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HomeMy WebLinkAbout12-07-09150560?121 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN ry PO BOX 280601 2 1 0 9 0 0 4 2 3 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 2 0 4 0 3 5 9 4 0 0 3 2 6 2 0 0 9 0 8 2 5 1 9 2 0 Decedent's Last Name Suffix Decedent's First Name MI T O D D J R C R O B E R T (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI T O D D O Z E L L A D Spouse's Social Security Number 1 9 9 0 7 4 8 3 1 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Retum 0 2. Supplemental Retum ~ 3. Remainder Retum (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required death after 12-12-82) ^X 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 0 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 T0: Name Daytime Telephone Number I V O V O T T 0 I I I 7 1 7~ 4 3 ~3 4 ~-~ Firm Name (If Applicable) d a REGIS LLS ONL'f~„c' ' ;y M A R T S O N L A W O F F I C E S ~ `~=~~{ ~ ~- First line of address N ~ ~ 1 0 E A S T H I G H S T R E E T ,~~ ~ ;,~~ _ -~- ;, Second line of address ~i .. ~.~~ i ~ ~; City or Post Office State ZIP Code DATE FILED C A R L I S L E P A 1 7 0 1 3 Correspondent's a-mail address: I 0 T T 0 a~ M A R T S 0 N L A W• C 0 M Under pena ' s f 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, and complete eclaratio f pre arer other than the personal representable is based on all information of which preparer has any knowledge. SIGNA F P SON SP BL R FILING RETURN naT~ ADDRESS ~ / 95-270 WAIKALANI DRIVE A-301 MILILANI HI 96789 SIGNA R F R OTHERJ~MIV REPRESENTATIVE DAT€ ~r - f ~ f -~ ~ h ei ADDRESS 10 EAST HIGH STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Slde 1 1505607121 1505607121 Continuation of REV-1500 Inheritance Tax Return Resident Decedent C ROBERT TODD, JR 21 09 00423 Decedent's Name Page 1 File Number Correspondents Name Firm Name (If Applicable) First line of address Second line of address City or Post Office Correspondent's e-mail address: State ZIP Code Daytime Telephone Number Under penalties of ' ry, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, ft is true, correct an co plate. Declarati n of preparer other than the personal representable is based on all information of which preparer has any knowledge. SIGNATURE OF RS SPONSI E FO F ING F~W `N DATE ~ _' /2 ADDRESS 1 HILL STREET MT. HOLLY SPRINGS PA 17065 J 1505607221 REV-1500 EX Decedent's Social Security Number 2 0 4 0 3 5 9 4 0 Decedent's Name: C ROBERT T O D D J R RECAPITULATION 1. 1. Real estate (Schedule A) .••••••••••••••••••••••••••••••'••""" 2. 2. Stocks and Bonds (Schedule B) •••••••••••••••••••••••••••••••••' 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 & Miscellaneous N~PrSo pa~terBilling Requested ....... G 7. 2 3 0 0 0 . 0 0 ) (Schedule $ 2 3 0 0 0, 0 0 B. Total Gross Assets (total Lines1-7) ••••••••••••••••••••••••••• ................ 9. Funeral Expenses 8 Administrative Costs (Schedule H) 9• 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10. 11. TotaiDeductions(totalLines98~10) ••••••••••••••••••••••••••• 11. 12 2 3 0 0 0. 0 0 12. Net Value of Estate(Line8minusLine11) .. •.••••••••••••••••••••• . Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 . an election to tax has not been made (Schedule J) . • • • • • • • 13. 2 3 0 0 0, 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) . • • • • • • • 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0. 0 0 15. 0. Q Q (ax1.2) X.0 16. Amount of Line 14 taxable 2 •3 0 0 0 0 0 16 ], 0 3 5. 0 0 at lineal rate X .045 . 17. Amount of Line 14 taxable 0 ~ 0 0 17. 0 . 0 0 at sibling rate X .12 18. Amount of Line 14 taxable Q ~ 0 0 18. 0 . 0 0 at collateral rate X .15 19. 19. Tax Due ................................................ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505607221 Side 2 1 0 3 5. 0 0 1505607221 J REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 09 00423 DECEDENT'S NAME C ROBERT TODD, JR STREET ADDRESS 1 Lon sdorf Wa CITY Carlisle STATE PA ZIP 17015 Tax Payments and Credits: ~• Tax Due (Page 2 Une 19) (1) 1,035.00 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (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. 0.00 (3) 0.00 (4) 0.00 (5) 1,035.00 (5A) B. Enter the total of lane 5 + 5A. This is the BALANCE DUE. (56) 1,035.00 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; ........................ ....... ^ ^ 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 '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)J. 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-1510 EX + (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & COMMONWEALTH OF PENNSYLVANIA MISC. NON-PROBATE PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF 21 09 00423 C ROBERT TODD JR 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. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME of THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACHACOPYOFTHEDEEDFORREALESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. 12/25/08 cash gift to Charles R. Todd III, son 12,500.00 100. 3,000.00 9,500.00 2. 12/25/08 cash gift to William S. Todd, son 12,500.00 100. 3,000.00 9,500.00 3. 12/25/08 cash gift to Steven W. Todd, grandson 5,000.00 100. 3,000.00 2,000.00 5,000.00100. 3,000.00 2,000.00 4. 12/25/08 cash gift to Lisa T. Webber, granddaughter TOTAL (Also enter on line 7 Recapitulation) ~ $ 23,000.00 ' (if more space is needed, insert addifional sheets of the same size) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN aGCinFNT nECEDENT ESTATE OF C ROBERT TODD JR NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Seo 9116 (a~ (1S~usal distributions, and transfers under 1. CHARLES R. TODD III 95-270 Waikalani Drive A-301 Mililani, HI 96789 2. William S. Todd 1 Hill Street Mt. Holly Springs, PA 17065 3. Steven W. Todd 629 Bullfrog Valley Road Hummelstown, PA 17036 4. Lisa T. Webber 53 Tanger Road Boiling Springs, PA 17007 II. 1 1 FILE NUMBER 21 09 0042: RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Lineal Lineal Lineal .Lineal AMOUNT OR SHARE OF ESTATE ' 9,500.00 9,500.00 2,000.00 2,000.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 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 I $ (If more space is needed, insert additional sheets of the same size) SCHEDULE J BENEFICIARIES