Loading...
HomeMy WebLinkAbout01-14-10~,~ ~~ J REV-1500 1505607120 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue county code veer File Number Bureau of Individual Taxes INHERITANCE TAX RETURN 2 1 0 8 PO 60X.280601 C Harrisburg, PA 17128-0601 RESIDENT DECEDENT ~ ~ ~ d ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 182407844 10012008 03311950 Decedent's Last Name Suffix Decedent's First Name MI CRUM JR. HORACE M (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 ^ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa, Future Interest Compromise ~ 5. Federal Estate Tax Retum Required (date of death after 12-12-82) 0 ® 8 Decedent Diad Testate ^ ]. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ^ 9. Liti ation Proceeds Received 1p, Spousal Poverty Credit (date of death ^ 11,Election to tax under Sec. g113(A) 9 ^ between 12-31-gt 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 GREGORY M KERWIN 7173623215 Firm Name (If Applicable) KERWIN & KERWIN First line of address 4245 ROUTE 209 Second line of address City or Post Office ELIZABETHVILLE State ZIP Code PA 17023 REGISTER OF-1JVILLS USE ~LY c= © 'o - «~_ ~ ~ ~ _ _-- - ;~ m _... - ,~, a~ ,~ ~ r ~ _ ~~jC J ~ ~-, ~] ~ ~ - ~~ t = ~y ] _ D ' fII.ED N , ~ C1DD Correspondent's a-mail address: g m k e rw i n@ h o t m a i l. c o m 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. N URE OF PERSON RESPONSIBLE FOR FILING KtIUFfN ""'- ~„ ~,~.y, ~~~ _ ~~ _ Horace M. Crum, Sr. f-1.~2 D?dI !~ ADDRESS Colleen Drive, Harrisburg, PA 17109 NA RER OT HAN REPRESENTATIVE DATE ' Gregory M Kerwin r 209, Elizabethville, PA 17023 Side 1 1505607120 1505607120 J 1505607220 REV-1500 EX Decedent's Name: C R U M, Ii O R A C E M J R. Decedent's Social Security Number 182407844 RECAPITULATION 243,000.00 1. Real Estate (Schedule A) .......................................................................................... 1. 85,324.51 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. 49,776.14 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 Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 8. Total Gross Assets (total Lines 1-7) ....................................................................... g, 3 7 8, 1 0 0. 6 5 71,414.86 9. Funeral Expenses 8~ Administrative Costs (Schedule H) ......................................... 9. 21,431.04 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 92,845.90 11. Total Deductions (total Lines 9 & 10) ...................................................................... 11. . 285,254.75 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................................................. 13. 2 8 5 , 2 5 4 . 7 5 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 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable 8 1, 7 5 1 5 9 16 3, 6 7 8 8 2 at lineal rate X .045 , 17. Amount of Line 14 taxable 76,751.58 17 9, 2 1 0 1 9 at sibling rate X .12 . 18. Amount of Line 14 taxable 12 6 , 7 5 1 . 5 8 1 g 19 , 0 12.7 4 at collateral rate X .15 , 19. Tax Due .................................................................................................................... . 19. 3 1, 9 0 1. 7 5 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 - 08 N M Crum, Horace M Jr. STREET ADDRESS 1178 West Trindle Road S[Iver Spring Township CITY STATE ZIP Mechanicsburg PA 17055 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 31,000.00 27.71 Total Credits (A + B + C) Total InteresUPenalty (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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REG-STER OF WILLS, AGENT (1) 31,901.75 (2) 31,000.00 (3) 27.71 (4) (5) 929.46 (5A) (56> 929.46 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 b. retain the right to designate who shall use the property transferred or its income :.................................... ^ Ox c. retain a reversionary interest; or .................................................................................................................. ^ x^ 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? ....................................................................................................................... ^ ^x 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? ...................................................................................................................... ^ 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. 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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE FILE NUMBER ESTATE OF Crum, Horace M Jr. 21 - 08 All real property owned sole)y or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wilting seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM I DESCRIPTION I VALUE AT DATE OF NUMBER DEATH 1 Premises at 1178 West Trindle Road, Mechanicsburg, PA 17055, value based on selling price, see settlement sheets attached hereto 243,000.00 TOTAL (Also enter on Line 1, Recapitulation) ~ 243,000.00 SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS $c BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Crum, Horace M Jr. 21 - 08 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 SSF, Stocks, Options, Bonds in Account #U437871 with Interactive Brokers, 85,324.51 LLC, Two Pickwick Plaza, Greenwich, CT 06830 TOTAL (Also enter on line 2, Recapitulation) 85,324.51 SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEP.LTH OF PENNSYLVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Crum, Horace