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The Attorneys - r, Carin~i The Administrative Staff
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Marc A. Scarin i
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Mary Bet
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Melanie „ Dominic M. Fure
Virginia H. Henning* A Full Service Law Firm Assistant Firm Adminstrator
Frank C. Sluzis www.scaringilaw.com Mar L. Sn der
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Debra R. Mehaffie Law Clerk
Laurence C. Kress** 2000 Linglestown Road, Suite 106 Amanda L. Emerson
Margaret M. Simok Harrisburg, PA 171 10 Paralegal
Megan E. Castor 717-657-7770 Tammy L. Kelly
Keith E. Kendall
717-657-7797 (fax) Paralegal
*Also Admitted in MD
~* Also Admitted in AZ (Please reply to Harrisburg Office) Newport Office
14 S .2nd Street
March 26, 2010 Newport, PA 17074
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Cumberland County Register of Wills CO ~ ;C;~
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Re: Ruth M. Apa Estate ~ ~ _: ~~
Estate No: 21-06-1138 --~ ',
To Whom It May Concern:
Enclosed herewith please find an original and three copies of the Supplemental
Inheritance Tax Return with respect to the above referenced estate along with a chick in the
amount of $15.00 for the filing. Kindly clock in the original and copies, process the original and
one copy in your normal manner and return the remaining copies to our office in the enclosed
envelope.
If you have any questions or concerns, please do not hesitate to contact me. Thank you
for your time and attention in this matter.
ery truly yours,
..- ./ Uv V
Amanda L. Emerson.
Cc: Franklyn Apa, Jr. (by email)
Glori Apa (by email)
Enclosures: Supplemental Inheritance Tax Return (original and three copies)
Check No. 122 ($15.00)
' 1505607121
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601 2 1 0 6 1 1 3 8
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 2 0 7 2 0 0 6 0 7 3 1 1 9 3 8
Decedent's Last Name Suffix Decedent's First Name MI
A P A R U T H 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 Q 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
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 U 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach SCh. 0)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
V I R G I N
I
A H
H E N N I N G r~
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5 7 7~,7 7-~~~ `;~Tt;
Firm Name (If Applicable)
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REGISTERJD I US LY r---l ~
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S C A R I N G I 8 S C A R I N G I P C '~`=' ~'=~ n ~
First line of address =':~>~ ~~ ;f^; <'"~` ~~`~~:'
2 0 0 0 L I N G L E S T O W N R O A D '~~ ~ ~~' ~ ~'~=~a ~= ~'
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Second line of address ~ ~~7 ~'~`
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S U I T E 1 0 6 "s ',
City or Post Office State ZIP Code DATE FILED ~~
H A R R I S B U R G P A 1 7 1 1 0
Correspondent's a-mail address: Vlrglllla@SC8rIt1g112W.COrY1
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. Dedaretion of preparer other than the personal representative is based on all information of which preparer has any knowled e.
S TUR 'OAF ~ RSO ~ ~SPONSInLE FOR FILI,t1G/R TURN /~~~- ~ ~~~ ~~ A
13 E• LISBURN"RD/4 RESERV I~ RD• MECHANICSBURG PA 17
Slgi TURF OF PREPAR 4 ER THAN REPaRESENTATIVE DATE
2000 LINGLESTOWN RD•,USTE 106 HARRISBURG, PA 17110
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505607121
J
1505607221
REV-1500 EX Decedent's Social Security Number
Deredenrs Name: RUTH M• A P A
RECAPITULATION
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 & Notes Receivable (Schedule D) ........................ 4. •
5. Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) ....... 5. 2 6 6 b 0 . 0 0
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. •
7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ....... 7. •
8. Total Gross Assets (total Lines 1-7) ........................... 8. 2 6 6 6 0. 0 0
9. Funeral Ex enses & Administrative Costs (Schedule H
P ) ................ 9. 3 5 5 • 0 0
10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I
9 9 ( ) ............ 10. ~' 2 • ~ ~
11. Total Deductions (total Lines 9 8~ 10) ........................... 11. ~ 1 7 . 9 4
12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 2 6 2 4 2. 0 b
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. 2 6 2 4 2 • 0 b
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 2 4 2. 0 6 16. 1 1 8 0. 8 9
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 0. 0 0 1 g• 0. 0 0
19. Tax Due ........................ ............... .. ....... 19. 1 1 8 0. 8 9
20. FILL IN THE EQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L 1505607221
1505607221 J
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 21 06 1138
DECEDENTS NAME
RUTH M. APA _ ______ - __- -_
STREETADDRESS
4 RESERVOIR ROAp __ _ -_.____
--- -_- ------ -- -- - - -T -- --
CITY STATE ZIP
MECHANICSBURG ~ PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 1 180.89
___- ~ ,
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 7,700.13
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C. Discount
Total Credits (A + B + C } (2) 7, 700.13
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.
