HomeMy WebLinkAbout06-01-10r - '_ - ~
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg. PA 17128-001
15056051047
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year F' Num er
f
ENTER DECEDENT MIiFORMATION BELOW
Social Security Number Date of Death Date of Birth
~ ~~ ;.~ ,, ~ ~m
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Decedent's Last Name Suffix Decedent's First Name MI
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name Ml
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Spouse's Social Securi Number
THfS RETUR,tV MAST Bt: FtLE~ IN DUPLICATE WITH THE
~ ~ R~IT~R ~~ V~Ii~LL~
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FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Retum O 2. Supplemental Return O 3. Remainder Return (date of death
prior to 12-13-82)
O 4. Limited Estate O 4a. Future interest Compromise (date of O 5. Federal Estate Tax Return. Required
death after 12-12-82)
O 6. Decedent Died Testate O 7. Decedent Main#ained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
O 9. Litigation Proceeds. Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A}
between 12-31-91 and 1-1-95) (Attach Sch. O)
~~ i
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDEINTU4L TAX INFORMATION SNOULD BE DIRECTED T0:
Name Daytime Telephone Number
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Firm Name (If Applicable)
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First line of address
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Second line of address
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C~t or Post Office State ZIP Code
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Correspondent's e-mail address:
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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. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE t~$ PERSON RESPONSIBLE FOR FILINC3 RETURN
DATE
~o~t ~~
ADDRESS
Z3 -~ fa,,rR~. cr ~~L~~ 8~z~- Pao ~'v~~
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Slde 7
15D56051047 15056051047
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J 15056052048
REV 1500 EX
Decedent's Social Security Number
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~ ~° 3
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Decedent
s Name: ~~
RECAPITULATION
1.
Real estate (Schedule A) . ............................................
1 w
'„ ~ ,,.,
'~ ~'_
2. Stocks and Bonds (Schedule B) .......................................
3. Close) Held Co oration, Partnershi or Sole-Pro rietorshi Schedule C
Y ~P P P P( ) .....
3
w' c~
E
L
4. Mortgages & Notes Receivable (Schedule D) ............................. ~. H
5
Cash
Bank De osits 8 Miscellaneous Personal Pro ert Schedul
E
P
(
~~
5 ~
;j
"
~
3
,..
',
. ,
e
) ........
P Y .
~.~ r T
wr, :;v Pik,, jam.+~ ~ ?t4~'h;'
~
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6. Jointly Owned Property (Schedule F) O , , , . , ..
Separate Billing Requested
6. R
~ ~ ;°"
j 3
~ .~ ~ Z ~
7. Inter-Vivos Transfers ~ Miscellaneous Non-Probate Property
(Schedule G) O Se
arate Billin
Re
uested
7 S-•
p
g
........
q . ~ ;:
8. Total Gross Assets (total Lines 1-7) .................................... 8. ~' S ~ .S
9. Funeral Expenses 8 Administrative Costs (Schedule H) ..................... 9. 1 (~ Q
A,
10.
Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) ................
1b: ~~
_.
;3
11. Total Deductions (total Lines 9 & 10) ................................... 11. ~ ~ S ~ 1 ~
.~
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12. Net Value of Estate (Line 8 minus Line 11) .............................. 1 ~. '.~ }
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. ~ 3 S t
TAX COMPUTATIbN -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_ 15.
16. Amount of Line 14 taxable
at lineal rate X .0~ 18.
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.
19. TAX DUE ............. .......................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
15056U52048 15056052048 ~,
• ~
REV-1500 EX Page 3
Decedent's Complete Address:
File Number
DECEDENT'S NAME
VVfJt-Z'~ ~" ~'°'~' -
STREETADDRESS
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CITY STATE ZIP
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments ~
C. Discount ~ ~ }~
3. Interest/Penalty if applicable
D. Interest
E. Penalty
O
O
(1) 1~ ~3S ~`
Total Credits (A + B + C) (2) y Ct 3 g
Total Interest/Pemalty (D + E) (3) 0
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fiii in oval on Page 2, line 20 to request a refund. (4)
5. If Line 1 + tine 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ~ ~~ q7 ~.-
A. Enter the interest on the tax due. (5A) ~
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) I~$g~ ~-
Make Check Payable to: REGISTER OF IN~LLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN '~~X" tN 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 for" 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? ...................................................................................................................:. ... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE. G AHD FILE. IT AS PART OF THE REl'URN.
~:
For dates of death on or after Juiy 1, 1994 and before January 1, 1995, the tax rate imposed on the nef 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 firom tax, ar~d the statutory requirements for disclosure of assets and
filing a tax return are stilt 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)].
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.
~y V
REV 1508 EX «(1,9~
SCHE~ILE
coMMON1MEALTH OF PENNSYLVANIA CASH, BALK D~POS~S, 8~ MISC.
INHERITANCE TAX I~TURN PERSONAL PROPERTY
ESTATE tJiF FILE NUMBER
w/~...~~.~ ~ ,3 .
