HomeMy WebLinkAbout07-14-10J REV-15~
PA Department of Ra.
Bureau of Individual T
Po BGX 25080,
Harrisburo. PA 17128•
ENTER DECEDENT INFORMATION
Social Security Number
169-14-5018
Decedent's Last Name
Dodd
(If Applicable) Enter Surviving Spo
Spouse's Last Name
Dodd
1505610145
IX(01-10)
Pennsylvania
orvum.Errtosr~veMx
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Date of Death MMDDYYYY
01312009
Suffix
Sr.
k Information Below
OFFICIAL USE ONLY
County Code Year File Number
oil ~D 0 ~p~d
Date of Birth MMDDYYYY
08211915
Decedent's First Name
William
i Suffix Spouse's First Name
ICI Mary
MI
H
MI
A
Spouse's Socal Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRUITE BOXES BEL~W
® 1.Odginel Return I Q
i 2. Supplemental Return
4. Limited Estate ~~I 0 4a. Future Interest Compromise (date of
I death after 72-12$2)
® 8. Decedent Died Testate 'i ~ 7. Decedent Maintained a Living Trust
(Attach Copy of YVIII) !
I (Attach Copy of Trust)
9. Litlgatlon Proceeds Received !i Q 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-t-95)
CORRESPONDENT-THIS SECTION MUST
Name
Robert G. Frey
3. Remainder Return (date of death
pdorto 12-13-82)
0 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
0 11. FJectlontotax under Sec.9113(A)
(Attach Sch. O)
ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0:
Daytime Telephone Number
71724358.38 ^~
First line of address III
5 South Hanover Str~e~
Second line of address
City Or POSt Office
I
Carlisle
State ZIP Code
PA 17013
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Correspondent's s-man addmsa: f i e ®f re t i 1 e . c om
Under penalties of perjury, I declare that I have fined this return, including accompanying schedules and statements, and fo the best my knowledge and belief, it a
true correct and co late. Dada of Cher than the rsonal re resentative is based on all information of whidt re arer has an kn e.
SIG TU RSON IB ILING RETURN DATE
07/02/10
ADDRESS
1571 Rockled e Driv Carlisle
PA 17013
,
'
SIGNATUR EPAR THA E R ATIVE ~ DATE
07/02/10
ADDRESS
5 South Hanover Str e C isle
PA 17013
,
,
~ FASE USE ORIGINAL FORM ONLY
Side 1
L 150561D145, I, 15D5610145
V
~6
s>~
1505610245
REV-1500 EX
Caeedent's Name: W 1111 is
H Dodd Sr
Decedent's Sodal Security Number
169-14-5018
RECAPITULATION ~
1. Real Estate (Schedule A) ...I, .. L ..................................... 1
2. Stocks and Bonds (Scher
3. Closely Held Corporation,
4. Mortgages and Notes
5. Cash, Bank Deposits and t
6. Jointly Owned Property (Sc
7. Inter-Vivos Transfers 8 Mi;
(Schedule G)
8. Total Gross Asseta (total
9. Funeral Expenses and
10. Debts of Decedent, Mort
11. Total Deductions (total
12. Net Value of Estate (Line 8
13. Charitable and Government
an election to tax has not be
TAX CALCULATION -SEE IN:
18. Amount of Line 14 taxable s
the spousal tax rate, or
transfers under Sec. 9116
(ax1.2) X .0 ~
16. Amount of Line 14 taxable
at lineal rate X .0 4 5
17. Amount of Line 14
taxable at sibling rate X • 1
18. Amount of Line 14 taxable
at collateral rate X . 15
1 s.
17.
18.
19. TAX DUE ...............~....................................... 19.
i
20. FILL IN THE BOX IF YOU AI~E I EQUESTING A REFUND OF AN OVERPAYMENT
III
I
Side 2
..................................... 2. NONE
ship or Sole-Proprietorship (Schedule C) ..... 3. NONE
(Schedule D) .......................... 4. NONE
aneous Personal Property (Schedule E) ...... 5. NONE
F) Separate Billing Requested ........ 6. NONE
sous Non-Probate Property
OSeparate Billing Requested ........ 7. NONE
lthrough 7) ........................... 8.
4462.50
4462.50
costs (Schedule H) .................. 9. NONE
bilities, and Liens (Schedule I) ............. 10. NONE
and 10) ...............................11.
Line 11) .............................12.
ests/Sec 9113 Trusts for which
le (Schedule J) ....................... 13.
FOR APPLICABLE RATES
4462.50 1s.
0.00
4462.50
0.00
4462.50
0.00
0.00
0.00
0.00
0.00
0
L 150561245 1505610245 J
REV-1500 EX Page 3
Decedent's Complete Address:
21-10-
File Number
169-145018
DECEDENTS NAME
William H Dodd Sr.
STREET ADDRESS
s~1 ~~.~, ~
c Dr.
CITY ~ ` ~ S ~ ~
t STATE A
(•~ ZIP ~ ~ O /<
J~
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
3. Interest
(1) 0.00
Total Credits (A + B) (2) 0.00
4. If Line 2 is greater than Line 1 + Line 3, ~nter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, LI a YO to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, }nter the difference. This is the TAX DUE.
