HomeMy WebLinkAbout10-26-09 (3)1505607121
~' REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 2 1 0 7 1 0 4 4
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 6 2 2 2 0 4 0 0 0 9 2 5 2 0 0 7 0 7 0 3 1 9 2 7
Decedent's Last Name Suffix Decedent's First Name MI
M C C A R T H Y J R C A L V I N D
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
M C C A R T H Y M A R L E N E
Spouse's Social Security Number
2 0 2 2 0 3 8 6 8 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return # 1 ~ 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 - TH15 SECTION MUST BE COMPLETED. ALL GOKKtSPONUENGt AND GUNtIUEN I IAL 1 AJC INtUKMAI IUPI JFIVULU tSt UIKtV 1 tU 1 U:
Name Daytime Telephone Number
J A N L B R O W N 7 1 7 5 4 1 5 5 5 0
Firm Name (If Applicable) -
REGISTER Q}F WILLS USELY -
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J A N L
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Second line of address
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City or Post Office
H A R R I S B U R G
ZIP Code ~-
1 7 1 0 9
State
P A
Correspondent's a-mail address: brendallb VerIZOn.net
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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 PER>60N E2E6PONSIBLE FOR FILING RETURN DATE ,
73 NAILOR ROAD
SIGNATUR F REP~I~i'l9
R THAN REPRESENTATIVE
ADDRE
845 THOMAS CT STE 12
HARRISBURG
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505607121
DILLSBURG
d1
PA 1701,9
DATE
~0-2 ~- 0 9
PA 17109
1505607121
J
1505607221
REV-1500 EX Decedent's Social Security Number
oecedent'sName: CALVIN D• MCCARTHY~ JR 1 6 2 2 2 0 4 0 0
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. •
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 8 0 0 0 • 0 0
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) ........................... 8. 8 0 0 0 • 0 0
9. Funeral Ex enses & Administrative Costs Schedule H
P ( ) .......... 9.
...... 8 0 0 • 0 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ...... ...... 10. •
11. Total Deductions (total Lines 9 & 10) ..................... ...... 11. 8 0 0 • 0 0
12. Net Value of Estate (Line 8 minus Line 11) ................... ...... 12. 7 2 0 0 • 0 0
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. 7 2 0 0 • 0 0
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 0 . 0 0 15.
16. Amount of Line 14 taxable
7 2 0 0
0
0
at lineal rate X .045 16.
17. Amount of Line 14 taxable 0 0 0
at sibling rate X .12 17.
18. Amount of Line 14 taxable
0
0
0
at collateral rate X .15 18.
19. Tax Due ............... ....................... ... ..... ..19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
0. 0 0
3 2 4. 0 0
0. 0 0
0. 0 0
3 2 4. 0 0
Side 2
1505607221 1505607221
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 21 07 1044
DECEDENT'S NAME
CALVIN D. MCCARTHY, JR _
_- - ----
STREET ADDRESS
60 Glendale Drive
Silver Sprin~Township _
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
~. Tax Due (Page 2 Line 19) (1) 324.00
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2) 0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3) 0.00
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. (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 324.00
A. Enter the interest on the tax due. (5A) 25.02
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 349.02
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 : ................................................................ ...... ^
b. retain the right to designate who shall use the property transferred or its income; ......................... ...... ^ X^
c. retain a reversionary interest; or .......................................................................................... ...... ^ 0
d. receive the promise for life of either payments, benefits or care? ................................................. ...... ^ 0
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? ................................................................................. ...... ^ 0
3. Did decedent own an "intrust 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? ............................................................................................ ...... ^
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, ~ M~~7C.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY, JR 21 07 1044
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.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 1982 Chevrolet Truck C30 1,000.00
(Valued and reported on original Inher Tax Return at $2,000;
subsequently sold for $3,000; difference of $1,000.)
2 Cessna 150 Plane 7,000.00
(Additional asset not reported on original Inher Tax Return.)
TOTAL (Also enter on line 5, Recapitulation) I ~ 8 000.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY, JR 21 07 1044
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B
2.
3.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City State
Year(s) Commission Paid:
Attorney Fees Jan L Brown & Associates
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4.
5.
6.
7.
Probate Fees Register of Wills, Cumberland County
Accountants Fees
Tax Return Preparers Fees
750.00
50.00
TOTAL (Also enter on line 9, Recapitulation) I ~ 800.00
(If more space is needed, insert additional sheets of the same size)
Zip
REV-1513 EX + (9-oQ)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
t;Al VIN n MC:C:QRTHY .IR ~~ n-~ an~~
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Kenneth L McCarthy, son Lineal
1642 Holtz Rd, Enola, PA 17025 25% residue
2 Carolyn L Bishop, daughter Lineal
659 Sawmill Rd, Mechanicsburg, PA 17055 25% residue
3 Diane L Cline, daughter Lineal
73 Nailor Rd, Dlllsburg, PA 17019 25°1o residue
4 Marilyn LMcCarthy-Wadlinger, daughter Lineal
67 Millers Gap Rd, Enola, PA 17025 25% residue
Note: Surviving spouse, M Arlene McCarthy, died on
5/9/2008. On 5123108, the Administrator of M Arlene
McCarthy"s Estate disclaimed and renounced her interest
in property passing by intestacy in the Estate of
Calvin D McCarthy Jr.
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1. 8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~
tlr more space Is neeoea, Insert aoaltlonal sheets or the same size)
ATTACHMENT TO REV-1500
Supplemental Return #1
ESTATE OF FILE NUMBER
CALVIN D. MCCARTHY, JR 21 07 1044
This estate filed its original Inheritance Tax Return on December 29, 2008. Said return was
accepted as filed on May 4, 2009.
This supplemental return is being filed to accurately report additional assets not reported on the
original return.
Schedule H itemizes additional administrative costs incurred. The attorney's fees are reasonable
in amount considering the legal time required and expense involved in these matters.