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HomeMy WebLinkAbout02-25-101505607120 J REV-1500 Ex (~) OFFICIAL USE ONLY PA Departrn~t Of Revenue ear ~ e m Bureau of individual Taxes INHERITANCE TAX RETURN PO 80X.280601 RESIDENT DECEDENT 2 1 0 9 0 018 3 Harrisburg, PA 17128-0601 Social Security Number Date of Death Date of Birth 110186244 10042005 01141925 Decedent's Last Name Suffix Decadence First Name MI HORO~ITZ RIITH (If Applk~bls) Error Sunrhrinp 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 Retum p 2. Supplemental Retum p 3. Remainder Retum (date of death prior to 12-13-82) p 4 Limited Estate p qa, Future Interest Comprwnfse p 5. Federal Estate Tax Retum Required (dots of death after 12-72$2) ~ p tom ~te g• p ~ ntain~; uving Trust 7, 8. Total Number of Safe Deposit Boxes ( ~ ~ ~r ( p 9. Litigation Proceeds Received p ~~ death 10. b 1 ~ ti p 11 • ~~On to tax under Sec. 9113(A) etv+een 12 ar ,d ~ (Attach Sch. O) ame ~ Daytime Telephone Number DALE F SHIIGHART, I JR. SSQIIIRS 7172414311 Firm Narne (If Appllcab e) Flrst Iirta of address 10 1PSST HIGB STREET 8econdllrre of address Clly or Post Office State aP Code CARLISLE PA 17013 REGISTER OF WILLS USE ~LY C") ° C ~ o ~~ ~ ~- ~ rn r,a ~v3~' `~;0~~ -r :i _,-7 r ~~ _~ :,:: ~~_., i -. _~ ~f :,;~ v -- ;Ts ~ <~ `a L = i ~ i Correspondent's e-mail address: k fs true, correct utd~oorrrplsleDsclar~ati ion~of prepotltWxstttan~e~~ ~ and ataeements, and to the best of my Ivwwbdps and beNaf, peraatal repraser-tatlve b based on aN ktfartrration of wMch properor has any IvroNAedge. ~' ., A,~,~,,-, Bruce Horowitz `1% ~ I ~ o 75 Chester Street, Carlisle, PA 17013 ~ ~. Dais F Shughart, Jr. Esquire Z 5 f 10 West High PA 17013 1505607120 J 1505607220 REV-1500 FCC Decedents Soaal Security Number ram: HOROWITZ, RUTH 11018 6 2 4 4 RECAPITU WTION 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 it< Notes Receivable (Schedule D) .......................................................... 4. 5. Cash, Bank Deposits 8 Miscellaneous Personal Properly (Schedule E} ................ 5. 1 8 , 4 3 3 . 3 9 6. Jointly Owned Property (Schedule F) p Separate Billing Requested ............. 6. ~. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property t d 6 l R ............. eques e ing (Schedule G) p Separate il 7. 8, Total Gross Assets (total Lines 1-7) ....................................................................... 8. 18 , 4 3 3 . 3 9 9. Funeral E enses 8 Administrative Costs Schedule H .................. xp ( ) ....................... 9. 13 , 8 7 8 . 9 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 11. Total Deductions (total Lines 9 & 10) ...................................................................... 11. 1 3 , 8 7 8 . 9 0 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 4 , 5 5 4 . 4 9 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. 4 , 5 5 4 . 4 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 (a)(1.2) X .00 . 1$. Amount of Line 14 tale- ~ , 5 5 4 . 4 9 at lineal rate X 16. 2 0 4. 9 5 17. Amount of Line 14 taxable at sibling rate X .12 1 ~• 18. Amount of Line 14 taza6Te at collateral rate X .15 18. 19. Tax Due ..................................................................................................................... 19. 2 0 4. 9 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYM ENT. ^ Side 2 1505607220 1505607220 REV 1500 EX Page 3 Decedent's Complete Address: Horowitz, Ruth 75 Chester Street Carlisle PA 17013 File Number 21 - 09 - 00183 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prtor Payments C. Discount (1) 204.95 0.00 0.00 204.95 204.95 Total Credits (A + B + C) (2) 3. interestiPenalty if applicable p. Interest E. Penalty Total interestlPenalty (D + E) (3) q. If tine 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 5, If Line 1 + Line 3 is greater than Line 2, enter the dffference. This is the TAX DUE. (5) A, Enter the interest on the tax