(3)
(4) 0.00
(5) 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 transfe and: Yes No
a. retain the use or income o the property transferred : ............................................................................. ^
b. retain the right to designat who shall use the property transferred or its inwme : ................................ ^ pC
c. retain a reversionary inte st; or ...............................................................................:............................ ^
d. receive the promise for I' of either payments, benefits or care? .......................................................... ^
2. If death occurred after Dec. 1 , 1.982, did decedent transfer property within one year of death
without receiving adequate co sideretion? ................................................................................................. ^
3. Did decedent own an "in trust or" or payable-upon-death bank account or security at his or her death? .... ^
4. Did decedent own an individu I retirement account, annuity or other non-probate property, which
contains a beneficiary design lion? ............................ ^
................................................................................
IF THE ANSWER TO ANY OF THE ABOVE UESTIONS 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 efore Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse Is 3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the x rate Imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does no exempt a transfer to a surviving spouse from fax, and the statutory requirements for disdosure of
assets and filing a tax return are still applicable en if the surviving spouse is the only benefidary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of nsfers from 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 child s 0 percent [72 P.S. §9116(a)(1.2)].
• The tax rata imposed on the net value of nsfers to or for the use of the decedent's lineal benefldaries is 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 nsfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(ax1.3)). A sibling is
defined, under Section 9102, as an individu I who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 F~C+ (Ot-10)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: I FILE NUMBER:
William H. Dodd 21-10-
All roal property owned solely or as a to M In common must be roporfsd at fair market value. Fair market value is defined as ttre price at which property
would be exchanged between a willing r and a wilting seller, neither beirg compelled to buy or sell, both having reasonabb knowksdge of the rolevant facts.
Real that is Jointly-owned with ht of survNorohip must be disclosed on Schedule F.
Attach copy of the settlement sheet if the property has been sold.
ITEM
NUMBER
InGude a copy o
the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
DESCRIPTION OF DEATH
~. Vacant lot, 10,000 s uare feet, Pine Township, Lycoming County. 4,463
Assessed Value: $3
II
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it
I
i
I
I
I
I
I
I
II 750, common level ratio factor: 1.19
TOTAL (Also enter on Line 1, Recapitulation.) S 4 463
space Is needed, use additional sheets of paper of the same size.
REV-1513 EX+ (01-10)
Pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
BENEFICIARIES
INHERfrANCE TAx RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
William H. Dodd ~ 21-10-
RELATIONSHIP TODECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS F PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS [Intl outright spousal distributions and transfers under
S .9118 (a) (1.2).]
Mary A. Dodd
1
1571 Rockledge Drive, Carlisle
I
I
I
I
I ` PA 17013 Wife 100%
I
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I
I
~I
I
ENTER DOLLAR AMOUNTS FOR DI
RIBUTIONS SHOWN ABOVE ON LINES 15 THROUG
18 OF REV-1500 COVER SH
ET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS U DER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNM~
I IJTAL DISTRIBUTIONS:
1. II
TOTAL OF PART II - ENTER TOTA NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REY-1500 COVER SHEET. f
0
If mon: space is needed, use additional sheets of paper of the same size.
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LAST WILL AND TESTAMENT
OF
WILLIAM H. DODD
I, WILLIAM H. DO D, of South Middleton Township (mailing address: 1571.
Rockledge Drive, Carlisle, P 17015), Cumberland County, Pennsylvania, being of
sound and disposing mind, rm~emory snd understanding, do hereby make, publish and
declare this as and for my Last Will and Testament hereby revoking and making void any
and all Wills by me at any tim~me heretofore made
1. I direct my h reinafter named Executors to pay all of my just debts and
funeral expenses as soon my death as may be found convenient to do so.
2. I direct that inheritance, transfer, succession, estate. and death taxes,
including interest and penal es thereon, which may be payable on account of my death
shall be payable from the r sidue of my estate regardless of whether the assets upon
which such taxes are based a included in my probate estate.
3. All of the re t, residue and remainder of my estate, real, personal and
mixed, and wheresoever the ame may be simate, I give, devise and bequeath to my. wife,
MARY ALICE DODD, her theirs and assigns to the exclusion of my children bom and
unborn.
Should my said wife
all the rest, residue and remF
the same may be situate, I gi
(a) Forty (404'0)
assigns, but should 6e fail to
the shares of my other childr
(b) Twenty (2C
assigns, but should he fail
their heirs and assigns, per
(c) Twenty (20)
heirs and assigns, but shoo
survive me, their heirs and t
per sdrpes.
(d) Twenty (2Apercent thereof to my son DAVID R DODD, his heirs and
assigns, but should he fail to survive me then the same shall lapse and. be added equally to
the shares of my other chil n who shall survive me.
4. I hereby no
Executors of this my Last
STEPHEN M. DODD, BE\
direct that none of them
performance of his or her d
jurisdiction.
ARY ALICE DODD fail to survive me, then in such event
ier of my estate, real personal and mixed and wheresoever
devise and bequeath as follows:
to my son, WILLIAM H. DODD, JR, his heirs and
me then the same shall lapse and be added equally to
who shall survive me.
percent to my son STEPHEN M. DODD, his heirs and
survive me then to such of his issue as shall survive me,
scent to my daughter BEVERLY L. DAUGHERTY, her
she fail to survive me then to such of her issue as shall
te, constitute and appoint my four children as Co-
and Testament, they being WILLIM H. DODD JR,
.Y L. DAUGHERTY, and DAVID R DODD: I further
be required to post any bond to secure the faithful
in the Commonwealth of Pennsylvania or in any other
IN WTTNESS WH>~REOF, I have hereunto set my hand and seal to this my Last
Will and Testament wntten n two (2) pages, this 3p~ day of January, 2009.
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