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HomeMy WebLinkAbout07-01-10a v J . 1505610101 AGlY~~f~ ~~la /tiu W PA Department of Revenue P~rmsytvaMa -...~ __,. _,.~. Bureau of Irtdi*rtdual7axes °`"~"`°`""`"~ ~~ Code Year Flle Nurr~ INHERITANCE TAX RETURN f PO BOX z8ta6o1 pA i ~ RESIDENT DECEDENT ; v' ` ~ ' UCQ ; b 1 a-a 9 FILL IN APPROPISATE OPALS BELOW O 1. Original Retum O 4. Limed Estate O 6. Decedent Died Testate (Attach Copy of 1fVifl) O 9. Litigation Proceeds Received t~ 2. Supplemental Retum O 4a. Future Interest Compromise (date of death after 12-12-82) O 7. Decedent Maintained a Living Trust (Attach Copy of Trust) O 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) O 3. Remainder Retum (date of death prior to 12-13-82) O 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113(A) (Attatch Sch. O) CORRE8PONDENT - THIS SECTION MINT BE COMPLETED. ALL CORREBPONDENCE AND CONRDEN1rIAL tAX INFORMIITiON 8NOULD fllE DBtECTEO TO: Name Da me T _ __ _ yti eiepttone Number __ _ . . _. ___ 'Peter Lassi (717) 783-6019 REaIISTER of Ls usE ONL ~~-.© o rn-~~~ ~~~,~ ~. ~ ~ u3 I -.,. ~~ ~ - ~~~ o ~ ~ _ fV DA _ . _ •• .... ____. 'Camp Hill ~ 3 PA 17011 '~ Comtaspondent's a-rradl add~ss:~~Si~9tat6.pa.DS ~^~' penes ~ p~J+sY, I dsclsns that I have examinsc! this rstum, Induding aocompanyirp sc~sdules and sttaerrrents, and to the best of my krx~wledge and t~lef, ~ is true, caract and complete. Dealsratbn of preparer other than the personal representative is based on all ihdorrnadon of which proparer has arty knowledge. SIGNATURE OF FOR FILING RETURN DATE 06/21/10 ADDRESS 200 Fineview Rom, Camp Hill, PA 17011 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE 1i-SE OIlNi1N,A1. FORM ONLY Side 1 1505610101 1505610101 ;.z~ ~~ .-... r. ;""'1 c~ .~ ~~' ~;, -`' ti '-j ~"'! ~_rn ~.~ J 1505610105 REV 1500 Ex Decedent's Soda) Security Number 180-22-04fi3 _. _ _. I 1. RBI F~state (Sc:hedule A) ............................................. 1. ...w ,..,..~.~, ..n.,,,~. .m.,.,, ,~,.,..:. .~....... ~~.~ ~...,~.,,.. ,, 15,107 73 2. Stocks and Bonds (Schedule B) ...................................... 2 0 r..,_...,.......~_ ~.~ ........ .......,._ ~ . .__........ ~~ ...._ 3. Ck>seiy Held Corporation, Partnership or Sole-Proprietorship (Sd~edule C) ..... 3. j r f j 4. Mortgages and Notes Rec~ivab~ (Sd~edule D) ........................... 4. mow.. n.n..~, .~.~... #~ ~. ~.n :~,. a, r... ,,.,......,~.~~..,_.,.~.n.~,.~.~~ 5. Cash, Bank Deposits and Miscellaneous Personal Property (Sd~edule E)....... 5. ~ i g 6. Jdntty Owned Property (Schedule F) O Separate Billing Requested ....... 6. _ __ _ 7. inter-Vrvos Transfers 8~ Miscellaneous Non-Probate Property (Schedule G) O Separate BilNng Requested........ 7. .. .._ .. , .... . _ n ,., ,. .A_..,.~~,~.~...~.~._.~.. ~,.€ 8. Total t3ross Assets (total Lmes 1 through 7) ............................ 8. 15,107.73 Deoscisnt's t~,e: Hal'old J. Ktein RECAipITULATION 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 10. Debts. of Decedent, Mortgage LiabiNties, and Liens (Schedule I) .............. 10. 11. Thal Deductions (total Lines 9 and 10) ................................. 11. 12. Nst Value of Estate (Line 8 minus Line 11) .............................. 12. 13. Charitable and Governments! Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. 14. Net Value 8ubjsct to Tax (Line 12 minus line 13) ........................ 14. i t~. .~.~.,.-,, ......~... -,.~.~,_._._ ,.~ _.,..._, .a.~.. ~_._,.p._._.__f t { ...~..r._.~._.....:.~ n..._...