due. (5A) g, Enter the total of Line 5 + 5A This is the BALANCE DUE. (56) 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 :.................................................................................. x b. retain thefight to designate who shall use the properly transferred or its income :.................................... x c. retain a reversionary interest or :................................................................................................................. x d. receive the promise for I'rfe of either payments, benefits or care? .............................................................. x 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 forr 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)J. 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. §9118 (a) (1.1) (ii)]. The statute does not exempt a transfer in a suMving spouse from tax, and the statutory requirements for disdosure of assets and filing a tax rebum are still applicable even if the surviving spouse is the only benefdary. 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 rata imposed on the net value of transfers m or for the use of the decedents Pineal benefldarfes is four and one-half (4.5) percent, except as noted in 72 P.S. §9116 12) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is twelve (12) percent [72 P.S. §911 B (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. SCHEDULE E CASH, BANK DEPOSITS, & MISC. C.OMMIONWFJILTMOFPEPNSYWANUI PERSONAL PROPERTY N~HERRANCE TAT( RETURN RESIDENTDECEDENT FILE NUMBER ESTATE OF HOfOWItZ, Ruth 21 - 09 - 00183 Include the proceeds of litigation and the date the pn~ceeds 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 Estate of Samuel Horowitz, deceased, gross distribution of inheritance from Husband's Estate 18,433.39 received 2/20/10. I TOTAL (Also enter on Line 5, Recapitulation) ~ 18,433.39 St~fDULE H F11Pi:RA-L EKES & DOMMONVVE,ILT}i of reaNSV~v~wn A~V~~AT~~.,~ WFIERRANCE TA7( RETURN RESDENi DECEDENT ESTATE OF Horowitz, Ruth 21 - 09 - 00183 Debts of decedent must be roported on Schedule I. NUMBER DESCRIPTION AMOUNT FUNERAL EXPENSES: A. 1 Ewing Brothers Funeral Home, funeral 9,605.60 B. ADMINISTRATIVE COSTS: 1. Personal Repres~tative's Commissions Bruce Horowitz 920.00 Social Security Number(s) / EIN Number of Personal Representative(s): 158-~6-s7o3 street Address 75 Chester Street city Carlisle state PA zip 17013 Year(s) Commission paid 2010 2. Attorneys Fees Dale F. Shughart, Jr., Esquire. (estimated) 3,000.00 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 a. Probate Fees _ _ ,Register of Wills, paid_~45; owe $40 _ 85.00 5. Accountant's Fees 8. Tax Return Prepan3r's Fees 7, Other Administrative Costs 1 Register of Wills, Short Cert~cates 12.00 TOTAL (Also enter on line 8, Recapitulation) 13,878.90 Sd'tleclt~ieH Finer~l E~er~e~ & ~ANCE~AXERETURN ANIA w~~ M RESIDENT DECEDENT !'N.i' - ^pYi11Y~. ESTATE OF Horowitz, Ruth 21 - 09 - 00183 2 The Sentinel, advertise Letters 166.30 3 Cumberland Law Journal, advertise Letters 75.00 4 Register of Wills, filing Inheritance Tax Return 15.00 Page 2 of Schedule H REV-1513 EX+ (9.pp) SCHEDULE J co~oNwEA~TH of PENNSV~vANIA BENEFICIARIES INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FlLE NUMBER Horowitr, Ruth I 21 - 09 - 00183 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) (~6b) RECEIVING PROPERTY oo Na ust rruw.