Loading...
HomeMy WebLinkAbout12-07-09 (2)J 15056041125 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number PO BOX 280601 2 1 0 9 0 8 9 0 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 9 1 5 6 3 3 0 0 0 9 1 0 2 0 0 9 1 1 1 0 1 9 6 0 Decedent's Last Name Suffix Decedent's First Name MI M C C R E A D Y K E V I N C (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 ^ 4, Limited Estate ^ 4a. Future Interest Compromise (date of ^ prior to 12-13-82) 5. Federal Estate Tax Return Required ^ 6. Decedent Died Testate (Attach Copy of Will) ^ death after 12-12-82) 7. Decedent Maintained a Living Trust At h 8. Total Number of Safe Deposit Boxes ^ 9 Liti ation Proce d R i d ( tac Copy of Trust) . g e s ece ve ^ 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 T0: Name Daytime Telephone Number W I L L I A M P D O U G L A S 7 1 7 2 4 3 1 7 9 0 Firm Name (If Applicable) _ __ REGISTER OF WILLS USE ONLY D O U G L A S L A W O F F I C E ~ ~..._ ~~ First line of address ~-~'~" ~ .~~a . ..~.~ . t'~ ~-~~ 4 3 W S O U T H S T j ~ ~~,:~ ~'"~ Second line of address i ~ ~ ~, City or Post Office C A R L I S L E ADDR State ZIP Code ~ P A 1 7 0 1 3 ;.~ N ~ :;- . . Side 1 15056041125 15056041125 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 renraspntativa ~~ ha~o~ ~~ ~u infnrrr,~+,,,., „f ,.,~:..~....,...,.___ ~__ __.. ,._ _._.,_ vim.. ~ ~ ~~~ .,.::~ ~ w J 15056042126 REV-1500 EX Decedent's Social Security Number Decedent's Name: Kevin C. McCready 1 9 1 5 6 3 3 0 0 RECAPITULATION 1. Real estate (Schedule A) ........................................ 1. 0 0 0 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, 2 5 1 0 7 6 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 1 4 7 5 0 0 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ....... 7. 8. Total Gross Assets (total Lines 1-7) ....... . . . . ....... . ..... 8 1 5 0 0 1 0 7 6 9. Funeral Expenses 8~ Administrative Costs (Schedule H) ................ 9. 3 6 3 0 5 2 8 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10. 11. Total Deductions (total Lines 9& 10) ........................... 11. 3 6 3 0 5 2 8 12. Net Value of Estate (Line 8 minus Line 11) .. . ....... . . . . ........... 12. 1 1 3 7 0 5 4 8 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. 1 1 3 7 0 5 4 8 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. 0 0 0 16. Amount of Line 14 taxable at lineal rate X .045 2 6 9 2 7 0 0 16 1 2 1 1 7 2 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 9 9 6 8 7 0 0 18 1 4 9 5 3 0 5 19. Tax Due ................................................ 19. 1 6 1 6 4 7 7 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056042126 15056042126 REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Kevin C. McCready STREET ADDRESS 12 Bottom Lane CITY _ - Newville Tax Payments and Credits: ~ • Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount $808.00 3. Interest/Penalty if applicable D. Interest E. Penalty File Number 0890 STATE PA ZIP 17241 (1) $16,164.77 Total Credits (A + B + C) (2) 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. B. Enter the total of Line 5 +5A. This is the BALANCE DUE. $808.Q0 (3) $0.00 (4) $0.00 (5) $x5.357.00 (5A) (5B) $15 , 35 7.00 Make Check Payable to.• REG/STER OF W/LLS, 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? ....................................................... ^ ^ Q 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 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 _Kevin C. McCready 0890 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 NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. Volkswagon vehicle- blue book value $2,162.00 2. Erie Insurance, car insurance refund $327.00 3. (Trust Mark Ins., health insurance refund I $21.76 TOTAL (Also enter on line 5, Recapitulation) I $ 2,510 76 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER -Kevin C. McCready 0890 H an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Craig Boyd 12 Bottom Lane, Newville, PA 17241 none B Darlene & William McCready,Jr. 1310 Wildwood Lane, Newville,PA 17241 (parents c JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1, A, 8/16/93 House & land, 12 Bottom Lane, Newville, PA 17241 $234,000.00 50. $117,000.00 DB 36 L 899 2. B 10/4/93 Land - 7A + 27 Bottom Lane, Newville, PA 17241 DB 360 page 480 $61, 000.00 50 $30, 500.00 TOTAL (Also enter on line 6, Recapitulation) I ~ 147, 500 00 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & IN RESIDENT DECEDENT N ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER _Kevin C. McCready 0890 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. 