HomeMy WebLinkAbout04-23-10 (2)15056051058
REV-~ goo EX (~-~) OFFICIAL U3E ONLY
PA Department of Revenue Coun Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN ty
PO BOX 280601
Harrisburg, PA 17128-0601 RESIDENT DECEDENT ~ ~ Va ~ I I ~~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
273-22-9732 10/11 /2009 07/07/1925
Decedents Last Name Suffix Decedents First Name MI
Berardutrci Mary E
(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 QF WILLS
~~.
FILL IN APPROPRIATE OPALS BELOW ~ ,
~: (~ 1. Original Retum 2. Supplemental Retum ~ _ 3. Remainder Return (date of death
,= 4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Willj
9. Litigation Proceeds Received
4a. Future Interest Compromise (date of
death after 12-12-82)
_. 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
.. 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
prior to 12-13-82)
5. Federal Estate Tax Retum Required
8. Total Number of Safe Deposit Boxes
". 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
Susan Neff (717) 580-2025
Firm Name (If Applicable) - - -
RE~ISTER ~F 1NN1 ~ S ~ rc~ nt.e~ v
RECORDED OFFICE OF
REGISTER OF `VICES
First line of address 2010 APRIL 23 ~r
1637 Lowell Lane CLERK OF
Second line of address ORPH.~NS' COURT
CU~TBERL~~1~D CO., P
City or Post Office State ZIP Code DATE FILED
New Cumberland PA 17070
Correspondent's a-mail address: tSneff~VerlZOn.net
Under penalties of perjury, I declare that I have examined this return, including aa:ompanying scheduNes 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.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
1637 Lowell Lane, New Cumberland, PA 17070
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
~~
J
15056052059
REV 1500 EX
Decedent's Social Security Number
Decedent's Name: Mary E Berarducci 273-22-9732
RECAPITULATION
1. Real estate (Schedule A) . ............................................ 1.
10. Debts of Decedent, Mortgage Liabilities, Z~ Liens (Schedule 1) ................ 10. 6,445.86
11. Total Deductions (total Lines 9 8~ 10) ................................... 11. 15,543.17
12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 109,926.57
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
109 926 57
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(ax1.2) X .0_ 15.
16. Amount of Line 14 taxable
at lineal rate x .o _ 109,926.57 16. 4,946.70
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 1 g.
2. Stocks and Bonds (Schedule B} ....................................... 2. 29,333.50
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) ............................. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ........ 5. 24,573.62
6. Jointly Owned Property (Schedule F) ~~::~ ~> Separate Billing Requested ....... 6. 572.24
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~:'::~°:: Separate Billing Requested........ 7. 70,990.38
8. Total Gross Assets (total Lines 1-7) .................................... 8. 125,469.74
9. Funeral Expenses &Administrative Costs (Schedule H} ..................... 9. 9,097.31
19. TAX DUE .........................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
4,946.70
15056052059
REV 1500 EX Page 3 Ffla Number
Decedent's Complete Address:
_. _.
DE EDENTS AME DECEDENTS SOCIAL SECURITY NUMBER
Mary E Berarducci 273-22-9732
STREET ADDRESS
1637 Lowell Lane
cITY
New Cumberland
STATE
PA
ZIP
17070
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1 } 4
946
70
2. Credits/Payments ,
.
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty { D + E) (3)
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. (q)
5. If Line 1 + Line 3 is greater than Line Z, enter the difference. This is the TAX DUE. {5) 4,946.70
A. Enter the interest on the tax due. (5A}
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 4,946.70
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 :.....................................................................
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? ...................................................................... ^
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 far" or payable upon death bank account or security at his or her death? .............. ^
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 (3j 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 benefiaary.
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 decedents siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)J. 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 1503 EX+ (egg)
SCHEp1~LE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary E. Berarducci 2009-01123
All property jointly~owned with right of survivorship must he disclosed en Sr_haduln ~
tiT more space is needed, insert additional sheets of the same size)
REV 1508 EX+ (6..g8)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCNEOI~LE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE of FILE NUMBER
Mary E. Berarducci 2009-01123
Indude the proceeds of litigation and the date the proceeds were received by the estate.