Indlurde the proceeds of litigation and the date the P were received by the estate. AQ propwty joingy~ownod ~ tJis ht of surv
rift lvorsi!~- nnn# bs disclosed on &heduN F.
ITEM VALUE AT ATE
NUMBER DESCRIPTION OF DEATIH
~ ~ ~1~`~ U N t~A ~ ~~ ~ o ~
~ R~~ v~~~aL- F F~ ~p~~ 3t 67
~~
3 sAu~ a ~ 1 ~.., ca.~ ~ Z ~
~~ ~` S~l~A~ /tea p,~.~\ Y
,~•~t~~ ~~ ~~~
~~~
~.
~, ~ NTFR'~.~'~ ~ 3 `e..~
TOTAL (Also enter on line 5, Rec~itulatlon) I = (o`~~,,7 3
(If more space (s needed, insert additional sheets of the same size) ' .
,~,
REN-1508 D(+ (t-9n
~ 7
SCHEDULE F
TH of PENNSYLVANIA JOINTLY-OWNED P~`t1~P"ERTY
coMl
INHERITANCE TAX. RETURN
IDENT NT
ESTATE Of FILE NtJ~ER
~~,tf~2 ~"• ~~~~~
tf an asset was made joint whin one rear of the decedent's dab of death, it must be npotbed on ScheduN G.
SURVIVING JOINT TENANT(S) NAME
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c.
~nuir~ v nu~-1cn D0~IDCDN•
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ADDRESS
1~ ~~.LS~,~ P.~ 1 ~a.~~i
RELATiONISHIP TO DECEDENT
So,~c/
Yv,• • • -
ITEM
NUMBER • LETTER .
FOR JOINT
TENANT ..DATE
MADE
JONT DESCRfPTION OF PROPERTY
Include name of financial institution and bank account nurt~et a similar identirying number. Attach
deed tia'jointly-held nil estate.
DATE OF DEATH
VALUE OF ASSET Xo OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
~CEDENT'$ INTEREST
1.- A. ~
I ~1~1^~`~/S /~~V~G ~~2.2..~7- ~ ~3 "' 9
2~b`-~~ h-'~ ~ ~p ~~oi't' ~ (010
~. nn~.nY~Y lv~A~T ~ t.~,C~.vfi"
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~t-~.~~,~. ~ ~,c, ~
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~ /~cr-mss ~a~~~ w~~. ~~~ ~~
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ti ~~~ ,r Q
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L
TO?AL,(Also enter on Nne 6, Recapitt-I~on) ; 1 ~~,,~
(If more space is needed, insert adc>~tional sheets of the scene size)
Rfid/-1511 E?(+F (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~cNSOU~ w
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
t5 fAt t OF FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
Ate- ~'v~.~,lu~~ {-~ C.'C~ pc~ .~ ~ ~
~ ~ tom. ~i~~ F~n,~ c~~ Q ~,4Z
B. ADMINISTRATIVE COSTS: ~~~~~,~
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees
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
5. I Accountant's Fees
6. ~ Tax Retum Preparer's Fees
7
l3
TOTAL (Also enter on line 9, Recapitulation) I ~ ~j~) i ~°
(If more space is needed, insert additional sheets of the same size)
REV-1513 E~ (11-08)
pennsylvan~a SCHEDULE ~
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
I
i
2
3
`1•
q_
Io
~1
1L
~3
~t
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 2116 (a) (1.2).]
J`oh~~ /3~(~ 35tX ccwC~~tt~ ~v,c' Apr S liti-
nN~~,o n~a I ~ ~ 3~
J'~S~.n/ /.3`t'~'D f 3\~J ~N~N 2D ~~~9U24~ (~i rx~\~5
SCs~ f - ~tJ\ N ~L~~ /V,/ )'Ll+~r~S'n1N J°i1 ~ ~7 ~~
<.tact~~,>~2 c~ c 2v~r,~~ ~'e3 c,~t,>:.n- ~,F.F~ ~a v.~, r~
/L-ar~ !~a t ~~~z
~3SS c1~•sz~,i~1...~-.~ (b~ ~'L+Ii, fL Ea~.~ 4,Y.~.~C3~Z~ PO
T`MCTift, c1:I~-~^~y~ f o '~.~ ,~ ~. ~Rs~+9~2s~ ~ ~
"fr?.~t,1~ ~~1
I~~t crz\ra r`~ST~ l~'3~'v~~\-cwt ,eA 3~-,~-~Pt'~ ~ t ~St-~
rw~ i~--S~ t83~ w1z~c~Jr'~!~ /~ S~`~'~cu°l`.CS~J ~
,~C:r~~ moo, ~,. ~ i-t3
~~t~~~.~`J P~ 1Q~c~~
Srnrsr~ ~-c~o.F Z3 T~~.~~~ tT'
RELATIONSHIP TO
fDo' iNot iList Tn
G2A~~DSO~/
~~~o3c~
Cr~r-alb /~t~'
~2Au~sv~n~
'~ <rRfa~ oS~.J
CNZT G~LANas~
{ ~ {7~'U-.r~vQ~~!