~...~.._._._,......~.___r._.........,._.._...A__,_,.A,...__.._1 15,107.73 ~,~,..._~..a__~~-~..,.~ .~......M _..,.4.., .-a,_.,... .,._._.~r..._....s 15,107.73 j TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or r.....__..._ _..__ ___. _ .. _ _ __..__ . , transfers under Sec. 911fi $.__ ._. __-.___ ..~._.___ _____ _,..._._. _ . ___.._.. _._ ___.-- (ax1.2) X .0_ ~ 15. r.m.......v+.....o... ~~.. ~a...v: M.-.r w....~..... .~-....,.x ............. ~.. ~..m:~>.~+,.m. .:~.....+=..w...,...e..,: ma.:.,.. ...... . .,.,.... ~.,_...v..... -.~ .._........ ..:,, .....~ ....... .... . .. .mom,. ....... .~... ..v+--f 16. Amount of Line 14 taxable at lineal rate X .0 4 2 15,107.73 16 679.85 j 17. Amount of Line 14 taxable at sibling rate X .12 ; 17. 18. Amount of Line 14 taxable § at collateral rate X .15 18. 19. TAX DUE .........................................................19. 679.$S _ _ _ _ _ _ ..._ _. _ ---..._.__._I 20. FILL IN TIM: OVAL IF YOU ARE REQUESTIN~i A REFUND ~ AN OVERPAYMENT O Sids 2 L 1505610105 1505610b05 REV 1500 EX Page 3 Fits Nun~sr Dent'a ~cMnp~ete Addfe~ts: s r~tE Harold J. Klein STREET ADDRESS 204 Fineview Roatd cmr sTATEpA nP17011 Camp Hill Tax Pa~rnents and Cr~t~its: 1. Tax Due (Page 2, Line 19} 2. CredithfPayments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than lane 1 + Line 3, enter the difference. This is the OVERPAYIr11~lT. Fill In ova on Page 2, Une 20 to rogtiest a itil'und. 5. If Line 1 + line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) Total Credits (A + B } (2) (3} (a} (5) 679.85 14.74 694:59 Ma . , S, AGENT. ke check payable to. RE~ISTERii OF WILL ~,`p i7+~. a! f ~'~""' ('.~. ^i ~. •~~{~.^. r!, ,:;L-, .,02-J-,~`+, ...-,~n, 1T ,~ ., .tom (.e+ ~ ,..v~~ .~ ., n .. ~.+~'~~.. ~~~4,_~~; PLEASE AN8IVMER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPRO~-TE B~.OCKS 1. Did ~oedent make a transfer and: Yes No a. retakr the use or income of the property transferred :.......................................................................................... ^ ^ b. retain the right th 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 Dec.12;1982, did decedent transfer property within one year of death witt~ut receiving adequate consideration? .............................................................................................................. ^ ^ 3. Did decedent own an "'m trustfor" orpayable-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, whic~r contains a benefiaary designation? ........................................................................................................................ ^ ^ IF THE ANSMlER TO ANY OF THE .ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCt~DIlLE G AND F~.E IT AS PART Of THE REIURI~. ~'t-~S S ~ Pi ~ ~~ x r _ r 3t~# ,'~°~'~c ~~As r.~ax~nraK.exmc~shs art Y Far dates at death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of thansfers to ~ for the use of the survnnng spouse is 3 percent [72 P.S. §9116 (a} (1.1) (i)]. For dates of death on or after, Jan. 1, 1995,- the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S, §9416 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requiremenrts for disdos~e of assets and filing a tax retisn are sfill ap~ic;able even if the surviving spouse is the only benefiaary. For dates of death on or after July 1, 2000: • The tax rake imposed on the net value of transfers fran a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the cthild is 0 peroent [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 benefiaaries is 4.5 peroent, excrept 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 fa the use of the decedent's sibli ggss ~~s 12 percent [72 P.S. §9116(aj(1.3}]. A siring is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, wither by blood or adoption. REV 1503 EX+ (6-98) t COMMONWEALTH OF PENNSYLVANIA STOCKS INHERITANCE TAX RETURN RESIDENT DECEDENT E8TATE OF FILE N9MdER Harold J. Klein 21-06-0729 ~ ProPart!