HomeMy WebLinkAbout08-23-10 (2)t
J
REV-1500 Ex (01-10) ,~ 1505610143
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO 80X.280601 INHERITANCE TAX RETURN 2 1 0 9
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
File Number
0929
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
344 12 9002 09 28 2009
Decedent's Last Name Suffix
SCHARDING
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
Date of Birth
03 09 1924
Decedent's First Name MI
ROBERT M
Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death
prior to 12-13-82)
^ 4. Limited Estate ^ qa. Future Interest Compromise ^ 5. Federal Estate Tart Return Required
(date of death after 12-12-82)
0
® g Decedent Died Testate
(Attach Copy of Will) ® ~ Decedent Maintained a Living Trust
(Attach Copy of Trust)
- 8. Total Number of Safe De osit Boxes
p
^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death
^ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
CRAIG A DIEHL ESQUIRE CPA 717 763 1613 ;__~.
First line of address
3464 TRINDLE ROAD
Second line of address
City or Post Office
CAMP HILL
State
PA
ZIP Code
170114436
-- }
4
Correspondent's a-mail address: c d i e h l@ c a d i e h l l a w. c o m
U der penalties of perjury, de flare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it ug, correct and co to Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SI U PER ON P LEAF FI N RE RN DATE .
Mary A. Geller --7 .~ ~~ ~ -~,
ADDRESS
231 Franklin Road, Glencoe, IL 60022
SIGNATURE OF PREPARER O HEt~AN PRESENTATIVE DATE
Craig A Diehl Esquire CPA ~ /~~ ~ /~'' ~,~
ADDRESS fJ v '" v ~
3464 Trindle Road, Camp Hill, PA 170114436
Side 1
1505610143 1505610143
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REGISTER OF'~VrdIL~ USE O~Y
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DATE FILED ~`"~
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1
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: S C H A R D I N G, R O B E R T M 3 4 4 12 9 0 0 2
RECAPITULATION
1. Real Estate (Schedule A) .......................................................................................... 1.
2.
Stocks and Bonds (Schedule B) ...............................................................................
2. 64,153.61
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. 4:L, 512.49
6. Jointl Owned Pro ert Schedule F
y p y ( ) ^ Separate Billing Requested .............
6. :? , 5 8 1 8 6
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property $ 0 e}
1 9 1 8 7
(Schedule G) ^ Separate Billing Requested ............. 7. ,
8. Total Gross Assets (total Lines 1-7) ....................................................................... g, 9 1 2, 4 3 9. 8 3
34,454.80
9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9.
'~, 792.56
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10.
11.
Total Deductions (total Lines 9 & 10) ......................................................................
11. 4;?, 247.36
12.
Net Value of Estate (Line 8 minus Line 11) .............................................................
12. 870 192 47
'
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................................................
13. ]L , 5 0 0 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................. 14.
868,692.47
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 .00 15.
16. Amount of Line 14 taxable 8 6 8 6 9 2 4 7
at lineal rate X .045 ~
16. 3 9 0 9 1 1 6
~ •
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. 3 9. 0 9 1 1 6
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^
Side 2
1505610243 1505610243
REV-1500 EX Page 3
rlne+erlnnt'c ~`mm~lptP Ofll['~1'P_SS'
File Number 21 - 09 - 0929
D D NT' NAME
Scharding, Robert M _
STREET ADDRESS
733 Harding Street _
CITY STATE ZIP
New Cumberland Pa 17070
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19} (1) 3 9 , 0 91.16
2. Credits/Payments
A. Prior Payments 3 6, 0 0 0.0 0
B. Discount 1 ,894.74
Total Credits (A + B) {2) 3 7 , 8 9 4.7 4
3. Interest (3) 0.0 0
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) _ ,_
Check box 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. {5) _ 'I , 'I 9 6.4 2
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 :.................................... []
c. retain a reversionary interest; or .................................................~.............................................................. [~J ^
d. receive the rom~se for life of either a ments, benefits or care .................. .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death with ~y1 x
receiving adequate consideration? ................................................................................................................... out ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... [~ ^x
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 AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before 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 January 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. §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 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 is 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 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 12 percent [72 P.S. §9116 (a) (1.3)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by bloodd or adoption.