Z. 2T v~~S~
S~st~,
~~~
~v ~ ~~/"~
S~~
FILE NUMBER
AMOUNT OR SHARE
OF ESTATE
SOS ~'
Sb'~J "~
i~o "".
S GUO ~
5'bcA `~`
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S bc~ `°
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S u~ ~
~~ ~
~b~
~4~
~ ~3
17'? b~3 ~
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL Oih PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ .
If more space is needed, insert additional sheets of the same size.
' .~....
I~1ST ALL AND T1~STA`
I, ~lLTB~t J. BYTOF, presently residing in Township
of Northampton, County of Bucks, Commonwealth of Pennsylvania,
being of sound and disposing mind, memory and understanding do
hereby make, publish and declare this writing as and for my Last
Will, hereby revoking, annulling and mah.a.ng void any and all
. ... ,
Wills and Codicils by me heretofore made..
FIRST: I direct that all of m~ just debts and funeral
expenses including grave marker and all expenses of my last
illness shall be paid from my residuary estate as soon as
practicable after my decease as part of the expense of the
administration of my estate.
SNCOND: I give, devise and bequeath all the rest,
residue and remainder cif my estate as follaws:
(A) Fifty-Five (55~) Percentt.o my son, JOSEPH W.
BYTOF, or his issue Per stir~res; and
(B) Forty-Five (45~) Percent to my Step-Son, PAUL
B. CERVELLERO, or his issue per stirpes.
TRIRD: Niy Executors and their successors shall have
the following powers in addition to those vested in them by law
and by other provisions of my Will applicable to all property,
whether principal or~ income, including ` pr~-p~rty~ ~ held for minors
exercisable without Court approval ar~d effective until actual
distribution of all property.
(a) To borrow money from any person or institution
and to mortgage or pledge any. or all real or personal property
as they in their sole discretion shall choose without regard
for the dispositive provisions of this instrument.
{b) To assent to, join in or vote in favor of any
merger, reorganization, voting Trust plan or similar action and
to delegate discretionary duties with respect thereto.
~ a,. ~
(c) To compromise any claim or controversy asserted
by or against my estate.
(d) To make distribution in cash or kind or partly
in cash and partly in kind and in sucYi manner as they may
determine and at valuations finally to be fixed by them.
(e} To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania fiduciaries
as they deem proper without regard; too any principle of
diwersi f i.cat~.~n- .or x~~.~k:.. A~..: _ _..
(f} To exercise any law givexx option to pay death
taxes in installments, the payment of interest due on such
installments to be charged against principal.
(g) To retain any or all of the assets of my estate
real or personal without regard to any principle of
diversification or risk.
{h) To exercise any law given option to treat
administrative expenses either as income tax or as estate tax.
deductions without regard whether the expenses were paid by
principal ar income.
(i) To sell at public or private sale, to exchange
or to lease for any period of time any read.. or personal property,
to give options ft~r sales, exchanges or ceases for such prices
and upon $uch terms or conditions as they aeem proper.
FODRTH: I appoint my son JOSEPH W. BYTOF, Executor
_..
of this my Last Will. Should my son fail to qualify or cease
to act as Executor, I appoint my Step-son PAUL B. CERVELLERO,
Executor in his stead.
FIFTB: I direct that my Executors and their successors
shall not be required to give bond for the faithful performance
of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, the said i~'ALTI~R. J. BYTOF, have
to this my Last Will, set my hand and seal this g`~- day of
~~~ A.D., 1991.
~ ~
1~I. 8 F
- 2 -
1 ~ r
+ i~f
The preceding instrument, consisting of
other typewritten pages, each identified by the
the Testator, was on the date thereof signed,
declared by WALTER J. BYTOF, the Testator therein
this and two
signature of
published and
named, as and
for his Last Will, in the presence of us, who at his request,
in his presence and in the presence of eacx~~ other, have subscribed
our names as witnesses hereto.
. !'
r..r
A~ ITIC-N TO LAST W1LG AND TESTA~FNT
I, Walter J. Bytof, currently residing in Township of Car~all, County of York,
Commonwealth of Pennsylvania, being of sound and disposing aad, memory and
understanding, hereby make, publish and declare this writing as acid far ~dtion tc> my
last Wilt dated the 8th day of February, A.D. 1991.
Amer article "FIRST" and before article "SECOND" I ;give, devise and bequeath the
following:
(A) To all the surviving grandchildren and great grandchildren of my son JUSEPH
W. BYTOF and Step-Son PAIJL B. CERt~ELLERO , $St>t}0.(lt? each
(B) To my sister Victoria Festa, the sum of $3000.00.
(C) To my niece Janice .Thompson, the sum of $3000.GE1,
(D) To my nephew James Festa, the sun of $3000.00.
IN WITTNESS WI~>/REOF, I the said WALTER. J. BYTOF, have to this addition to my
last Will, set my hand and seal this ~'... ~' day of October, A.D 2007.
~--
VValter J. Bytof
.~
.,,
;.
.~_~___~