-1~l-d witd ri~M of a~v~o~shtp anust ba ~doad on SGmdvM F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF OEA1N 1. 187 Shares Comnan . _ Stock Prudential Financial Inc. (Market Value on 07/31/2006 78.360/Share) 14,653.32 2. Dividends on Prudential Stock _ ,, 130.90 3. Divi~rids on Prudential Stock 323.51 TOTAL (Also enter on line 2, Recapitulation) s 15,107.73 (If more space is needed, ~t addltlor-a1 sheets of ~e same size) Explanation of Interest Computation: The Estate and beneficiaries of Harold J. Klein were completely unaware of the existence of the Prudential Stock when the original inheritance tax return was filed. The Estate and beneficiaries only became aware of the existence of the stock when the Executor received a dividend check in the amount of $130.90 (issued on December 18, 2009), and contacted the issuing agent to determine the basis for receipt of the dividend. On June 2, 2010, the Estate received another check in the amount of $323.51 for dividends that were due for prior years. On June 11, 2010, the Estate received a check for $10,982.08 representing the net proceeds from the sale of the Prudential Stock. Pursuant to advice from the Department of Revenue, because the stock was a completely unknown asset, the Department will abate the interest until the date the asset was received. Although only the initial dividend check was received as of December 18, 2009, I have computed the interest on the total amount due retroactive to that date. Sincerely, 6~ ~~ Peter Lassi Executor of the Estate of Hazold J. Klein " ,Investor Relations -Prudential Financial Historical Price Lookup Stock Quote ~ Stock Chart. ( Historical Price Lookup ~ Investment Calculator Symbol PRU (Common Stock) Lookup Date j _ .k _July- --------- 31 ~'~~ 2006 ~~J -- ------ --- - ttaok Up Results Date Requeated 07/31/06 Ciosiny Price $78.640 Volume 1,275,400 Split Adfustment Factor 1.0000: i Open $78.400 Day's High $78.700 Day's Low $78.020 Page 1 of 1 Print Page Close Window NOTE: The Closing Price, Day's High, Day's Low, and Day's Volume have been adjusted to account for any stock splits and/or dividends which may have occurred for this security since the date shown above. The Actual Price is not adjusted for spNts or dividends. The Split Adjustment Factor is a cumulative factor which encapsulates all splits since the date shown above. The closing price above is not necessarily indicative of future price performance. http://www.investor.prudential.com/phoenix.zhtml'~c=129695&p=irol-stockI,ookup~af8zt=... 6/8/2010 ~w~~u~. Pioa~fat Rr~w~r ~ntra~r aactvr e.os~a ooo93a lil~~!! ~l~~~~1~~l~~N~+~rll~pi~~itli~ PETER EJt EST HAROLD J 1CLEIN 200 FN+~V~1~1111 RD CAI~NP H~.L PA 17011 ~~~ Compu~tersha~e Tn~t Comparnr, NA PO Box 43033 R'oNdence, Rhode Isl~d Q2940-3033 V4Khin USA, US oriea ~ Canada 800305 9404 Outside U.SA, US terriiorres 8 Cara 732 512 3782 w+Nw rxx~uterslrere.cartil`rnestor COU31203171 F!D o~ of Seb ~ Z saw, t~ Proceeds ~ oe~is oz ~ ~ ~~ 11,a18.o4 Yae coMPUTE~w~ T P.o. ~uc~3olo . ~~ - oeeaipliorr. - -~len+e~ef-l~uer -- Trion _ - - -- - _ __...