AN p-operty jotrrtiy.owned With right Of sUrvivorshiD must be dtsrJes~d m, Sr_tisa~de G
~n -nvre space ~s neeaea, insert aaaitional sheets of the same size)
REV-i5og EX+ (oi-io)
r Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCNEp1~LE F
JOINTLY-OWNED PROPERTY
ESTATE OF:
Mary E. Berarducci
FILE NUMBER:
2009-01123
If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Susan Neff
B.
C.
JOINTLY OWNED PROPERTY:
1637 Lowell Lane
New Cumberland, PA 17070
daughter
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.
DATE OF DEATH
VALUE OF ASSET % OF
DECEDENT'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A,
02/02/02 M&T Market Advantage acct# 15004206214823 1,144.47 50 572.24
TOTAL (Also enter on Line 6, Recapitulation) $ 572.24
If more space is needed, use additional sheets of paper of the same size.
REV-151p EX+ (08-09)
"~' ~ Pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mary E. Berarducci 2009-01123
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
NUMBER INCLUDE THE NAIVE aF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE of TRANSFER. ATTACH A Coax Of THE DEED FOR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET 96 OF DECD'S
INTEREST EXCLUSION
(IF APPLICABLE) TAXABLE
VALUE
1 ~ Proceeds from sale of home 07/15/2009 to Susan Neff 1637 L
ll L
owe
ane,
New Cumberland PA 17070, daughter
147,884.45
50
3,000.00
70,942.23
2 Wells Fargo IRA acx:t#2789-3050,10/11/2009 benefiaaries designated as
listed:
Robert Berarducci, 1869 Devonshire Dr. NW, Canton, OH 44708, son
8,009 63 3,000.00 9.63
Nachael Berarducci, 2435 Rumford Way, Beavercreek, OH 45431
son
, 3,009.63 3,000.00 9.63
Mark Berarducci,13180 N. Woodburme Ave., Oro Valley, AZ 85737
son
, 3,009.63 3,000.00 9.63
John Lawrence Berarducci, 880 Piketown Rd., Harrisburg, PA 17112
son
, 3 009 ~ 3,000.00 9.63
Susan Neffi, 1637 Lowell Lane, New Cumberland, PA 10707, daughter
3,009.63 3,000.00 9.63
TOTAL (Also enter on Line 7, Recapitulation) $ I 70,990.38
If more space is needed, use additional sheets of paper of Che same size.
REV-1511 EX+ (10-09)
" ~ ' pennsylvan~a
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Mary E. Berarducci 2009-01123
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Neill Funeral Home
Royers Flowers
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
State _ ZIP
7, 862.01
465.30
2~ Attorney Fees: 200.00
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
4. Probate Fees: 570.00
5• Accountant Fees:
6. Tax Return Preparer Fees:
7,
TOTAL (Also enter on Line 9, Recapitulation) I ~ 9, 097.31
If more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+ (12-08)
i ~~ pennsylvan~a SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES C[ LIENS
RESIDENT DECEDENT
~~ ~ a i t ur FILE NUMBER
Mary E. Berarducci 2009-01123
Report debts incurred by the decedent prior to death that remained unnald at tti. d~f..,f a_,.«~.:.._~..~:__ .._____~_____, ___ .
~~ ~~~~~~ ~Na« ~~ ~«CUCU, mse~~ aaaiuonai sneers or the same size.
REV-1513 EX+ (01-10)
~ pennsylvania SCHEDULE ~
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Mary E. Berarducci
2009-01123
NUMBER
I NAME AND ADDRESS OF PER50N(S) RECEIVING PROPERTY
TAXABLE DISTR RE o Not List Trustee(S~NT AMOOF ESTATE ARE
IBUTIONS [Include outright spousal distributions and transfers under
Sec. 4116 (a) (1.2).J
1~ Robert Berarducci, 1869 Devonshire Rd NW, Canton OH 44708 son 20%
2. Michael Berarducci, 2435 Rumford Way, Beavercreek OH, 45431 son 20o~a
3. Mark Berarducci, 13180 N Woodbume Ave, Oro Valley AZ 85737 son 200
4. John Lawrence Berarducci, 880Piketown Rd, Harrisburg PA 17112 son 20%
5. Susan Neff, 1637 Lowell Lane, New Cumberland PA 17070 daughter 200
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON ONES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DI5TRIBUTIONS UNDER 5ECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
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, use additional sheets of paper of the same size.