M Jr. 21 - 08 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Checking Account #14297787 at M&T Bank, 499 Mitchell Road, Millsboro, DE 6,155.28 2 Savings Account #15004216207892 at M&T Bank, Millsboro, DE 24,618.36 3 ~ Elmer Murry Auctions, Inc., sale of personal property at public sale 4 11996 Cadillac, Blue Book Value 5 ~ Cash found in premises 3,002.50 15, 000.00 1, 000.00 TOTAL (Also enter on Line 5, Recapitulation) ~ 49,776.14 SCF®lRE H FIAVERAL D(PENSES & COMMONWEALTH OF PENNSYLVANIA w~~wM~A T*~ INHERITANCE TAX RETURN F11.lI.NI~ I fv11 1 Y G ~~ RESIDENT DECEDENT FILE NUMBER ESTATE OF Crum, Horace M Jr. 21 - 08 Debts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT A. 1 Funeral Expenses 9,079.70 2 Grave opening and Lot 689.00 i 3 Funeral meal 464.38 B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Horace M. Crum, Sr. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 631 Colleen Drive z. 3. city Harrisburg State PA zip 17109 Year(s) Commission paid Attorney's Fees Kerwin & Kerwin -- Gregory M Kerwin Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 18, 905.00 18,905.00 a 5. 6. 7. 1 Street Address Ciry State Zip Relationship of Claimant to Decedent j Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Notary fee on Witness Oath 560.00 5.00 TOTAL (Also enter on line 9, Recapitulation) 71,414.86 Schedule H Funeral Expenses & COMMONWEALTH OF PENNSYLVANIA A~ M ^~ ~M~ INHERITANCE TAX RETURN F1L111 w„I.711GYYC V1J01.7 4VI 1W' RESIDENT DECEDENT FILE NUMBER ESTATE OF Crum, Horace M Jr. 21 - 08 2 US. Postmaster, certified mail ,etc. 12.14 3 Register of Wills, Short Certificates 24.00 4 The Sentinel -Legal, Estate Advertisement 150.64 5 Cumberland Law Journal, Estate Advertisement 75.00 6 Elmer Murry Auctions, Inc., Commission on sale of personal property 1,300.00 7 Setlement charges on sale of real estate 21,045.00 8 Reserved for closing costs 200.00 Page 2 of Schedule H SCHEDULEI DEBTS OF DECEDENT, MORTGAGE CONMIONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS INHERRANCE TAX RETURN ~ RESIDENT DECEDENT FILE NUMBER ESTATE OF CfUCYI, Horace M Jr. 21 - 08 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 Home Equity Loan # 120 444 4436160 4998 at M&T Bank, Millsboro, DE 9,640.92 2 Balance due on payoff of Home Equity Loan 65.45 3 PPL, account payable for electric 429.46 4 FSN, account payable for telephone 43.42 5 Milton S. Hershey Medical Center, account payable for medical services 40.00 6 Chase, account payable 170.58 7 Horizon Healthcare Services, account payable 9.94 8 UGI, account payable 740.18 9 Penn Waste Inc., account payable for trash removal 133.05 10 Massanutten Village, account payable on timeshare 322.50 11 Karen Gsell ,account payable for lawn cares 500.00 12 Kim Brolle, account payable for home health care 5,015.00 13 Debra Wiest, Tax collector, account payable for real estate taxes 2,404.83 14 Pennsylvania Department of Revenue, account payable for 2008 income tax due 340.00 15 U.S. Treasury, account payable for 2008 income tax due 436.00 16 Penn National Insurance, account payable for homeowners insurance 399.00 TOTAL (Also enter on Line 10, Recapitulation) I 21,431.04 SCHEDULEI DEBTS OF DECEDENT, MORTGAGE COMMONWE4LTH OF PENNSYLVANIA LIABILITIES, & LIENS INHERRANCE TAX RETURN RESIDENT DECEDENT continued FILE NUMBER ESTATE OF Crum, Horace M Jr. 21 - 08 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 17 Dillsburg Septic, account payable to pump tank 260.00 18 Eichelbergers Inc., account payable 186.30 19 ABC Fuel Oil, account payable 125.00 20 Horace Crum, reimbursement for paint, weed killer, light ,etc. to prepare house for sale 169.41 Page 2 of Schedule I REV-1673 EX+ (8-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Crum, Horace M Jr. I 21 - 08 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not Llst Trustee(s) I TAXABLE DISTRIBUTIONS [include outright spousal ~ distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Bradley & Paula Crum, Trustee for Mckenzie Granddaughter 15,000.00 Crum 4448 Pasture Drive Elizabethtown, PA 17022 2 Bradley & Paula Crum, Trustee for Tristan Grandson 15,000.00 Crum 4448 Pasture Drive Elizabethtown, PA 17022 3 Lance & Miste Diehl Friends 25,000.00 438 Sample Bridge Road Enola, PA 17025 Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropriate, on Rev 1500 cover sheet II NON-TAXABLE DISTRIBUTIONS: I A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET 0.00 SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER Crum, Horace M Jr. 21 - 08 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not Llst Trustee(s) I T AXABLE DISTRIBUTIONS [include outright spousal f ~ ers distributions, and trans under Sec. 9116 (a) (1.2)] 4 Jackie Wimberling Friend 10,000.00 1111 Apple Drive Mechanicsburg, PA 17050 5 Brian Aycock ~ Friend 15,000.00 27 Farmbrook Drive ~ Mitchell, AL 36856 6 Jason Aycock ~ Friend 15,000.00 5760 Fair Oak Lane Pensacola, FL 32507 7 Bradley & Paula Crum Brother & Sister-in-law Car , N & 1/3rd 448 Pasture Drive residue of estate Elizabethtown, PA 17022 8 Robert N. Crum Brother 10,000.0( 631 Colleen Drive Harrisburg, PA 17109 9 Gerald Held Friend 10,000.01 1178 West Trindle Road Mechanicsburg, PA 17055 10 Frank and Maryann Reasoner Friend 1/3rd residue of 18 Golden Rod Drive i estate Carlisle, PA 17015 ~~ 11 Horace M. Crum, Sr. i I Father 1/3rd residue of 631 Colleen Drive 'I estate Harrisburg, PA 17109 ', Page 2 of Schedule J