2. 3. 4. 5. B FUNERAL EXPENSES: Hoffman Roth Funeral Home Pastor Richard ruff Georges Flowers Organist Evening Sentinel, thank you ad DESCRIPTION AMOUNT ADMINISTRATIVE COSTS: 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 Douglas Law Office 3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4• ~ Probate Fees 5, ~ Accountants Fees 6. ~ Tax Retum Preparer's Fees 7. Evening Sentinel, Estate ad 8. Cumberland Law Journal, Estate ad 9. Susan B. Burkholder, Diversified Appraisals, real estate appraisal 10. Kohl's last bill 11. PNC, Installment loan- DOD value 34,248.88, jointly with Craig Boyd, I/2 debt 12. PNC, Line of Credit loan, DOD value $12,543.61, jointly with Craig Boyd, I/2 debt 13. Recorder of Deeds, copies of deeds and mortgages $6,419.08 $84.73 $295.00 $25.00 $83.20 $5, 000.00 $95.00 $208.78 $75.00 $500.00 $92.50 $17,124.44 $6,271.80 $30.75 TOTAL (Also enter on line 9, Recapitulation) ~ ~ (If more space is needed, insert additional sheef"s of the same size) 36, 305.28 REV-1513 EX + (g-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES c~iAit ur Kevin C. McCread NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY J TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)J 1. Darlene W. McCready and William McCready, Jr. 310 Wildwood Lane Newville, PA 17241 -parents FILE NUMBER 0890 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Lineal AMOUNT OR SHARE OF ESTATE ~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. 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) ~ P ~fUvSe ~v i ~ ~o r ~~, po 0 ~3~- c~uU r (o 1, v ~ -~c~ ~o ~~~5~ (2 G~2.~ ~~ ~,,"1~ ~ ~t~/u ~ `~ ~ ~ -- i , qs -~ ~ v s~"" T~-f-a I ,~V~a~ o23~,voU 3o,s©o.vv .. (~ o ~ x.02 ~~C~~~S .X- ~~~~ ~~r ~~ ~~~ ~o ~-,1~ 10.7!0 ~c . p ~ 5....._. _ r ~ 3, ~o ~z~Z~vv ~ ~ c ~. S, o ~ -- ~c1$ . vo 7~ x eve •, S" ~~~"7 . v.~ Page: 1 Document Name: untitled HIST ACLS A#4Z HISTORY DATA INQUIRY XXXX 11/19/09 14:54 CFN NFN 00040 001 000000008109778665 NXT EFF DAT: TRAN CODE: DIS PST DAT: 09/15/2009 TIME : 21:14:11 SEQ 41215 MORE HST: S EFF DAT: 09/15/2009 BAT/ITM: 000000927 SRC 080 REV IND : _ E TRANCOD: 64800 OPERATR: DLYS TYP 2 LOAN BAL _ 33,610.84 L TRN AMT: 821.28 DESC: DDA/ACH PAYMENT TRANS PST DAT: 09/15/2009 TIME 21:14:11 SEQ 41211 MORE HST: S EFF DAT: 09/15/2009 BAT/ITM: SRC 080 REV IND _ E TRANCOD: 93800 OPERATR: DLYS TYP 1 LOAN BAL _ 34,248.88 L TRN AMT: 82.78 DESC: ACCRUAL - ACTIVITY PST DAT: 09/15/2009 TIME 21:14:13 SEQ 41220 MORE HST: S EFF DAT: 09/15/2009 BAT/ITM: 000000928 SRC 080 REV IND _ E TRANCOD: 64820 OPERATR: DLYS TYP 2 LOAN BAL _ 33,510.84 L TRN AMT: 100.00 DESC: DDA/ACH PAYMENT TRANS PF KEYS 1-HELP 2-MAIN 3-LOGF 4-PREV MENU 7-SCROLL BACK Date: 11/19/2009 Time: 2:54:58 PM w .-~+ r Page: 1 Document Name: untitled i , _--- ---- ---- - --- _ - -- -__ ---- --- -- -- --- -- ~irl~~_ ~ ~'- ----_--- HIST ACLS A#4Z HISTORY DATA INQUIRY XXXX 11/19/09 14:55 CFN NFN DIS 00040 003 000000048109810164 NXT EFF DAT: TRAN CODE: PST DAT: 08/31/2009 EFF DAT: 08/31/2009 TRANCOD: 35934 TRN AMT: TIME 20:03:14 SEQ 00000 MORE HST: _ S BAT/ITM: 000000000 SRC 020 REV IND _ E OPERATR: RISK TYP 3 LOAN BAL I, DESC: RISK SCORE QTR CB SCR PST DAT: 09/14/2009 TIME 21:13:37 SEQ 43026 MORE HST: S EFF DAT: 09/14/2009 BAT/ITM: 000008862 SRC _ 040 REV IND : E TRANCOD: 64000 OPERATR: TEL TYP _ 2 LOAN BAL 12,543.61 L TRN AMT: 500.00 DESC: 17611 00016 TEL PST DAT: 09/18/2009 TIME 21:27:36 SEQ 14920 MORE HST: S EFF DAT: 09/18/2009 BAT/ITM: SRC _ 000 REV IND E TRANCOD: 93800 OPERATR: TYP : _ 1 LOAN BAL 12,543.61 L TRN AMT: 50.15 DESC: ACCRUAL - STATEMENTING PF KEYS 1-HELP 2-MAIN 3-LOGF 4-PREY MENU 7-SCROLL BACK Date: 11/19/2009 Time: 2:56:00 PM