+ ;22-08)
~i ' Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
ESTATE OF FILE NUMBER
MARGARET E BAUERLE ~nn~_nn~~~
report aeon mcurretl by the decedent prior to death that remained unpaid at the date ~f dam+ti ~~..i~~a;..~ .....e:_....__~ __~:__~ _________
•~ ~~~~~~ ~,.o,.= ~~ ~~__~_~, uisen aooRiDnai sneers or the same size.
STATEMENT
RESIDENT STATEMENT FROM
CHURCH OF GOD HOME, INC Statement Date Due Date ACCOUNT NUMBER
801 N HANOVER STREET
CARLISLE, PA 17013 03/31/2009 Upon Receipt 802783
717-249-5322
AMOUNT PAID $ -
Please make check payable to CHURCH OF GOD F~OME, INC
MARGARET E BAUERLE Remit To:
c% MARC BAUERLE CHURCH ~DF GOD HOMfi, INC
PO BOX 711 801 N HANOVER STREET
MECHANICSBURG, PA 17055 CARLISLE, PA 17013
- Please detach and return3his portion with your remittance`to the address above. _
Comments
$0.00 $0.00 -- _ - -- ----_-_-
__~-_ ___ _ $20,894_97 $274.81 $3,693.32 - $24,863.10 ~
----
--
-- __
-Date - - - - - -_
Description Daysi Rate Charges/ l~Payments ~'~ Balance '
_~ (Credit)
__ _ - --- --- --- --- -- II Units ~ -- -~ - --- ~~:.--- ~1--- ----- ------.
Balance Forward $24,863.10 $24,863.10
TOTAL BALANCE DUE: $24,863.10
FACILITY NAME RESIDENT NAME ACCOUNT NUMBER
CHURCH OF GOD HOME, INC MARGARET E BAUERLE 802783
__
- - - -
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date: 4/07/2009
Cumberland County - Register Of Wills Receipt Time: 14:45:22
One Courthouse Square Receipt No.: 1056376
Carlisle, PA 17013
BAUERLE MARGARET E
Estate File No.: 2009-00325
Paid By Remarks: J MARL BAUERLE
AJW
------------------- ----- Receipt Distribution
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL 45.00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 15.00
4.00 CUMBERLAND
CUMBERLAND COUNTY
COUNTY GENERAL
GENERAL FUN
FUN
JCP FEE
AUTOMATION FEE 10.00
5.00
--- BUREAU OF
CUMBERLAND RECEIPTS
COUNTY & CNTR
GENERAL M.D
FUN
Check# 1216 -------------
$79.00
Total Received..... .... $79.00
Law Offices of Peter J. Russo, P.C.
5006 E. Trindle Road, Suite 100
Mechanicsburg, PA 17050
Ph:717-591-1755 Fax:717-591-1756
Marc Bauerle
P.O. Box 711
Mechanicsburg, PA
17055
Attention:
RE:
DATE DESCRIPTION
May-11-09 Review documents -Fax from Counsel
review incoming fax; forward to PJR
May-13-09 draft letter to client with fax from OC
May-19-09 telephone call from client
May-20-09 Review Incoming Email & response RE: Bill
May-28-09 telephone call from client; review with PJR
May-29-09 Review documents -File & fax from Opposin
g
Counsel
Telephone call to Opposing Counsel
Totals
June 2, 2009
File #: 07-0141
Inv #: 8462
HOURS AMOUNT LAWYER
0.33 '72.60 PJR
0.17 14.45 ARS
0.17 14.45 ARS
0.17 14.45 ARS
0.17 0.00 PJR
0.17 14.45 ARS
0.33 72.60 PJR
0.17 37.40 PJR
1.68 $240.40
Total Fee & Disbursements
0
Balance Now Due
"L $240.40
TAX ID Number OS-0532082
Law Offices of Peter J. Russo, P. C.
5006 E. Trindle Road, Suite 100
Mechanicsburg, PA 17050
Ph:717-591-1755 Fax:717-591-1756
Marc Bauerle
P.O. Box 711
Mechanicsburg, PA
17055
Attention:
RE:
DATE DESCRIPTION
Feb-04-09 review and print incoming fax with PJR;
telephone call from OC
Feb-OS-09 review incoming mail from Medicare; scan
into computer
Totals
Total Fee &.Disbursements
Previous Balance
Previous Payments
Balance Now Due
TAX ID Number 05-0532082
PAYMENT DETAILS
Feb-27-09 Client Payment
Total Payments
March 10, 2009
File #: 07-0141
Inv #: 7995
HOURS AMOUNT LAWYER
0.17 0.00 ARS
0.17 14.45 ARS
0.34 $14.45
$14.45
~ 144.50
144.50
$14.45
~6
144.50
$144.50
Law Offices of Peter J. Russo, P. C.