(s) I, TAXABLE DISTRIBUTIONS[indude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) 1 Bruce Horowitz Son one-third 75 Chester Street Carlisle, PA 17013 2 Larry Horowitz Son one-third 15952 Wetherbum Road Chesterfield, MO 63017 3 Ira Horowitr Son one-third 17056 Rinaldi Street Granada Hi{Is, CA 91344 Enter dollar amounts for distributions shown above on lines 1 5 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI u.uu ,\ t-' ~rwc~rr To ~xsnv~-xv- n~~xcs ~x ~sTVRrr To: Pennsylvania Department of Revenue From: Dale F. Shughart, Jr., Esquire For: Estate of Ruth Horowitz, Date of Death: October 4, 2005 Estate No. 21-09-0183 To Whom It May Concern: This note is attached to the Pennsylvania Inheritance Tax Return in regard to the above captioned matter. Attached is my letter dated May 15, 2009 to the Department explaining why administration of this estate was raised, together with your response suspending further activity on the matter until May 26, 2010. Also attached is a copy of the check from Burns & Severson to the Estate of Ruth Horowitz representing the entire distribution of the Estate of Samuel Horowitz, being the net proceeds from the Vioxx Class Action Lawsuit. This payment was dated February 16, 2010. Under the circumstances, the taxpayer respectfully requests that the Department waive interest and penalty and accept the tax payment tendered with the Return as payment in full . Thank you for your anent-ion to your request. Resl~pen~ct jll ubmitted, G~~'l Dale F. Shu r , Jr. DFS,Jr/bc Enclosures Cc Bruce Horowitz DALE F. SH[TGHAR.T, JR. ATTORNEY AT LAW 10 WEST HIGH STREET CARLISLE, PENNSYLVANIA 17013 Telephone (717) 241~L311 Facsia-ile (717) 241-4021 OF COUNSEL HAMILTON C. DAMS May 15, 2009 Via facsimile oal.y 717-772-0412 Pennsylvania Department of Revenue Inheritance Tax Division Bureau of Individual Taxes Department 280601 Harrisburg, PA 17128-0601 RE: Estate of Ruth Horowitz Date of Death: 10/4/2005 File No. 21-09-0183 Ladies and Gentlemen: LEGAL ASSISTANT BONNIE L COYLE I am writing in response to the following Notice I received. as the attorney for Bruce Horowitz, Administrator of the Estate of his Mother, Ruth Horowitz, above captioned. Mrs. Horowitz died, without assets, on October 4, 2005. She was predece-as~d by her husband, who died a resident of Florida. Mrs. Horowitz was his sole beneficiary. Although most of Mr. Horowitz's estate was distributed to Mrs. Horowitz prior to her death, he is a party in a product liability class action lawsuit involving the prescription medicine "Vioxx". My client, Bruce Horowitz, was advised by the attorney for his Father's estate that a settlement had been negotiated in the Vioxx class action litigation, and settlement proceeds would shortly be received and disbursed to his Mother's estate. For this reason, the above captioned estate administration was raised. However, at this juncture, there are no assets to report on an inheritance tax return, and we have no firm idea as to the net amount of litigation proceeds which may be received or precisely when they may be received. DALE F. SHUGHART, JR. May 15, 2009 Page 2 Under the circumstances, it is impossible to file an inheritance tax return and I therefore respectfully ask that we be excused from filing a return until we have received the settlement proceeds, at which time a return will be promptly filed. If you require any additional information, kindly advise me. Thank you for your cooperation and assistance. DFS,Jr/bc Attachment yt lyy Da e F. Shugha t J Cc Bruce Horowitz, Administrator C,.,~vIlVIONWEALTH OF PENNSYLVAN~. BUREAU OF 1NnrvmUAL TAXES DEPARTMENT OF REVENUE ~ f J /~- ~i PO BOX 280601 HARRISBURd PA 17128-0601 f /1 ,/~/,, ! o ' r~ a~/jG~ '~Vjt~^"~/ ~~ REV-966F0 AFP (12-07) DATE: 5128/20 0 9 Estate of: DALE F SHUGHART JR RUTH HOROWITZ 10 W HIGH ST CARLISLE PA 17013 Date of Death: 10/4/2005 File Number: 210 9 - 0183 Dear DALE F SHUGHART JR The Department of Revenue has been advised that the above-referenced estate is presently involved in litigation. The Department will suspend fiuther activity on this estate until 5/26/2010 You are required to notify the Department when the status changes or the extension date expires. If you have any questions, please contact me at the number below. S~ceti~~ly, LAUREL FULMER Inheritance Tax Division Telephone: 717 - 7 87 - 65 0 5 FAX: 717-772-0412 TDD# 1-800-447-3020 (Service for taxpayers .with special hearing and/or speaking needs)