(3) 0.00
(4) 6, 519.24
T
(5)
(5A)
0.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 0.00
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 : ................................................................ ...... 0
b. retain the right to designate who shall use the property transferred or its income; ......................... ...... X
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? ................................................................................. ...... ^ 0
3. Did decedent own an "intrust for" or payable upon death bank account or security at his or her death? ... ...... ^ Q
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ............................................................................................ ...... ^ 0
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-1508 EX + (6-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RUTH M. APA 21 06 1138
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 VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. DISTRIBUTION FROM THE ESTATE OF BOYD E. DILLER (RETURN OF PRINCIPAL) 26,660.00
RECEIVED ON OR ABOUT NOVEMBER 5, 2009. THIS AMOUNT REPRESENTS A
PORTION OF THE "ANTICIPATED FUTURE DISTRIBUTIONS" LISTED ON THE
ORGINAL INHERITANCE TAX RETURN, SCHEDULE E, FILED ON AUGUST 31, 2007.
TOTAL (Also enter on line 5, Recapitulation) ~ $ 26,660.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF rl~t numatrc
RUTH M. APA 21 06 1138
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City
Year(s) Commission Paid:
State Zip
2, Attorney Fees
3, Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
City State ~ Zip
Relationship of Claimant to Decedent
4. Probate Fees ADDITIONAL PROBATE FEES PAID AFTER FILING OF ORIGINAL 340.00
INHERITANCE TAX RETURN TO CUMBERLAND COUNTY REG. OF WILLS
~ AcxountanYs Fees
6. Tax Return Preparers Fees
7. FILING FEE PAID TO CUMBERLAND COUNTY REGISTER OF WILLS FOR
FILING SUPPLEMENTAL INHERITANCE TAX RETURN 15.00
TOTAL (Also enter on line 9, Recapitulation) I $ 355.00
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
SCHEDULE 1
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RUTH M. APA 21 06 1138
~,
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION QF DEATH
1. AFNI, INC. COLLECTING FOR VERIZON PENNSYLVANIA, INC. ACCOUNT NO. 62.94
018564339-02,
TOTAL (Also enter on line 10, Recapitulation) I $ 62.94
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (g-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RUTH M APA 21 06 1138
- -- - - - --- - - -- - -
RELATIONSHIP TO DECEDENT
AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright sppousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. FRANKLYN G. APA, JR. Lineal 13,121.03
131 EAST LISBURN ROAD
MECHANICSBURG, PA 17055
2. GLORI A. APA Lineal 13,121.03
4 RESERVOIR ROAD
MEGHANICSBURG, PA 17055
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.
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
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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Marjorie A. Wevodau First
Deputy
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Kirk S. Sohonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To: InvoiceNo: 1600
Invoice Date: 8/31 /2007
SCARINGI & SCARINGI Estate of: RUTH M APA
2000 LINGLESTOWN ROAD Estate No: 21-06-1138
SUITE 106 c~
HARRISBURG, PA 17110-
Qty Fee Description Fee Total
1 Additional Probate 340.00 $340.00
Total: $340.00
Checks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with your payment. Thank you.
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ADDRESS SERVICE REQUESTED
Afni, Inc. Account #:
Original Creditor: 018564339-02
Verizon Pennsylvania Inc.
Disconnected Phone #: (717)795-0719
Balance Due: 762
2
Date: 007
7
Toll Free: (866)307-9197
9 0201,8564339 991,400 6294
#BWNFTZF #AFN4932802907072#
Ruth !~~" P.pa
4 RESERVOIR RD
MECHANICSBURG PA 17055-6143
PO Box 3427
Bloomington, IL 61702-3427
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ESTATE OF RUTH M APA
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FEDERAL CREDIT UNION
P. O. Box 40 `.
iAechaniubury, PA 17056 "V
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