5006 E. Trindle Road, Suite 100
Mechanicsburg, PA 17050
Ph:717-591-1755 Fax:717-591-1756
Mazc Bauerle
P.O. Box 711
Mechanicsburg, PA
17055
Attention:
RE:
Total Fee & Disbursements
Previous Balance
Previous Payments
Balance Now Due
TAX ID Number OS-0532082
PAYMENT DETAILS
Mar-30-09 Client Payment
Total Payments
Mazch 31, 2009
File #: 07-0141
Inv #: 8058
$0.00
14.45
14.45
$0.00
~~
~/./~~
Law Offices of Peter J. Russo, P. C.
5006 E. Trindle Road, Suite 100
Mechanicsburg, PA 17050
Ph:717-591-1755 Fax:717-591-1756
Marc Bauerle
P.O. Box 711
Mechanicsburg, PA
17055
February 9, 2009
Attention: File #: 07-0141
Inv #: 7782
RE:
DATE DESCRIPTION HOURS AMOUNT LAWYER
Jan-04-09 forward incoming fax to PJR
0.17
0.00
ARS
Jan-OS-09 review with AIS; print docs; fax to OC
0.17
14.45
ARS
Jan-08-09 review of file with PJR 0.17
0.00
ARS
telephone call from OC 0.17 14.45
ARS
telephone call to client 017 p 00
ARS
review incoming fax from OC regarding
hearing notice; draft letter to ALJ; fax and
mail to ALJ and OC regarding hearing 0.17 14.45
`~S
Jan-09-09 review incoming messages from OC (2) 0.17
14.45
qRS
telephone call to OC; review of file with PJR 0.17 14.45
ARS
draft affidavit; forward to PJR 0.17 14.45
ARS
Jan-12-09 review incoming fax; attach notary page; scan
and forward to PJR 0.17 14.45
ARS
review incoming a-mail from PJR; fax
affidavit to OC with cover letter 0.17 14.45
ARS
Invoice #: 7782 Page 2
February 9, 2009
review and print incoming fax from OC;
forward to PJR
telephone call from OC; review with PJR and
client
telephone call to Marc; print and mail faxes
from OC
Jan-13-09 Telephone call to Client
Telephone call to Client
Review documents from Opposing Counsel
Totals
Total Fee & Disbursements
Previous Balance
Balance Now Due
TAX ID Number OS-0532082
O.:17 14.45 ARS
0.17 14.45 ARS
0.1.7 0.00 ARS
0.17 0.00 PJR
0.17 0.00 PJR
0.17 0.00 PJR
2.89 $144.50
$144
"~~ ~ 917.65
~~
$1,062.15.
~~~~
lc J
~"'~r,
~~
. ~~
Law Offices of Peter J. Russo, P. C.
5006 E. Trindle Road, Suite 100
Mechanicsburg, PA 17050
Ph:717-591-1755 Fax:717-591-1756
Marc Bauerle
P.O. Box 711
Mechanicsburg, PA
17055
July 1, 2009
Attention: File #: 07-0141
Inv #: 8705
RE:
DATE DESCRIPTION HOURS AMOUNT LAWYER
Jun-O1-09 Telephone call to Opposing Counsel
0.17
0.00
PJR
review with PJR; a-mail letter 0.17
14.45
ARS
Jun-02-09 Telephone call with Opposing Counsel
0.17
37.40
PJR
Jun-OS-09 review message from client; review of file
with PJR
0.17
14.45
ARS
Jun-08-09 telephone call to Marc; left message 0.17
14.45
ARS
Jun-19-09 telephone call to client; review of file with PJR 0.34
28.90
ARS
Jun-22-09 review doc with PJR
0.17
0.00
ARS
Jun-23-09 review incoming fax from OC; forward to
PJR; save in file
0.17
14.45
ARS
telephone call to client; fax docs 0.17
14.45
ARS
review of file with PJR 0.17
0.00
ARS
Jun-25-09 e-mail to PJR
0.17
0.00
ARS
review incoming message from client; forward
to PJR 0.17
0..00
ARS
` 'Invoice #: 8705
~ _ _
Page 2 July 1, 2009
Jun-26-09 Telephone call with client
Telephone call to opposing counsel
Totals
Total Fee & Disbursements
Previous Balance
Balance Now Due
TAX ID Number OS-0532082
O.1.7 37.40 PJR
0.17 0.00 PJR
2.55 $175.95
~ -~ 3a
$175.95
7~ ~ 240.40
$416.35
e' y "°:f
't'~;n