HomeMy WebLinkAbout02-19-10 (4)REV-7508 EX + ~~-g7}
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
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
NUMBER DESCRIPTION VALUE AT DATE
1. ~v ~ ~ ~O/.I ~ ~ ~ ~ _ OF DEATH
TOTAL (Also enter on line 5, Recapitulation) I $ 3GG S' ~o
(If more space Is needed, Insert addltlonal sheets of the same size)
REV-1509 EX + (1.97)
•
SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
s' ~G-'L L ~ S~ ~ ~ FILE NUMBER
Zoo ci _ poq ¢Z
If 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
¢ t 5 /~ /~ ~ y ~. t`~. ~ /~C'u~~3 v rz ~-- `i~/a i 7 z 4-0 ~ o/~
B.
C.
JOINTLY-OWNED PROPERTY:
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
Include name of financial institution and bank account number or similar identifying number
Attach
.
deed for jointly-held real estate.
OF
DATE OF DEATH DECD'S
VALUE OF ASSET INTEREST
s~~~'~. aG ~ 5-~
DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
~~43. t 3
TOTAL (Also enter on line 6, Recapitulation) I S 7 733 . O 7
(If more space Is needed, Insert addltlonal sheets of the same size)
~ REV-1511 EX+ (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
re~~~
scNE~u~E
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
~~~h~~ yr
5 ~%G~ ~ ,5" v i ,~
FILE NUMBER
a2 G o q •, 4 rJ ~ ~ -~___
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
DESCRIPTION
A. FUNERAL EXPENSES:
1. ~
/rL~n 1 S ''' ~Gl~u/C;~
3 ~~L S%'o''L~ `~~r/L.-~. ~~'~c.Z~'~- 1 `7~"'- Sc'-a vl c ~~
$~ 12 e: ~S'G/~-e ~/ n l ~L"< "r %7A-(L ~ C'(,'N'` ('r' Tu%2/
L • L'7CL ~l /~o~ ~ ~`,1dN/+~L,'/V l ~~2 olJ?~= ~`1' pp! L/`~~l7/~
B. ADMINISTRATIVE COSTS:
~ • Personal Representative's Commissions
Name 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
Zip _ _
Relationship of Claimant to Decedent
4• Probate Fees
5• Accountant's Fees
6. Tax Return Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
SE'S . 3 d
~~ v~5 z.-
.~ 7 ~ ~ 8 "7
~ .~-, 2 G
l ~ ~ 0 ' c~O
~ q, u d
REV-1513`EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~..----
SCI~IEDVLE J
BENEFICIARIES
wiaic yr
s'-TL=LL /a ~v ~ ~ FILE NUMBER
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under ~o Not List Trustee(s) OF ESTATE
Sec. 9116 (a) (1.2)]
1. J/~c,n ~ ~ ,
S v ?~ e /.f IL ~
4! S~/3~7 72.E /~/t; w T3 v -~~ `I~~ /7Z¢ J J L~~ L J~~
~ !~
~ ~ /~ /1 V C [: !~ , % /'-+~ U !y ~ S Ohl
G /-,~ / L 17
~/!0 7 S~ vc~a/ G A Kc~s~ 5c ~~ Ttl ~ w t S ~ c ~/~ NC [. ~ ~/ G=/~J ~. /
~~3~~ /3
3.. J Lit ~ (,'' ,+G . `~ U t ~='t.-y
.1~~. `t3 0 ~ / 7 ~'~ ^7'v / !lr /! $1/1 L ~ G~ //,~ O 7 ~/ ~ ~1 C/-~ ~ ~ D
L ~ /,/L v9 L
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.
I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
~ ~ ~~, /' ~
(If more space is needed, insert additional sheets of the same size)
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LAST WILL AND TESTAMENT ' ~-' ~~ ~ ~ `'
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KNOW ALL MEN BY THESE PRESENTS, that I, STELLA SUTA, of Penns Ivania
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being of sound and disposing mind, memory and understanding, do make ublish
p and
declare this my Last Will and Testament, hereby revoking all prior wills and codicils b
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me at any time heretofore made. - ~:
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FIRST: I direct the payment of all my legal debts, funeral expenses. and aH , ---=~ _
expenses of my last illness, state, federal estate and inheritance taxes and -
administration costs shall be paid as soon as may be conveniently done following my
decease leaving all specific bequests free of tax to the legatee.
SECOND: I give, devise and bequeath all my property, be it real, mixed or
personal to my children, Jacob A. Suta, Carole Ann Thompson and June Suta Rolfe, in
equal shares, share and share alike, per stirpes.
THIRD: I nominate and appoint Jacob A. Suta as Executor of this my Last Will
and Testament. If he should fail to serve or be unable to serve, I nominate and
appoint, June Suta Rolfe, as Executrix of this my Last Will and Testament. No Executor --- - -- -
. _ _- .~
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appointed herein shall be required to post bond of any nature or kind. _ . ¢ ' ~~ .
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IN WITNESS WHEREOF, I, STELLA SUTA, to this my Last Will and Testament set - -
my hand and official seal, this a'3~' day of ..~ ~~ 2007.
~- (SEAL)
STELLA SUTA
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