~._ . --- ~ a~1o,9u1o . oAO u~ ~ arc sale=c;o1 Nvr~ »w~~eeearrean~ou~tieoKzer»~anrar~.~~o.e~.«~~.~arpoo..a~aneo~zsa~n.~c~oo..a~ ~ s~-i~e, ~ r~ ~ e~yr n.» petd Form 109 (Keep i~oir yar nec~ordej r nrs.lMo. k a nwR aa. a. d PNn.naror or.a RgM~uon.ar... Dd~RYn~ I I 181~nANdt (:) I ~~ ( A~e~wt (i) ( I of ECM ~ 0610?1201015c56 Sek . 187.000000 50.920000 11,018.04 35.96 Treresc9on Fee 10,98208 cam~nlenNereTiwtOon~pen~r, N.A.. at epnt, upeswdN~n waaM, Ni piaideMie nraed~ D bobetdieewreMOCiwd wih Hetnnedlon~), and~e ne~on~N en~oieitdiiee wi dMcbee ~e eoune end amount daoa~neia~ woMwd ioeA aid perMes in ao~clion Mdti be traneedon~, ife~r. Nirede ire k potiiciudul ebo~ a n~rbe a~I~6h epon awn roque~t u 71 UTX PRU oo4corooos 00MD~~n i~ti~iA''TAMT TAX 1~T~!!IV Qt3C!lfiiLll~T ENCLOSED ,w~ur frmf OoOr~a~arn~ 2722b2 l~I~fl~•~I~~h1~~l~r~~~~t~•1•~~~iilr~ HAROLD J KI.EIN 200 ~E1N CAB+iP HN1. PA 17011-84448 ~OrilpUtefsi'18fe ~ ~00f ~~ PfOYIdel1C8, ~IOde ~if1d ~294~1-303 1Alithin USA, US territories 0 Car~ede 800 305 9404 . Outside USA, US territories ~ Ceram 732 51Z 3782 www.axnpub~stsire.corrVinvestor IlolanAooenMN.~Mr 00026368367 IND ~~~~~ ~~ AarrarNrtMrrr~l~at a Fo~n 1010 • Irv ~ Dhifiri~~ aril t~Maons 2009 Copy B - ~ Rec~pie~ ~'~"~'°N°' 1 Pay.r~ i~wM.i©~. r~s~esr~ 11~taNi~aaratMltM~a~rraMa~l~OwOMr~OM~aM~IrrwwOaMea r~e~r~iilo-/aa~sr~or p~:p,0. 1545-0110 piarly-oraMraraeraaawMl~oa~iawxaH~lataooiaalatrdMaaaaMia/i3drlMMiwrMtROaawotMwwporlNi. o~r~tara~Tnwrry-11~NRwM~awioe Il~eipbnt J CAP Hitt. PA 17tl11~S418 a tlydi~- w - Ll~t~d piaiw~liMd ~ ~ ~ • Olvide~nds (4} psidrfrda~} ~(~ UdtaN[tl~D ~ Paid ~ orU~. PbNewion t311i. (~y` $ Deus (3090 130.90 0.00 0.00 O.OQ PRIAEN't1A1.FNiAt.~ C~10 C~tf tB~IiARE - P.O.80X 430'Ifl PROIVIOEl~ICE Ri Q291430"10 Form 1099~ON ~ ~ Y~ ~ -___ Piiymitnt DsM . ! ` { DNCrMrlbn ! P$I ~AMits I 1 d i Rsle Divids~d ~ ~ ~ I ~~ ietn ~ Divid~rtd {~} 18Dsc2009 t~ONNrION 187 YaaaTaDala Paid 50.70000 f3o9o 130.00 0.00 eeo wA f30.9o 130.00 46UTX 00208,70004 ppft~A.pP{F2) PIrJ1~C~OC~O®r'IMd4'ECKPI~Ip7LV. P R U '~' i e 000073 hl~~~~1~1N~1t~~~l~~r.tllaN~ll~f~l~~~l~~.~t!!~~ coo . ~~ + .w ~~ PO Bout 43033 Pror+derNCe. Made d 02940.3033 ~1Alhhin USA. US tenieories 6 Carexia 8003059404 Outside USA. US tierri~ories fr Car>~ 732 512 3782 www.cornputersl~er8.corNirwusror ~ oec ~oo~ awdana rrso~ 19 Dsc 2008 OiVldarb 10BA8 Trial 33.51 16UDC PRU "~" oorar~.vP • Prac~titioneT Portal ,~ Psnatty ar~d kr~snst C~cu Page 1 of 1 CA~..ATI~11 D~AATE~- 12/18i2009 TO 6/30/2014 TAX DEFICIENCY . $ 679.85 CALCULATED INTEREST $~ - 14.74 - BALANCE AS OF 6/30/2010 $ 694.59 httpsJ/www.do~r~rvices.sepa..usl~tse~vices/Defsul~aspx 6J18~2010 June 28, 2010 Glenda Earner Strasbaugh Register of Wills and Clerk of t~ Chphans' Court Cuinberla~:d County Court of Common Pleas One Coouse Square Carlisle, PA 17013 RE: Estate of Harold J. Klein File No. 21-06-4729 Enclosed is an origi~n-al. and one (I }copy of the sup~-lemental inhexitance tax return that I am filing in the above-captioned nester. Also enclosed is the $15 filing fee. The additional. inheritance tax payment of $694.59 was previously submitted to your office. Sincerely, ~,,, _ ~~~ ~ ~ : ~ ~~~- ~ ~ cter L,assi, Executor ~, F ~~ ~ r r- ~:,~ 200 Fineview Road ~ ~' ~.; .'_ ~~~ , Camp Hill, PA 17011 a`._ ~ ~`' .w~ .~-:.1... ~ -~ sr.w,~ ..~J ---~ ~ ~ "'"w i'"t`i 4s7 . w t7 ~' r` {,~ ~ ~ u+ :~N ~ Y •• ~ 1JS ~~ ~~ ~ ~a ° ~' ~ -~ N l~ ~ ~ ~^ ., ~ ~ ~ ~- . ~, .r o .t i ~ ~ M y M ~~ ~~ 0 ~~`~ }~ j~ 3=~ ~ V + ~2 la. -~ t r S ~ `~ ~ 3 s' V '~