~ ,
,.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
ESTATE OF Scharding, Robert M 21 - 09 - 0929
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION UNIT VALUE= VALUE AT DATE OF
DEATH
1 Federal Reserve Bank -United States Treasury Bill 24,953.61
#1300-044-4934 Proceeds
2 Federal Reserve Bank -United States Treasury Bill 24,938.45
#1300-044-4934 Proceeds
3 PNC Investment Acct #81617073 10,570.30
4 US Savings Bond $25 Series E Q6408716275E Issued 06/1980 107.41
5 US Savings Bond $25 Series E Q6408681025E Issued 06/1980 107.41
6 US Savings Bond $25 Series E Q6408681024E Issued 06/1980 107.41
7 US Savings Bond $25 Series E Q6408664174E Issued 05/1980 107.41
8 US Savings Bond $25 Series E Q6396997634E Issued 05/1980 107.41
9 US Savings Bond $25 Series E Q6396973640E Issued 05/1980 107.41
10 US Savings Bond $25 Series E Q6396973641 E Issued 05/1980 107.41
11 US Savings Bond $25 Series E Q6396858007E Issued 04/1980 108.45
12 US Savings Bond $25 Series E Q6402389498E Issued 04/1980 108.45
13 US Savings Bond $25 Series E Q6402385953E Issued 03/1980 108.45
14 US Savings Bond $25 Series E Q6402385952E Issued 03/1980 108.45
15 US Savings Bond $25 Series E Q6402374486E Issued 03/1980 108.45
TOTAL (Also enter on line 2, Recapitulation) ~ 64,153.61
..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
continued
FILE NUMBER
ESTATE OF Scharding, Robert M 21 - 09 - 0929
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE= VALUE AT DATE OF
NUMBER DEATH
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
US Savings Bond $25 Series E Q6402368658E Issued 02/1980
US Savings Bond $25 Series E Q6390222532E Issued 02/1979
US Savings Bond $25 Series E Q6390222531 E Issued 02/1980
US Savings Bond $25 Series E Q6390216685E Issued 01/1980
US Savings Bond $25 Series E Q6390204620E Issued 01/1980
US Savings Bond $25 Series E Q6387958771 E Issued 12/1979
US Savings Bond $25 Series E Q6387958770E Issued 12/1979
US Savings Bond $25 Series E Q6387946702E Issued 12/1979
US Savings Bond $25 Series E Q638740077E Issued 12/1979
US Savings Bond $25 Series E Q6379543304E Issued 11/1979
US Savings Bond $25 Series E Q6379543305E Issued 11/1979
US Savings Bond $25 Series E Q6379536732E Issued 11/1979
US Savings Bond $25 Series E Q6379524573E Issued 10/1979
US Savings Bond $25 Series E Q6379518064E Issued 10/1979
US Savings Bond $25 Series E Q6361806875E Issued 09/1979
US Savings Bond $25 Series E Q6361806874E Issued 09/1979
108.45
108.28
108.45
108.45
108.45
108.45
108.45
108.45
108.45
108.45
108.45
108.45
109.59
109.59
109.59
109.59
Page 2 of Schedule B
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
continued
FILE NUMBER
ESTATE OF Scharding, Robert M 21 - 09 - 0929
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE= VALUE AT DATE OF
NUMBER DEATH
32 US Savings Bond $25 Series E Q6369009877E Issued 09/1979 109.59
33 US Savings Bond $25 Series E Q6369003061 E Issued 08/1979
34 US Savings Bond $25 Series E Q6368990055E Issued 08/1979
35 ~ US Savings Bond $25 Series E Q6368990056E Issued 08/1979
36 US Savings Bond $25 Series E Q6361741196E Issued 07/1979
37 US Savings Bond $25 Series E Q6351328511 E Issued 07/1979
109.59
109.59
109.59
109.59
109.59
Page 3 of Schedule B
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF Scharding, Robert M FILE NUMBER
21 09 0929
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
1 PNC -Checking Acct #51-4025-9631 5,672.38
2 Internal Revenue Service - 2009 Federal Tax Refund 1,205.00
3 Members 1st FCU -Certificate of Deposit -Acct #15077-43 3,650.68
4 PNC -Money Market Acct #50-0196-9019 18,152.12
5 Metro Bank - 50 Plus Checking Acct #513207118 96.44
6 Members 1st FCU -Checking Acct #15077-11 237.41
7 Members 1st FCU -Investment Savings Acct #15077-05 4,098.60
8 Verizon -Refund for Unused Telephone Services 29.51
9 Conseco -Refund for Nursing Care 7,961.60
10 Miscellaneous Refund 408.75
I TOTAL (Also enter on Line 5, Recapitulation) I 41,512.49
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF Scharding, Robert M FILE NUMBER
21 - 09 - 0929
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
Therese J. Fisher 803 Linwood Street Daughter
q New Cumberland, PA 17070
JOINTLY OWNED PROPERTY:
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT Include name o~~ina vial If1OSiliU~lOn anOd bank account number
or similar identif in number. Attach deed for 'ointl -held real
Y 9 ~ Y
estate. DATE OF DEATH
VALUE OF ASSET % ~~F
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1
A
12/01/1987
Members 1st Federal Credit Union
1,162.23 _
51)% _
581.12
Savings Account
Acct #15077-00
2 A 02/01/2001 Members 1st Federal Credit Union 4,001.48 51)% 2,000.74
Life Savings Account
i Acct #15077-04
TOTAL (Also enter on line 6, Recapitulation) 2,581.86
COMMONWEALTH OF PENNSYLVANIA SCHEDULE G
INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS &
RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY
ESTATE OF Scharding, Robert M FILE N2MB09 - 0929
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
Include the name of the transferee, their relationship to decedent DATE OF DEATH
VALUE OF ASSET % OF
DECD'S EXCLUSION
(IF APPLICABLE:)
TAXABLE VALUE
and the date of transfer. Attach a copy of the deed for real estate. INTEREST
1 Vanguard -Revocable Trust Acct #9925923030 176,509.38 100% 0.00 176,509.38
2 Edward Jones -Revocable Trust Acct #957-09961 117,713.09 100% 0.00 117,713.09
3 Fidelity -Revocable Trust Acct #X47-226211 478,362.80 100% 0.00 ; 478,362.80
4 Vanguard -IRA -Acct #9850363574 31,606.60 100% 0.00 31,606.60
TOTAL (Also enter on line 7, Recapitulation) 804,191.87
SCHEDULE H
FUNERAL DCPENSES &
COMMONWEALTH OF PENNSYLVANIA ~A 'c ~p~
INHERITANCE TAX RETURN AD,YIINI~ I f W~ CW~
RESIDENT DECEDENT ~+ , , ~ ` vw
FILE NUMBER
ESTATE OF Scharding, Robert M 21 - 09 - 0929
__ Debts of decedent must be reported on Schedule I.
ITEM
NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT
A. 1 Parthemore Funeral Home -Funeral Services ~ 11,312.87
2 Rolling Green Cemetery -Cemetery Plot, Burial Fees 4,835.00
3 Royers Flowers -Funeral Floral Arrangement 510.86
4 Rolling Green Cemetery -Headstone 2,538.00
5 St. Theresa Parish -Funeral Mass Donation j 500.00
B.
1
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
2
3
City State Zip
Year(s) Commission paid
Attorney's Fees Law Offices of Craig A. Diehl
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
4.
5.
6.
7.
1
Street Address
City State Zip
Relationship of Claimant to Decedent
Probate Fees Cumberland County Register of Wills
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Cumberland Law Journal -Estate Advertisement
13,725.33
288.00
75.00
TOTAL (Also enter on line 9, Recapitulation) 34,454.80
Schedule H
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COMMONWEALTH OF PENNSYLVANIA Funeral
INHERITANCE TAX RETURN /Qdminlsb'atiVe Costs continued
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Scharding, Robert M
21 - 09 - 0929
2 Law Offices of Craig A. Diehl -Reimbursement of Certified Mailing Fee for DPW Letter 5.54
3 The Sentinel -Estate Advertisement 187.54
4 Dept. of Vital Statistics -Charge for Additional Death Certificates ~ 71.00
5 Mary Geller -Reimbursement of Postage Charges 370.66
6 Register of Wills, Cumberland County -Filing Fee for Family Settlement Agreement 20.00
7 Register of Wills, Cumberland County -Filing Fee for Inheritance Tax Return 15.00
Page 2 of Schedule H
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES & LIENS
INHERITANCE TAX RETURN f
RESIDENT DECEDENT
ESTATE OF Scharding, Robert M FILE NUMBER
21 - 09 - 0929
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION AMOUNT
1 Medco -Medical Expense 132.11
2 Alert Pharmacy Service -Medication Expense 142.56
3 ~ Manor Care -Final Nursing Home Bill ~ 2,136.00
4 ~ PA Department of Revenue - 2009 PA Income Tax Liability ~ 400.00
5 ~ Borough of New Cumberland -Inspection Fee ~ 80.00
6 ~ United States Government -Return Pension Payment Received After Death ~ 4,901.89
TOTAL (Also enter on Line 10, Recapitulation) I 7,792.56
REV-1513 EX+ (11-081
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Scharding, Robert M FILE NUMBER
21 - 09 •• 0929
NUMBER
NAME AND ADDRESS OF PERSON(S) RELATIONSHIP TO
DECEDENT SHARE OF ESTATE
(Words) AMOUNT OF ESTATE
($$$)
RECEIVING PROPERTY Do Not Llst Trustee(s)
I~ TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)]
1 Nancy B. Scharding Daughter 25%
1105 Nanroc Drive
Mechanicsburg, PA 17055
2 Therese J. Fisher Daughter 25%
803 Linwood Street
New Cumberland, PA 17070
3 Eileen B. Stanley Daughter 25%
136 Elm Road
Allentown, PA 18104
Enter dollar amounts for distributions shown above on lines 1 5 through 18 on Rev 1500 cover sheet, as appropriate.
II NON-TAXABLE DISTRIBUTIONS:
. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 American Lung Association -Charitable Donation 500.00
2 National Society for Prevention of Blindness -Charitable Donation 500.00
3 Salvation Army Harrisburg -Charitable Donation 500.00
4
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 1,SOO.OO
REV-1513 EX+ (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Scharding, Robert M
21 - 09 •- 0929
RELATIONSHIP TO SHARE OF ESTA7-E AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee(s)
I
' TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)]
4 Mary A. Geller Daughter 25%
231 Franklin Street ~
Glencoe, IL 60022 ~
Page ;? of Schedule J